am I the worlds worst nurse? - page 2
by brownbook 1,999 Views | 14 Comments
Yikes, I responded to a student post about checking poptiteal pulses and another responder mentioned every nurse should be checking their patient's radial and pedal pulses on every assessment! I've been in many areas of acute... Read More
- 0Jul 10, '10 by Anne36Im only a pre-nursing student so excuse me for jumping in , but this is the strangest thing I have ever heard of. Im almost 40 years old and at no time in my life recall having a pedal pulse checked even in the hospital. What do you have to have wrong with you to be getting that checked?
- 1Jul 10, '10 by CrazierThanYouQuote from Anne36Diabetics should have their pedal pulse checked to keep an eye on circulation.Im only a pre-nursing student so excuse me for jumping in , but this is the strangest thing I have ever heard of. Im almost 40 years old and at no time in my life recall having a pedal pulse checked even in the hospital. What do you have to have wrong with you to be getting that checked?
- 1Jul 10, '10 by mammac5Looking at and touching a patient's feet and LE tells the nurse a lot of information.
Skin: Is it intact? Is the color what it should be? Is hair growing in a normal pattern and equally on both feet/LE? Is the skin normally dry OR is is overly-dry or moist? Any evidence of infection of the nails? Has the patient been able to follow good hygiene prior to hospitalization? Is there odor?
Temp: Does the skin feel too warm or too cold compared to the rest of the body?
MS: Does the pt have full ROM in the feet/toes/etc. Normal strength?
CVS/PVS: Is perfusion normal? Pulses of normal strength bilaterally? Capillary refill of 3 sec or less? Deficits or inequalities can be an early sign of perfusion problems. Edema or signs of inadequate fluid volume? Caught early, some complications might be avoided such as skin breakdown, infection, peripheral neuropathy, sensory losses that could lead to injuries/falls...
Anytime there is diminished tissue perfusion, we have to think about the kidneys.
- 0Jul 10, '10 by DeLanaHarvickWannabeQuote from emtoh17Unless a patient has a known DVT, just had surgery, or have BKAs...I don't check the popliteal. It's not part of my routine assessment. Distal pulses, to me, are more important.If you are not checking the radial and popliteal pulses, then how do you know what your baseline is?? And how in the world would you know what is normal or abnormal for your pt if you never checked in the first place???
I do check pedal pulses. I do it while assessing for edema. I'm down there anyway, might as well check a pulse and extremity strength. Hey, I just did a few assessments in one!
As for radial, I assess for those while I'm listening to the apical rate.
To answer the OP's question, dear heavens, you are not even CLOSE to being the world's worst nurse. Trust me, I know her.