brook0224

Hello all! I am a critical care RN with 10 years experience on a 32 bed adult MICU. I've taken all patients including Neuro/Trauma/Surgical but Cardiac has been unfamiliar. I recently moved to a new facility with a high cardiac focus and have become trained to take fresh CABG pts. Our fresh hearts come off of 1:1 status as soon as they are extubated per (I'm assuming) hospital policy. A recent request to our surgeon to keep his pt 1:1 prompted questions of our policy as he was unaware of this staffing policy. Frequently, the second patient we pick up after our CABG is extubated is a new admit. I personally am uncomfortable with a second patient immediately after extubation. I believe the pt to be potentially more unstable once an airway is removed. What are the guidelines/policies within your facility? I'm asking in hopes to work with our surgeon and administration to develop new standards for the care of our CABG pts. Also, do you have any articles or references for CABG ratios? Thank you for your input in advance.