Check this out- Our Peds ED has performed approximately 700 deep
sedations using Ketamine over the past 3 years. We've never intubated or
admitted anyone due to its use. JCAHO rounded on our hospital last week
and said that our 'at least one nurse, one doctor at the bedside'
protocol was inadequate and that we now need TWO nurses and a doctor at
the bedside. Our administrators have swallowed this hook, line and
sinker and plan to enforce it. Our ED averages about 75/day and we often
only have five nurses during swing shift and two from 3 -7am. Our answer
to administration..... better crank up that OR staffing!
Jay Fisher MD
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