Ambulating patients with pulmonary artery catheters (PACs) is safe with physical therapy, occupational therapy, and nursing.1–4  Unlicensed assistive personnel, known as patient care technicians (PCTs) at this organization, are an integral part of the nursing team. In the step-down unit, ambulating patients with PACs was done only by a PAC-validated registered nurse (RN), as established by organizational leadership. Hemodynamically stable patients with PACs were ambulating multiple times daily, up to 45 minutes during each ambulation period. In the step-down unit, the nurse-to-patient ratio was 1:3, resulting in PAC-validated RNs often needing to be pulled from ambulating patients with PACs to deliver care to their other assigned patients.

The staff in the step-down unit allowed to ambulate patients with PACs included the primary nurse, resource nurse, and charge nurse, all of whom had to be a PAC-validated RN because the PAC validation included patient assessment and monitoring along...

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