Reply To: Administration of vasopressors on the ward prior to PICU transfer

  • Carie Murphy

    January 20, 2022 at 6:46 am

    We, fortunately, have not had to do this, dare I say “yet.” 

    Carie Murphy, MSN, RN, CPON

    Assistant Nurse Manager

    Weaver Tower 4/Pediatric Hematology Oncology



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    Original Message:
    Sent: 1/19/2022 4:38:00 PM
    From: Terri Boyce
    Subject: Administration of vasopressors on the ward prior to PICU transfer

    Traditionally, vasopressor support requires ICU monitoring.  In these crazy times of short staffing, full ICUs, and increased acuity across the health care systems, the immediate ability to transfer a septic patient to the ICU is not guaranteed. 

    Is anyone initiating vasopressors on the floor/ward while awaiting an available ICU bed or critical care RN?  If so, would you be willing to share your parameters and guidelines for doing so?

    Disclaimer:  I am not advocating for this process change, simply data gathering from peers!

    Terri Boyce, DNP, APRN, CPNP-AC, CPHON
    Nurse Practitioner
    OHSU Doernbecher Children’s Hospital