post operative patients directly from operating room table
by, 06-03-2008 at 12:23 AM (6845 Views)
I work in a 14 bed CICU. 2 patients per RN. It is common to have patients come to us directly from OR table. These are patients who are very unstable, major surgery done. Had problem during surgery or they are not going to wean them from the vent. We get sometimes 15 min notice. The nurse will have another critical patient. Anesth insist on giving report befor you can evaluate the patient. Then everyone leaves and it is just the pataient and the nurse. The intenseivist is in the hopital or his office until about 2pm.
We then are responsible to call the consults espically since the patient has some problem and they have no knowledge of this person. We feel that no matter what all patients shoud go to the recovery room first where they can receive closer and intese obeservation instead of sharing a nurse who has another patient 3 or 4 doors down the hall with poblems also. Because some where one along the line something serious will get missed. We have a charge nurse who helps everyone in addition to doing bed assignments in and out of the unit, going to the codes in the hospital and the medical building, going to all the RRT's, signing off orders and many times picking up 2 patients if we do not have enough nurses.
How does all the other hospitals handle this type of situation? We have formed a sub comm from the Critical Care Comm to work on this. But I have tried to look on line and JACHO does not give any comment on this.