I am a new Grad landed a job in LTC which I LOVE! I have been on the job for 3 months now. I am still learning alot and not too sure of myself. Everyone says "use your nursing judgement" but it's hard when you don't have any experience.
Last night I had a resident who came to me to say she "just didn't feel right" She said she was dizzy and her head hurt. I took her vital signs... pulse was 180! I thought something was wrong with the pulseox, I have never heard of a pulse getting that high. I tried to take her b/p. could not hear anything, tried both arms. couldn't get it. I called another nurse in (the LPN that was passing meds) I asked her to try. she couldn't either. I immediately called her doctor and reported it and he said to send her out to the ER. Did all the necessary paperwork while the other nurse sat with her.
This was the first time I had an emergency, first time I even had to call the doctor first time filling out all the paperwork...ect. I was so overwhelmed, I feel like all my assessment skills went out the window.
Could someone give me feedback as to what more I could have/ or should have done. I would appreciate it.
and has anyone ever seen a pulse rate this high?
(she has history of A-fib and MV repair)