Okay, OHN nurse here. Employee shows up SOB, diaphoretic,states he has been feeling nauseated since this morning. BP 138/80, HR 72, O2 98% RA. As he sat he started breathing easier. Then he tells me he had a black stool this morning, first ever
. He seemed a bit shakey so I checked his blood sugar- 200. He denied any history of diabetes. He denied any chest pain. He said he had to throw up- I went to the bathroom with him and he was unable to throw up. he told me he had a terrible abdomnal procedure 3 years ago and almost died, and that since then he cannot throw up. After all this exertion his sats went to 90. I put on O2 at 2 L and called EMS. They took him to the ED where he was diagnosed with internal bleeding. He was discharged 7 hours later and told to see his doc Monday. My question is did I do the right thing? Would it have been more approppriate to send him to the doc instead of EMS? I was worried about him driving. Should I have had someone come get him (family member)? I was worried he would fall out in the car. I am frustrated. I do not want to send people to the hospital in ambulances that don't need to go. Any help is appreciated! BTW it took a long time to write but all of this happened in 14 minutes...
Oct 20, '07
ABSOLUTELY you did the right thing! GOOD JOB!!! Hmmm.. SOB-diaphoresis-nausea-previous abd. surgery. Possible obstruction???
Last edit by ebear on Oct 20, '07