ratio for fresh CABG pts

Specialties MICU

Published

I have a quick question. I recently started working in a busy 25 bed SICU that recovers aprox 1000 CABG's a year. I have previously worked in a CCU where a CABG was 1:1 for the first 6 hours, however at my new job a fresh CABG is frequently my second,and in yesterdays case, my third.... Is this ridiculous to anyone else? These aren't "easy" hearts, pts all come out on epi, neo, nitro, dobutrex, require lyte and blood replacement frequently. I'm supposed to manage this pt, two others (one on vent with drips) and extubate my heart in 6 hours? Some input would be appreciated here guys, tell me if I just need to suck it up and become super nurse. Thanks

Specializes in Med-Surg, ICU.

Are you serious? Fresh CABG's should always be 1:1....Your facility should be ashamed to have their nurse tied to another patient! Wow...don't think I'd be working there long, what a liability!:eek:

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