No BP taken before BP meds?? - page 3

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... Read More

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#13 0

Oct 18, '12 by montecarlo64

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.
#14 1

Oct 18, '12 by CapeCodMermaid, RN

Quote from Blackcat99

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.

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.
#15 1

Oct 18, '12 by Blackcat99

I was told that the most important thing at my job is to clock out on time. They hate it when nurses do overtime.
#16 1

Oct 18, '12 by Vinniesguy

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!
#17 0

Oct 18, '12 by VANurse2010, ADN, BSN, RN

Quote from CapeCodMermaid

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.

Except checking every day before every med admin. isn't the right way to do things in this context.
#18 0

Oct 18, '12 by CapeCodMermaid, RN

I didn't say it was. I was commenting on the post that said they only do it when the state is there.
#19 0

Oct 19, '12 by AngelRN27

My facility also uses the "Hold if BP less than 110/60" parameter, and we must therefore take a BP before any BP med admin. I usually have 24 patients and usually finish all med passes on time lol
#20 0

Oct 23, '12 by VANurse2010, ADN, BSN, RN

In my opinion, having parameters like that in LTC is not appropriate. If they are unstable enough to need it checked daily, then they probably shouldn't be in LTC. Also, 24 is a pretty light load in LTC.
#21 1

Oct 23, '12 by paullissa

I usually have to check their pulse before giving lopressor and there is a couple of residents now we have to take their BPs before giving the med. I think it's mandatory now per state regulation so we better get used to it.
#22 3

Oct 23, '12 by CapeCodMermaid, RN

State can not override physician orders.
Many of what we think are state 'regulations' are company policies come about as a result of a poor survey.