nicholasmjb

I agree with who is making these decisions. The real reason we are being encouraged to take Nitro drips is that CCU doesn't have enough beds. It worries me that patients are moved out of ICU's because they need the bed. The number of infiltrated IV"s is an issue now and monitoring BP's is difficult espesially when you can't find a BP cuff any where. It is also difficult because assignments aren't made by acuity but by bed order. Of course no one admits this but it is just easier for the charge nurse. The paper work is what keeps you busy. It seems we are triple charting for everything and it is the nurses responsibility to notify the doctor of labs and test results. Waiting on the phone to get ahold of a doctor takes up time. These patients also have other problems. Many with fractures and/ or confusion. Than the discharges take for ever. Back tracking and finding out what medications the patient is going home on is terrible. Why can't doctors write down exactly what the patient will go home on. Well I thing I just started another thread. Sorry.

Thanks you were all very helpful. Something new always seems threatening. My biggest fear is that we will get every CHF patient that comes through the ED doors. It sounds like it won't be much different than our natracor or dardazem etc drips. Again thanks

What kind of special care to you give the patient

Our unit will start admitting patients on nitroglycerin drips. It is a telemetry unit with a ratio or 1:5 patients. What do you think about this?