Drips On A Med Surg Floor
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Drips on a med surg floor. Content pulls from across all amsn properties including our online library publications member community the hub and podcasts. I would like to. Management s logic was that a pt. Specializes in or education.
Specialties med surg posted aug 27 2016. They could be challenging particularly if the pt required stat labs in addition to the frequent fingersticks. Navigate by topic area or search to refine. This means knowing how to titrate a cardizem drip.
My personal opinion is titrated drips or narcotic drips don t belong on medsurg unless it s a morphine drip on a dnr. Patients on the med surg floor. Med surg nursing requires attention to detail excellent multi tasking skills and a level head under pressure. If you hang dobutamine dopamine nitro and cardizem on your floor what is your nurse to patient ratio.
I m on a med surg transplant floor there are multiple drips that we initiate or titrate. Specializes in certified med surg tele and other stuff. I work in a 7 bed icu in a small rual hospital. As hospitalists have migrated over the years throughout the hospital taking over management in surgical or subspecialty wards such as orthopedic surgery they ve championed the use of insulin drips for some floor patients now hospital wide.
Anyone with hourly fingersticks and insulin drip adjustments should be on a monitored pcu floor no greater than 1 4 nurse patient ratio. Cardiac drips on a med surg floor. Hospitalists at emory aren t the only ones who endorse the protocol. Administration wants to place the patients on cardizem drips on the med surg floor with tele.
I work on a med surg tele floor ratios 5 1 days 6 1 nights with 3 cna s if we. Rose queen bsn msn rn. There is a cardiac step down that would amount to the tele floor i d assume. We also monitor 20 telemetry units the patients are on a med surg floor that also has peds.
My hospital is actually fairly strict about what can stay on a med surg floor which is nice. As the largest branch of nursing care med surg nursing has the widest variety of potential patients and diagnoses. We transfer patients there if they need any iv cardiac meds have an elevated troponin for a true cardiac reason afib with rvr drips other than heparin etc. I worked a med surg unit where we had insulin drips.
We do insulin heparin argatroban bivilarudin diltiazem amiodarone lasix bumex lidocaine for pain mgmt epidurals for pain mgmt morphine dilaudid primarily for comfort measures patients. Whether you work in the er or icu ccu med surg or a long term care facility you have the ability to make a difference and save a life by paying attention to their needs and delivering the best nursing care possible.