Angry Rant From Licensed 2 ILL
I was just browsing some nursing blogs and came along this post from licensed 2 ILL. I LOVED it, but frankly, who doesn’t love a good angry rant?
Unfortunately, I have definitely seen glimmers of all these behaviors in other nurses. Thank goodness they don’t seem to be as concentrated and rampant as it would appear in this story. I’m glad he got himself out of that place!
Licensed 2 ILL: To Live and Die in L.A..
On another note, I ask this almost every day, but I never seem to get tired of it: How the hell do you American ICU nurses handle two patients? That’s just crazy!
Thankfully, here in Canadian hospitals, it’s always 1:1, except for the easiest (read: extubated and up for transfer) patients.

September 4th, 2009 at 07:05
Depending on the patient, there are times when it is 1:1, but yeah…
September 4th, 2009 at 17:47
HAH! 1:1.. That’s a good one. Yerrr a funny guy.
Even on a level 1 trauma unit I worked on. We got 2:1. both intubated. one on CRRT. Maybe one swanned.
Only got ’singled’ when they were REALLY sick. Like on the rotoprone bed, CRRT, internal cooling system, EVD, brain monitoring. whole shabang.
LOL
1:1..
funny guy.
September 4th, 2009 at 21:05
We occasionally will even have two nurses for one patient. I am forever grateful for the abundance of 1:1 nursing care in my ICU!
September 12th, 2009 at 12:47
We are usually 1:1. Sometimes 2:1, and it isn’t unusual to be told that you will be the “next double” when a new admission comes in if you have an easier assignment. Then it is up to you and your buddy nurse to decide who will be doubled and who will do the admission. If someone is really freeking sick, they might be 2:1, but that is rare.