Too early for vitals?

  1. 0
    So on my floor, often times patients will be woken up before it's time to get their vitals (our floor, it's 6am). Is it so very wrong, if I find them awake around 5.-5.30 to grab them quickly to save waking them up again later? I would never wake a patient at that time for routine morning vitals, but if they get up to use the bathroom/call for something else?

    I ask because another NA on our floor says it HAS to be done between 6am-6.30am or else there is to long of an interval between that set and the next set that the day staff do. I chart the exact time I took the vitals, I do not write that I did them at 6am.

    I do plan to ask the nurse next time, I've switched to day shift for the next few months so it won't come up for a while, but I wondered if anybody had any thoughts?
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  3. 5 Comments so far...

  4. 0
    Take them when they are awake...and chart in the notation box"patient preference"(i.e to have vitals taken at that time. You could ask them if they want to be woke up again...in an hour...LOL...NO they will tell you and chart that!(everyplace has a comment box somewhere typically) I also believe in the hour before or after "rule" and it definitely is not wrong to take vitals early unless the patient objects. I have been a nurse a long time. If I can get 4 am vitals at 3am and get my assessments done...I do it....
  5. 0
    I guess it would depend on if they are getting specific medications that require that monitoring of vitals to be so exact. When I used to be a tech on mother/baby I would have the moms let me know when they first woke up to breast feed between 5:30 to 6am. If I had the whole floor by myself (23 patients tops) I would start vitals as early as 4:45 because it took me about 1.5 hrs to do the whole floor plus refill water pitchers and/or any other things in between. Best bet is to check with your nurses.
  6. 0
    If they have a med that needs a pulse or bp when its given then the nurse will take the vitals when giving the med if applicable...i.e apical radial pulse before giving for example Lanoxin
  7. 0
    Where I worked, the nurses didn't mind as long as it was within an hour, so if it's a 6am vital, there was a two hour window of 5am-7am. Best to ask the nurses you work with.
  8. 0
    In clinicals, we get the noon vitals around 11 because we leave at 11:30. The nurses seem fine as long as its not earlier than an hour.


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