Published
At my facility the process is to take a resident's BP prior to administration of their anti-hypertensives x 7 days when they're first admitted. If the 7 days show they have normal or high BP ranges then it goes to a weekly BP check and the nurses are no longer required to take their BP before administering scheduled BP meds. Just wondering if this is the policy at any other facility. The reason I can't comply with the policy is I'm convinced that the one time that I don't take someone's BP before medicating them that their BP will already be low and they'll bottom out.
Since I float around & don't get to know the residents norms, I always check their BP & HR even if there is no order or a hold parameter. Every once in a while I get a very low reading & then I call the physician. I just feel more comfortable doing it this way since so many of them are on multiples.
That is really not a good practice. If you do things the right way every day, when the DPH is there, it won't be so nerve jangling.We were told that we are required to check all B/P's on all patients receiving hypertension meds only when the state inspector is doing your med pass with you.
If I had to have taken the BP of every one of my residents (which was about all 30 of them) morning rounds would take all day!
I can see the point of seven days but if they've been taking them for years trying to withhold it will probably cause you, and them so much grief their blood pressure would shoot up anyway!
Blackcat99
2,836 Posts
We were told that we are required to check all B/P's on all patients receiving hypertension meds only when the state inspector is doing your med pass with you.