Vital Signs Taking at ER - page 2

The patient was wheeled in ER via stretcher. Normally we get the data of the patient and her vital signs. After obtaining data, our resident doctor did his history taking. While doing it in the... Read More

  1. Visit  double_minority profile page
    1
    Quote from eatmysoxRN
    I wouldn't sweat it. You were doing your job. Would the family member prefer you not mention it and just let it go untreated? Some people are looking for a reason to complain.

    ~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~
    Yes it's true. It makes them feel "powerful". A power they don't have no where else, especially at their little customer clerk job!

    To me your job was done. That customer is always right thing needs to stop! Slap ME? LOL! I can't believe he actually repeated that to you. Himself when the relative said that didn't say ANYTHING!? He just let her say that?! I'd slap him!
    nursing_problem likes this.
  2. Visit  nursing_problem profile page
    0
    thanks guys.. i feel enlightened from your comments.. i talked to our chief nurse this morning.. and she said that i shouldn't mind what that relative have said.. she just admit.her relatives.in our.hospital for treatment and just to find something to complain about. with your comments as well, i feel i can really feel i can defend my actions to that woman. i just thought if we nvr communicated the bp of pt to our resident doctor we will not be able to givw het patient proper treatment at once.


    another question..based from ur experience, does stress really make your bp that high?
    Last edit by nursing_problem on Feb 25, '13
  3. Visit  Sassy5d profile page
    3
    A lot of people have 'white coat' syndrome. Which is why cycled bp readings are a better indicator of bp. Stress, pain, anxiety can make em rise.
  4. Visit  nursing_problem profile page
    0
    Thanks.
  5. Visit  Vishwamitr profile page
    0
    To tell you the truth, I didn't understand the point of this whole rambling post.
  6. Visit  nursing_problem profile page
    0
    to make it short, its about a relative who was complaining why i said the bp of the patient to my colleagues esp. our resident doctor louD as well as when she asked me what is the bp. she didnt inform hat she doesn't want the patient to hear the vital signs for it may cause stress to the patient. that is a big deal for her and threatened that she will file a formal complaint to my superiors.
  7. Visit  amygarside profile page
    0
    It wasn't your fault. Just take a deep breath.
  8. Visit  bjaeram profile page
    1
    Some people are just complainers and nothing you can do will make them happy. The good news is they do this every visit so even if they complain the higher ups will see it for what it is. A grumpy person that likes to complain. Don't worry about it!
    nursing_problem likes this.
  9. Visit  nursing_problem profile page
    0
    Update: she already sent an email of her complaints to our chief nurse.. But our chief hasn't talked to me yet.. I hope she'll understand my actions the way you guys do..
  10. Visit  Esme12 profile page
    1
    That will depend entirely on what is usual for your place of work In the US we do things very differently and there are certain rights of the patient and information and who has a right to that information. Just because someone is family doesn't give them "rights" to information or decision making.

    I wish you the best.
    nursing_problem likes this.
  11. Visit  nursing_problem profile page
    0
    in the letter she stressed out that i committed breach on ptients confidentiality.. i dont know what she was really trying to point out.. whether the patiemt is hearing her Bp or other people in the er have also heard.it. she also told i was arrogant. well for me, during.that situation, the best thing to was just to ignore her and not say anything because it may juat aggraviate or worsen her issue.
  12. Visit  UK_RN_AJ profile page
    0
    Sounds like a nightmare situation and i do feel for you. Personally from experience, when a patient comes in unwell, the only people in that initial assessment are myself, the doctor and the patient. I have no quams in asking any relatives to wait outside while I conduct the first part of my assessment.

    Number one because as part of my assessment I have to get the patient into a gown so i can examine the whole patient.

    Secondly I need to assess my patient not the relatives, and the only way is to examine everything is with the patient and its hard to do that when someone else is present. only then do you get any other information from the family.

    Also who knows, that patient my not want the relative to do anything with there care as as stated by several members on the board, unless they have a signed document stated that this person is in charge of there care then until that patient can give consent for the family to know more about there care, say nothing.

    In regards to speaking out the vitals, its is simply good communication, In trauma when a patient is unwell , I will make damn sure that the whole team knows the vitals and i will do it by raising my voice clearly, loudly ,as a order and with pauses. You as a nurse cannot waste time by whispering in the ear of every doc in the unit especially in the extremely unwell.

    So in conclusion, if it happens again my advice is tell the family to wait outside while you conduct a through assessment, you will be with them shortly to discuss the care if the patient is happy for that to happen. If they have a signed medical document stating that they are in charge of care still ask them to wait outside and you and the doctor will be along shortly to discuss everything.
  13. Visit  sandyfeet profile page
    0
    Some people just complain as a way of feeling "in control" of their family member's care. I can't believe she asked for the patient's vital signs and then complained when you told her! If she really didn't want to have her family member know, she would have made it clear that she wanted you to whisper to her when she asked. Regardless, the patient was in the emergency room and emergency care takes priority. I hope you were able to document that interaction so it was clear that you were trying to address the family's concerns and not being rude. I would also be sure to write something like 'Family member stated to RN "If you were my daughter I would spank you"', in the US this would impartially demonstrate how the family member was being unreasonable. Good luck! I don't think you did anything wrong.


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