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telemetry unit question

Med-Surg   (1,868 Views 4 Comments)
by pk1 pk1 (Member) Member

1,985 Profile Views; 35 Posts

Has anyone had any experience on a medsurg, telemetry unit, with having Nitroglycerine drips, dopamine and Dobutrex for BP maintaince, and natrecor drip? If so, what was the nurse patient ratio? How large was the unit?

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mama_d has 10 years experience as a BSN, RN and specializes in tele, oncology.

1,187 Posts; 12,290 Profile Views

I work on a tele unit with 25 beds; day ratio is 4-5:1 and nights is 5-6:1. We take all those drips but do not titrate up. Ideally, if they are unstable enough that titration up is anticipated, they are unstable enough to go to step down where the ratio is better. In the real world, however, we do sometimes have to call and get orders to go up.

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SummerGarden has 10 years experience as a ADN, BSN, RN and specializes in ED and Acute Care.

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5:1 on a good day... 6:1 on a bad day.

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35 Posts; 1,985 Profile Views

We don't have a step down unit. We have a 10 bed ICU then a 26 bed med/surg telemetry unit , then 10 more telemetry beds on another med/surg unit. My fear is that once they start putting more drips on the floor, it will only get worse for us. No beds available in ICU--put them on telemetry!

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