Vital Signs Taking at ER - page 3
by nursing_problem | 5,425 Views | 25 Comments
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... Read More
- 1Feb 26, '13 by bjaeramSome 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!
- 1Mar 11, '13 by Esme12, BSN, RN Senior ModeratorThat 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.
- 0Mar 19, '13 by nursing_problemin 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.
- 0Mar 21, '13 by UK_RN_AJSounds 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.
- 0Mar 21, '13 by sandyfeetSome 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.