We implemented a suicide precautios policy which provides for a sitter on those patients identified as a suicide risk. My question is how do other hospitals...
Anyone who is designated as suicidal by Psychiatry has a sitter wherever they may be located in our hospital. For years there was this incorrect feeling that...
If the patient is awake and alert enough to act on a suicide attempt or elope, they have a 1:1 sitter. If they are unresponsive or otherwise not in any state...
Wanting to update staffing pattern for my Stepdown Unit. What is your patient to nurse ratio? Do you use "nurse aides"? If so what is the ratio? Do you use...
We are an rural 8 bed ICU/CCU. We try to staff for a ratio of 2:1. We have a Unit Clerk on days and eves and no monitor watcher. We get a nurse aide on...
We staff a 1:4 ration on days and 1:5 on nights. We use CNA's at an ideal ratio of 1:7 but they sometimes are as high as 1:12 depending on availability. We...
Cole,Annette
acole@...
Jul 7, 2008 4:49 pm
3285
At our hospial the stepdown unit is an 8 bed Cardiac step down. It is staffed with 2 nurses and 1 assistant. The monitor tech for CCU watches the rhythms for...
We have a 3:1 ratio for step-down patients and 4:1 for less acute patients. We have 2 HUCs during the day shift and 1 from 3-11, none at night. We staff 2.5...
A year ago I managed an ICU Stepdown unit. The following is what my staffing was for a 28-bed unit that took drips and vents: The HPPD was 10.00 1:4/5 Nurse to...
Our nurse:patient ratio for dayshift and evening shift is 1:4. Our ratio for night shift is 1:6. We do use nursing assistants. The nursing assistants carry an...
Hi there, We have been trying to implement a Neuro Critical Care Unit of 12 beds within a 30 bed med/surg/neuro ICU. Ideally we would like to have a core group...
We have an intensive neuro unit within our neuro med/surg unit. We do not have uniionized staff. We really didn't have problems that I recall in terms of the...
I supervise 3 10 bed intermediate care/stepdown units. Ratio is 1:2 to 1:3, with charge rn out of the count. care assistant on day and eve shift, secretary ...
Step Down: AACN: 1:2 to 1:4 (RN to patients) DHPPD: 8.8 to 12 (think about your acuity) Getting MD buy-in to sending patients from the ED or ICU is tough. ...
Hello, Our hospital is looking at starting a cardivascular center. We will have an interventional vascular surgeon performing procedures from varicose vein...
Hello, Our institution is revising our enteral feeding nursing protocol, in particular, the NGT placement verification procedure. We have reviewed the AACN...
The AACN critical care manual states that confirmation should be done via x-ray Diane Pelant RN, CCRN St. Cloud Hospital, Magnet Designation Children's Center,...
We use the AACN manual for our procedures and for any kind of N/G inserted for tube feeds per our hospital protocol all receive a CXR with confirmation of...
Our Cardiac Catherization Lab currently recovers Pacers/ICD's for one hour post procedure before sending them up to the floor. I am wondering how other labs...
We have a brochure and large signs explaining the rules, but it still requires all staff to be on the same page and not have too many at atime, not during...
Hello . . I lead a 38 bed acute medicine unit - On occassion, (more often then I like) - we have patietns who are so combative that they require 4 and / or 5...
Inpatients are sent directly to their rooms post procedure. Observation patients are sent to a recovery area where they spend the night and are discharged the...
We are encountering an issue with patients who are at end of life care but the physician is requesting BIPAP for comfort measures, I am aware that medical...
I am the manager of a 10-bed cardiac surgery unit. My leadership team and I are working with the surgeons to revise our routine postop wound care. I am...
... We will confirm placement placement with Xray, but our question is, do the nurses do anything on an ongoing basis to help to verify that the tube is in the...