I'm pretty new to the ICU, I came from the ED at a different hospital. I was wondering how acute your ICU is and if mine isn't very acute compared to others?
My hospital is 320 beds, Level III Trauma Center, in the suburbs of a major metropolitan area. The ICU is 20 beds, non-specific/specialized, just the one ICU in the hospital. Our typical patients include CHF, COPD, ETOH Withdrawal/OD, Pneumonia, STEMI, Post Arrest, Hypothermia After Cardiac Arrest, Post-Cath Lab with sheaths, Stroke, Subarachnoid Hemorrhages, EVDs, Deep Brain Stimulator Placement, DKA, COVID. We do CRRT but it's fairly rare, probably <10 a year. We also do balloon pumps and impellas but I've been told we get maybe 3-4 a year.
On any given day, we average about 1/3 of our patients being intubated. If 1/2 of our patients are intubated, that's a lot of vents for us. Usually I have two non-vented patients, sometimes I have 1 vented and 1 non-vented. I've yet to have two vented patients, that's pretty uncommon and if it were to happen, they usually reserve two vented patients for very senior nurses. Most patients are alert and oriented and can get out of bed for PT and to use the commode.
Of course I'm learning a lot because I'm new, but I feel like we're not a very acute unit? On average, I had more vented patients in the ED than I do in the ICU. How does this compare to other ICUs? I feel like when I talk to friends who work in or did internships in ICUs, most patients were very acute, vented, multiple drips, etc., a lot of our patients are saline locked or just have maintenance fluids.