I am reading the threads. I learned so much insights from the replies. Thank you so much. Now it makes me wonder on what field of nursing that I really want to be in. This had been a reality check for me that ltc is not going to work for me.
Ltc wouldn't send out their resident to ER as much as possible. But when the md wouldn't give appropriate orders and we see the pt deteriorating that is the only time we send them out.
Maybe it is just really hard to explain the scenarios. He only order to monitor the patient in most of the cases not just this one. To make the story short to fully describe this is that most of the old nurses in the facility are the ones who orders...
He ordered that cxr and abt after I told him that I really think and the other nurse-happens to be the resident's daughter- thinks the resident should be sent out to the hospital. We have a low census and that doctor is running out of residents in th...
As described by the resident's daughter, the resident does not complain or say anything. The resident tend to keep everything on her own. Last month I saw the resident grimacing appearing as if in agony of pain. I assessed the resident but the resid...
As much as I want to call 911, my hands are tied with sending the resident out cause we do have a policy that the md should give an order first before sending the patient out. hence the md ordered cxr. I know it is unethical and unlawful. As a novice...
I also did not hang up on him I said to him that I needed to go off the phone for I have many other patients to tend to. And ill keep on monitoring the pt like the md asked me to. We do have a protocol but the protocol isnt much very clear.
Thanks for all your help. I might have had not fully described somethings but the patient denies difficulty of breathing but you can see that the resident is using accessory muscles. So I took that as labored breathing and you can audibly hear her wh...
As for the diabetic hospice resident, the pt is fine, eating well and fighting for her life. But the md simply stated 'she is hospice what do you want me to do? She is dying'
The pt with atelectasis is not responsing with the neb treatment and she was supposed to be discharged on the next day but she started wheezing. To describe this fully: His inital order was just robitussin. I lied to him that the pt is having difficu...