Originally Posted by sarndrat
hi everyone
just signed on - I am a new graduate doing my graduate year in Adelaide. What a huge jump - from school to out there!! This is my second rotation, and are in the Emergency Department. Have previously done 4 months medical. One of the biggest things that has struck me is the responsibility that we as nurses have, and how documentation and "covering butt" is essential for survival! Not just ours, but our patients too. Was recently asked by a senior nurse to give anginine to my patient who was experiencing "Crushing chest pain" I said I was unaware of his BP and would not do this, was scowled at, but still stood my ground, as I think this was an important aspect to know before giving this medication - what do you all think??
:Melody: Hello and Welcome :Melody:
If the B/P had been taken, you could have looked at it and verified hypotension, if that was what concerned you. If the B/P had not been obtained, why was it not?
In this scenerio, especially out of hospital, what is the first thing someone should do? Take the nitro.
I am not sure if I have all the info to make a well-informed opinion.
Would you like to comment?
I'm chyrel, when I read your letter I remember my previous experience when I was a neophyte that I'm always anxious with everything I do if it is correct. Well, I know you are right and to avoid being reprimanded just have to say yes then do necessary step like checking the v/s before administering the drug, then if it could worsen then patient's condition than to be of help then that's the time to refer to the headnurse. Some people when they are busy they expect you to be perfect in what you do for we are dealing with life but when you ask them a question be clever enough to do things that you need to do first before you refer.
