Thanks for your replies, everything! I'm just trying to see what else I can "do" when a patient says this. I once had a patient tell me something wasn't right but everything was WNL...the hospitalist happened to be on the floor so I notified him. He briefly looked at the patient and just told me to continue to watch her, which I did. Thankfully, nothing happened.
We had another patient, same thing. I was at the desk and the clerk answered the call light phone, but I could HEAR the patient wheezing through the phone from where I was sitting, so I immediately went to check. The primary RN was busy with another patient. Got RT to come do a breathing tx and the patient kept telling me, "something isn't right, and I don't know what. I feel like I'm about to have a heart attack or a stroke or something."
Then they started c/o severe chest pain, but the patient looked calm. Grabbed a 12-lead EKG and it was pretty benign...I updated the primary RN on my findings and stayed with the patient. Had her grab some pain meds because I didn't want to leave the patient alone.
Again, thankfully nothing happened on my shift...but they ended up in CCU the next morning. Not sure what happened afterwards.