discovered and reported falsification of VS - page 8
Hello Nurses! I need to vent and am interested in others' experiences... Yesterday, as I went to administer a BP med around 1600, I checked the patient's VS machine history and the last set of VS... Read More
Jan 23, '14Quote from floridanurse1983That isn't an excuse to make it up. I just admitted a patient today who still hasn't recovered from taking her labetalol and having a major hypotensive episode. We're talking about the potential to cut off adequate blood supply to organs because you think it's okay to rationalize fake vitals. That's no better than nurses who fake giving medications.I don't know everyone's environment here, but when you work ltc and 32 pts and ALL are on BP meds it is IMPOSSIBLE to take all your own VS. It ain't gonna happen
Jan 27, '14Quote from delilasI agree. I'm a nurse talking about how I can't take VS on all 32 pts so the aides who I delegate to with 10 pts a piece should be taking VS as directed. I was stating that the nurse should be able to trust the VS given to her because it is within the scope of the aide to doThat isn't an excuse to make it up. I just admitted a patient today who still hasn't recovered from taking her labetalol and having a major hypotensive episode. We're talking about the potential to cut off adequate blood supply to organs because you think it's okay to rationalize fake vitals. That's no better than nurses who fake giving medications.
Jan 27, '14I've worked with the same CNAs for years. I trust the VS they chart.
Having said that, I recheck B/Ps whenever I give a med that will significantly lower that B/P. Expecially when what is recorded is marginal.
I also check my own manual B/P whenever I call an MD. Not because I don't trust the CNA, but because the numbers have to be the result of MY check.
That's just one on my many weird quirks.
Feb 10, '14I don't think that's a weird qwirk. That is nursing judgement. Yes, CNAs are responsible for taking vital signs, but it is up to the nurse to verify those that are out of range or those that we question. I always recheck manually after an abnormal from the CNAs machine. It is expected, in my opinion.
CYA - Cover Your .....butt?
Feb 18, '14Quote from CVmursenaryNo, you can't. It's not at all accurate because the "bump" starts before the actual heart beat starts and ends. In a pinch, you can take the BP by palpation, i.e. you use your fingers to feel for the pulse in the brachial artery, but it's not appropriate when you have to measure VS for meds or for an acutely ill patient.Although i don't use this technique; you actually can measure a bp by looking at the dial and usually you can tell what the bp is by seeing where the dial "bumps". If you release the air slowly its usually pretty accurate. I dont actually do this but i have notice this when auscultating BP.
Feb 20, '14I work with a patient who has requested that only two nurses come to their home. Every time I take their blood pressure I get high numbers, this other nurse consistently documents 120/80 or 122/78, always something very close to "normal". One time the patient said "oh, __insert name here__ didn't take my blood pressure the other night" so I look at the chart and sure enough I see 120/80. *sigh*
Feb 21, '14It's disgusting that anyone could "take her side". If one of myfriends who I also hang out with socially did this then it would be friendship OVER. Not for a petty reason either, I cannot associate with someone who would knowingly endanger someone's life. And that is exactly what could have ended up happening.