False vitals data??? - page 2

False vitals data! Long story short, a girl in the same room as me took a pt's vital signs. She presented me with the data and it included a b/p... I asked her how she got it because she didn't... Read More

  1. Visit  WannaBNursey} profile page
    1
    Quote from LCinTraining

    To even suggest this as an excuse terrifies me and makes me want to overtake care for every patient in my facility just so I know things are getting done right.
    Then you should volunteer your services. It would be a wonderful help if one person were to go around and take everybody's vital signs. I know there are a lot of problems in a lot of LTC facilities and they need to be fixed. If they're not people will continue to take short cuts...they just won't tell you.
    duskyjewel likes this.
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  3. Visit  LCinTraining} profile page
    0
    And they will kill someone. Plain and simple.
  4. Visit  Kitsey} profile page
    0
    I'm glad we don't take vitals at my LTCF. We didn't even learn to take blood pressure in my class.
  5. Visit  nguyency77} profile page
    0
    Laurie, thank you for sharing. I hope people learn something from it.
  6. Visit  kellycinalli} profile page
    0
    Not for nothing, I work in a rehab facility where I have 17 patients and would never trust anything but my own ears to get the vitals. And yes u r playing with people's lives. And ppl making up vitals not having a bm isn't just were understaffed. It's laziness! I will get my own vitals and ask the patient or the aide if they had a bowel movement. Hope when u r about to give a vasodilator and they record the blood pressure as 120/70 and it's really 90/60 ur patient doesn't crash and fall. Then I bet u would be getting ur own blood pressure cause now u r doing an incident report.

    Sent from my iPhone using allnurses.com
  7. Visit  pnkgirl25} profile page
    1
    I am in CNA school right now and our teacher teaches the same thing. She says for all you going on to be nurses and having to pass meds her advices was "I don't give a @#&$ what the chart says...check vitals with your own eyes". Words i will live by. I would never be able to live with myself knowing I killed someone over such a carless mistake.

    For the people who say they can't get vitals due to lack of equipment? You guys don't cary your own B/P cuffs?
    nguyency77 likes this.
  8. Visit  nguyency77} profile page
    1
    Quote from pnkgirl25
    I am in CNA school right now and our teacher teaches the same thing. She says for all you going on to be nurses and having to pass meds her advices was "I don't give a @#&$ what the chart says...check vitals with your own eyes". Words i will live by. I would never be able to live with myself knowing I killed someone over such a carless mistake.

    For the people who say they can't get vitals due to lack of equipment? You guys don't cary your own B/P cuffs?
    Right? I bring my own cuff and my own stethoscope. My facility's RoboNurse is always acting up (i.e. spitting out blood pressures of 190/110, but the manual reading is actually 100/60). I just don't trust it, and it's not like your management's gonna take the blame for you when someone gets seriously hurt.

    When I was new, it took me a long time to get vitals. But it's okay, since I can rest easy that no one was hurt on my watch.

    There's just no excuse for making up vitals. Ever.
    malamud69 likes this.
  9. Visit  Hygiene Queen} profile page
    4
    For some bizarre reason, some aides seem to think there is some great "trouble" they can get into if they cannot get vitals.

    I have no clue why.

    Think about it: even the fact that a patient is refusing vitals, that is-- in and of itself-- telling you something about that patient.
    Does it hurt?
    Is there a change in mental status?
    Are they "giving up" and starting to refuse care?

    It is legitimate to report to the nurse that the patient refused and it has nothing to do with your abilities as an aide.

    As for vitals outside of parameters-- why the big freak out?
    Obviously, if everyone's vitals were normal all the time, there wouldn't be much point in getting vitals, now would there?
    Do aides assume they must have done it wrong?
    Do they fear they will be perceived as incompetent?
    Have they dealt with nurses who give them a hard time about abnormals because the nurse doesn't want to have to follow up?
    Are they dealing with crappy equipment?
    Do they really know how to use the equipment?
    Do they realize that some patients are just super hard to get vitals on, and even good nurses can struggle with getting a decent reading?
    And if it's any of these things, why aren't these aides speaking up?

    I wonder because, as an aide, you don't really have to do anything about abnormals... just report them.
    Then it's up to the nurse.

    Now, let's discuss honesty and work ethic.
    Some folks just don't have any.
    A lie is quicker than doing the work.
    They slip through the cracks and pass their class and get a job...
    And then we all have to deal with it.
    Last edit by Hygiene Queen on Sep 20, '12 : Reason: typo
    Paws2people, nguyency77, mstearns09, and 1 other like this.
  10. Visit  englishgeek} profile page
    1
    I was told day one of training, "You'll get where you can tell who breathes 18-20 breaths." What?! Um...no. I will be counting everyone's respiratory rate myself.
    nguyency77 likes this.
  11. Visit  ajr31} profile page
    0
    Oh my, that is very dangerous. Vital signs are so important in determining the patients status. Many women have no signs and symptoms of hypertension and the initial start of infection can start with just a fever. Not only that, but different medications can cause bradycardia and tachycardia also. No excuse at all for making up vital signs.
  12. Visit  malamud69} profile page
    1
    Like everything else...even with all the juicy posts above, lazy is lazy is lazy...people crying about broken equipment and its a hassle etc...and the patients do not want it done...blah blah...what are (you) a bunch of 2 year olds...I have said it before on other posts you people that complain like this wouldn't last 1 day on a construction job. Wake up! Vitals reported wrong/false whatever the case can easily mean DEATH for the patient. If LTC is too taxing for you...leave! Go flip burgers at some poison food joint...oh no there might be a line waiting for their orders... could you handle that? And by the way at the most basic level as a CNA you are taught to take vitals by palpating the patient...remember that...touching them...actual hands on assessment at the most basic level? Radial pulse...can you multiply and count by 4? And manual BP..at least every medical facility has a manual BP cuff and a cheap stethoscope...and wow counting respirations...hmmm...look and count! Wow! I agree with some of the above posts lazy is lazy and some people have zero work ethic so much that they would endanger a life out of shear laziness.
    nguyency77 likes this.
  13. Visit  malamud69} profile page
    2
    "Now, let's discuss honesty and work ethic.
    Some folks just don't have any.
    A lie is quicker than doing the work.
    They slip through the cracks and pass their class and get a job...
    And then we all have to deal with it"

    Great quote...so sad and so true...I will be extremely blunt...any dimwit can pass any CNA class.
    nguyency77 and Hygiene Queen like this.
  14. Visit  nguyency77} profile page
    0
    Not only should we aides be held accountable, but the nurses who knowingly allow this to happen should be, too.

    A fellow aide once told our hall nurse that she was "falling behind" and "couldn't get vitals." And do you know what this LPN said? He said in all seriousness, "Just make something up and I'll believe you." I was appalled.

    EDIT
    @malamud: You are so right. I have seen people whine about vitals taking too long. Once, I escorted a resident out to our patio one evening for a smoke break around 10 minutes before we were supposed to clock out, and guess what? All the whiners were sitting there... smoking. Just plain lazy.


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