I had a pt the other night (med surg unit, specializing in ischemic CVAs). I had this pt the night before, she was admitted with "chest pain & syncope", but she denied any syncopal episodes to me. No c/o chest pain the entire time I had her. She was a direct admit from the MD office for work up.
Had a cardiac cath and came back shortly before my shift began. When I went to assess she was still sleepy from the procedure, c/o pain at the cath site 10/10. Took VS, stable... Checked the cath site, which was dry. Called the MD, who just ordered Toradol IVP.
Later that night, I transferred her to the cardiac floor (why wasn't she admitted there when she first came in anyway? We are a medical tele floor, not cardiac tele) b/c we needed a tele bed. In report, the nurse told me she shouldn't be having that much pain at the site. I mentioned this to my preceptor and she said it was OK b/c cardiac caths ARE very painful and in my assessment, there was nothing out of the ordinary.
I trust my preceptor because she's worshipped on our floor as she's been there the longest and knows everything about anything (so I've heard anyway!).
But did I miss something? Was there something else I should've done?
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