It is true. It is very hard to take care of a very sick CRRT patient and at the same time have another patient assignment. It is also unsafe and the question...
Carlese, Cristina/Nur...
carlesec@...
Feb 1, 2005 5:24 pm
1284
nursebob, I am in the process of writing a policy maintaining a propofol infusion which requires an evaluation while the drip is infusing, i.e. Ramsey scale....
Kbender3@...
Feb 1, 2005 5:26 pm
1285
we use the ramsey scale and evaluate the patient hourly. thx tr853@... ... From: Kbender3@... Reply-To: nursebob@yahoogroups.com To:...
We officially evaluate and record every hour. Evealuation can be on going as you work with your patient. Chris in Lawton [Non-text portions of this message...
CYoung2277@...
Feb 1, 2005 6:02 pm
1289
We use the MAAS scale in our sedation protocol. Yep, we've used the Ramsey; but, MAAS is MUCH more precise....yet easy to assess for. Perry CYoung2277@......
Definately agree! "Erin T." <can_erin@...> wrote: I honestly can't picture how one can handle two ICU patients with one being CRRT. What is going to...
DEBORAH ADDLEY
deborah.addley@...
Feb 3, 2005 1:19 pm
1291
Okay . I'll bite! What is CRRT patient? I've been out of ICU for several years. Thanx, Lee DEBORAH ADDLEY <deborah.addley@...> wrote: Definately...
CRRT=Continuous Renal Replacement Therapy. Its a "slow" dialysis that is often used for renal failure with low BPs that are difficult to maintain even on ...
RLynch5144@...
Feb 4, 2005 1:45 am
1293
We check it every 2 hours together with the vital signs. ... From: Kbender3@... [mailto:Kbender3@...] Sent: Tuesday, February 01, 2005 11:26 AM To:...
Carlese, Cristina/Nur...
carlesec@...
Feb 4, 2005 3:07 am
1294
Group: My name is Jay Prosser and I am a graduating nursing student. I have obtained a job in a Critical Care Department and will be starting there in May....
Jay Prosser
jayprosser@...
Feb 4, 2005 3:08 am
1295
I'm not familar with the MAAS scale. Please share. [Non-text portions of this message have been removed]...
Blazeknm1@...
Feb 4, 2005 3:11 am
1296
Thanx for the info. And God bless all of you, who do this. Sounds SO intense and stressful. I'm just glad that there's someone, like you special RN's. Lee ...
Lee, CRRT used to be known as CVVH, contiuous venous venous haemofitration +/- dialysis ... From: lee To: nursebob@yahoogroups.com Sent: Friday, February 04,...
Yesterday I had a CVVHD patient and a verapamil overdose patient (6th sucicide attempt; took 52 sustained release tablets and is in MODS). My verapamil...
Nancy, which hopital is this? I will make sure I don't apply there!! Also, we don't set up the CRRT machine, we call the dialysis tech to come in to do it...
Erin T.
can_erin@...
Feb 5, 2005 3:01 am
1300
Hi Jay, I am also a nursing student, and am interested in your survey, as my background is also in Technology, and am looking to get into Nursing Informatics...
Motor Activity Assessment Scale: 0 - unresponsive (does not rmove to noxious stimuli) 1 - responsive only to noxious stimuli 2 - responsive to touch, name 3 -...
I would like to know how many of us with major staffing issues and workloads are working for corporate hospitals, e.g, TENET. Are we seeing the same problems...
Vangie Deluna
vangiedl@...
Feb 7, 2005 5:48 pm
1303
It is the same in all. I do hear Tenet rushes their pts out though. ... From: Vangie Deluna To: nursebob@yahoogroups.com Sent: Monday, February 07, 2005 11:48...
Is the staffing necessarily due to a nursing shortage or hospitals simply not wanting to hire more nurses? Having to do more with less? Do any of you feel...
Vangie Deluna
vangiedl@...
Feb 7, 2005 11:41 pm
1305
Our ICU has a 2:1 ratio; however, our staff is comprised of at least 80% travellers (maybe close to 90%). Our manager sees the importance of adequate staffing...
I hope for your sake and your patients' that this was an exception and not the rule where you work. To have a CVVHD patient and a MODS patient on various...
It is not the same everywhere. Find a "Magnet" hospital. One of the requirements of this type of systems is adequate staffing patterns. Also, it sounds to me...
It is not the same everywhere. Find a "Magnet" hospital. One of the requirements of this type of systems is adequate staffing patterns. Also, it sounds to me...
Where I am from even the Magnet hospitals find a way to overload staff. I:E; they say they can staff by acuity. They feel the little person crawling out of...
Thanks for your response. I can totally relate. Occasional PRN staff and travelers make no commitment and it's very difficult to address individual problems...
Vangie Deluna
vangiedl@...
Feb 8, 2005 4:42 pm
1311
I think acuity levels where I work are a joke! The charge nurse spends 30 minutes reporting acuity levels to the AOD (Administrator on Duty) and the unit ends...
Vangie Deluna
vangiedl@...
Feb 8, 2005 4:53 pm
1312
I agree. I would also be interested in knowing if your charge nurse took an assignment, and also if there was an empty bed/room on your unit ready for a new...
Terri Sayre
tlsayre@...
Feb 8, 2005 5:16 pm
1313
This is very good food for thought. ... I agree. I would also be interested in knowing if your charge nurse took an assignment, and also if there was an empty...
Vangie Deluna
vangiedl@...
Feb 8, 2005 6:02 pm
1314
After reading this thread, one thing I can tell you guys for sure.....if I had to suddenly work under some of these workloads you are describing, I'd find...
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