I was getting report this morning and was listening to the myriad of details about each patient; order changes, labs, vanco troughs due, how they took their meds, troublesome family members, how many times they asked for pain meds, etc. While I stood in one patient's room he simply didn't look
right. he seemed to be very tachypneic and I was told, "yeah he does that does that sometimes". He does that sometimes? As soon as the outgoing nurse left the room, I did a quick assessment, his RR was 40! Long story short, my patient after multiple interventions went to the ICU and was intubated and is doing OK. After the crisis, I looked into the EMR and saw all the respiration rates were entered by the night techs as 16, 18, 18. My point is please
, as nurses don't overlook the patient right in front of you for the millions of details and paperwork that we all must face.