I''m a nurse in a long term/psych facility. As we all know, this is the time when flu/cold symptoms are abounding. I work third shift, and I should mention that I have only been a nurse for 3 months. One of my residents who is an elderly woman with a hx of CHF was of the many who were suffering from cold symptoms. This resident was noted to have wheezing in all lobes and some ronchi. She was sating at 91 when I came on. However, later in the shift when I assessed her, she had audible wheezing and was sating in the 85-86 range. I administered her PRN albuterol nebulizer and her sats went up to 95. Her respirations were normal, heart rate normal, BP only slightly elevated. I checked her out an hour later and the wheezing was greatly decreased but her sats were back down to 85. I called her doc and got an order for a chest xray the next day..
The next day, the oncoming nurse seemed annoyed that I had not sent her out, stating that this woman tended to deteriorate quickly. However, when I had consulted my supervisor about her, and when the sup checked her out, he agreed that we would not send her out. Needless to say, the oncoming nurse sent her out.
Did I miss something?! Was i wrong not to send her out? I know her sats were low but not necessarily critically low for a CHF patient??I'm feeling really incompetent right now!