jilpil

Hello, I recently have gone to work at a 400+ hospital. They use to have a PCU but now have decided to divide the floor into 2 units. One is called Monitored Med/Sur and the other floor is Intermediate Care Step Down Unit. Right now both floors continue to get so called PCU patients such as Post Heart Cath's with sheaths and art lines. We have to pull the sheaths and such. We also get a mixture of Post-op Heart surgeries but not very many of them. We get patients on Vasoactive, titrating drips. We also get all of the heart arrhtymias, Renal, any one the doc's think should be on tele. The nurse patient ratio is !:4 for PCU type patients. 1:5 for others. This place is a big mess and no one knows what they are going to do. Jil