All staff matter :)

Nurses LPN/LVN

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Hi everyone! I'm writing this to get some thoughts out but also to see who agrees. As an LPN I never experienced belittling until the other night. I had a patient who had chest pain. Whenever a patient says "chest pain" I aask them to point to where it hurts and about 60% of the time they point to there stomach.. I still follow up with assessing for cardiac arrest, angina, lung abnormality, etc. but the other night I was concerned because my patient did point to his actual chest. BP was 190/100 and it was a holiday and being the only nurse on staff (we are long term care), I rely on doctors mostly. So he had nothing ordered.. No prior history that would require BP meds, nitro, aspirin, nothing. So I had the CNA stay with him, called the primary doc. And called 911. Between getting papers together for the EMS, and transfering him while taking the doctors call back, by the time I called the ER to give report, he had just arrived. And the RN said to me, in her exact words, "this is why I hate LPNS. Pt has hosp try of gerd, did you even check that?" As always I was very professional and apologized for giving report later than I normally do and did not make excuses, just expressed that I ubderstood her frustration. I used to work in a hospital so I get it.. Things get crazy, but I'm a nurse too, and things are far from slow paced or laid back for me. I just wanted to vent. I am never rude to staff who does not have my crudentials. I love my nursing assistants and thank them for all they do. I help as much as I can. I thank housekeeping for all they do.. The kitchen.. Everyone. No matter how much money they make or what they went to school for. I just wish people could see the bigger picture sometimes.. Everyone matters. We're all a piece to the puzzle and should be treated as such. Teamwork is a big deal to me as is respect. -end rant-

btw, when I got report back on my guy, he had an MI. Guess it wasn't the gerd after all. He is okay though, thank goodness. And I made sure to thank the RN for stabilizing him.

Specializes in Med Surg/ Pedi, OR.

Good Job ! Always use your first judgement. No One cares about your title until you mess up !

Specializes in HH, Peds, Rehab, Clinical.

I get that. And that's what concerning!!

This is state dependent. We have to have a certain amount of RN hours and an on call RN on the weekend but generally the only staff where I work on the weekends are LPNs.

What state are you in? I know it varies. I was kinda shocked too when I learned id be the only nurse. But I manage. I can't speak for all LPNS but I have the same practice that tHe Rns at my job do.

Specializes in ER, ICU/CCU, Open Heart OR Recovery, Etc.

Great call and good work! Even if it was GERD it's prudent to be safe rather than sorry.

I just hate hearing this kind of thing. Or seeing it firsthand. I briefly worked housekeeping when my license was suspended. Luckily I was shown kindness and respect, but I know that isn't universal.

What is interesting, is that it wasn't you who made the determination to send the resident in for evaluation, I understand that to be the call of the physician. I'm a bit surprised that this RN didn't consider that. For that matter, they didn't need to point out the difference in title. I don't see the relevance in that either.

If I were receiving report from you, I'd be pleased to receive a complete assessment from someone that gave good care and has good instincts.

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