I've been a new nurse for almost a year now. I had an incident that still rattles me. There was a patient who had an elevated blood pressure, around in the 170's/90. The doc said to just re-check it in an hour, then she'd figure out if she'd give the pt anything to lower it. I re-checked it, and when I did, it was I think 159/80's range. When I was on the phone talking to the doctor, one nurse, who has worked at my hospital for years, was listening to my conversation with the doc. Then she all of a sudden said something along the lines of "now don't take me the wrong way, but should you really be reporting that blood pressure? That is pre-hypertensive and the patient is old." That is NOT pre-hypertensive value and the patient was simply in her late 50's. She knew that. Just because an elevated BP tends to happen amongst people who are middle-aged and older does not mean it is healthy to not treat an elevated blood pressure.
My question is, was this nurse trying to mess with my mind? I did my job and reported the abnormal value, which is our responsibility at this facility and as a nurse in general. This nurse has had a history of making comments to me like "hah, you're a young nurse" and would try to make fun of me for always documenting things extensively. I think that she is a bit twisted and for some reason is trying to hate on me. I have always been nothing but courteous. When with saying hello and goodbye, and most of the times when I say hello or "have a good night," she never responds back.
What do you think this was?
The whole incident got me very angry. Though I stayed calm and ignored her because she was giving me incorrect information and perhaps encouraging me to work towards losing my license by not reporting an elevated blood pressure (if a patient strokes out...it will be my fault because I did not report it).
Thank you for your feedback, I appreciate it
Apr 10, '13
by Esme12, ASN, BSN, RN Senior Moderator
After I got done cleaning off my computer from the coffee I spit on it when I read.....
"now don't take me the wrong way, but should you really be reporting that blood pressure? That is pre-hypertensive and the patient is old." That is NOT pre-hypertensive value and the patient was simply in her late50's.
OLD?? I am NOT OLD..
.....I am still considered middle aged!! I want to remind everyone that...
According to CollinsDictionary, this is "... usually considered to occur approximately between the ages of 40 and 60".The current edition of the Oxford English Dictionary gives a similar definition but with a shorter span: "The period of life between young adulthood and old age, now usually regarded as between about forty-five and sixty." The US Census lists middle age as including both the age categories 35 to 44 and 45 to 54, while prominent psychologist Erik Erikson (Erikson Growth and Development) saw it ending a little later and defines middle adulthood as between 40 and 65. The Diagnostic and Statistical Manual of Mental Disorders, the standard diagnostic manual of the American Psychiatric Association, used to define middle age as 40–60, but as of Edition IV (1994) revised the definition upwards to 45–65.
I think you did the right thing calling the MD and in calling him back. According to the NIH (National Institution of Health)
A blood pressure level of 140/90 mmHg or higher is considered high. About two-thirds of people over age 65 have high blood pressure. If your blood pressure is between 120/80 mmHg and 139/89 mmHg, then you have prehypertension.
You showed maturity and professionalism with your response
The whole incident got me very angry. Though I stayed calm and ignored her because she was giving me incorrect information
Do NOT let someone's negativity or petty jealousies dictate your actions. Don't spend anytime trying to discern what her motivations are....continue to be pleasant and move forward. You don't have to like and be friendly with everyone you work with you just need to be mature and get along with them at work.
Last edit by Esme12 on Apr 10, '13