Vital Signs Taking at ER

Specialties Emergency

Published

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 bedside of the patient, I told him the BP of his patient was 200/100. While transferring the data of the patient in an admitting chart, a relative went to me and asked for the BP of the patient. I told her in my usual voice that the patients BP is 200/100. She began to complain I'm a bit vulgar in saying the patients vital signs. She told me it may cause stress to her patient and cause elevated BP. So I told her ok, kowing inside me next time we will not divulge it in front of the patient. However, she get my name and have it written in a piece of paper. Unfortunately, one of my colleagues did not know the precaution that relative gave regarding the BP. Upon rechecking he told our resident doctor the lateat BP which was 190/110 which make the relative angrier. She told us is that the way we do it in ER? What if our Bp is high and hearing it doesn't it make it more elevated.. I told her that's the way we do it and communicate with the resident doctors in er and the nurse who rechecked it didn't know her precaution. After awhile, a co staff in the hospital told me, the relative told her If I was her daughter she would spank me. Is that how the nurses are in our hospital and we don't have etiquette. At the same time, she also told my co- ER staff that they will make certain actions regarding what I did in ER. She also told my colleague that I didn't apologize and answered back to her.I'm quite nervous of the possible things that may happen. Our chief nurse knows that relative for her manners. During previous hospitalization, our chief nurse started intravenous infusion to the granddaughter of the said relative. Since being a grandmother who doesn't want her relative getting hurt , she demands for the sharp shooter. One of the er nurse told her that our chief nurse is the sharp shooter in our hospital. She said to our chief nurse "so what if you're the chief nurse?"What do you think of my situation? My friends and I can't help but be sad because we were just doing our job. If certain precautions were told from the moment they brought in that patient, we will do it the way they want. But apparently, the relative just informed me after the second time I told the BP of her patient. :(

Specializes in Emergency/Acute.

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.

Specializes in Emergency Nursing.

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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