Did I make the right Decision?

[Spritenurse1210, BSN, RN]

This am I sent a resident out to be evaluated and treated at the ER for chestpain, center of her chest under her sternum, said it felt like someone was "standing on her chest" and her blood pressure was 190/83, pulse 93. earlier on in the shift i received in report that she had a funky EKG and wasn't able to be put on a new medication because of it. The reason why i asked is because i get an earful from family for calling at 4 am and then the nurse coming behind me said, "chestpain? was she symptomatic?" She had altered mental status (her norm) will explain why in a PM, as this is a public forum. My supervisor was....lets just say..........less than helpful. tho quote her when i called her "Oh holy ****, not another one" yeah it was that bad of a shift.

[leslie :-D]

if those aren't her baseline vitals, then of course i'd send her out.

and would likely send her out even if it was her baseline.

no nitro orders?

may consider that in event of a next time.

leslie

[Spritenurse1210, BSN, RN]

if those aren't her baseline vitals, then of course i'd send her out.

and would likely send her out even if it was her baseline.

no nitro orders?

may consider that in event of a next time.

leslie

She had neither. Baseline usually ran 120's-130's/7o's-90's

[pyrexia100_2]

u did right

[DebanamRN, MSN, RN]

You did right. Chest pain isn't what we say it is, it's what the pt says it is. Of course, if you hadn't sent her out and she had an MI, you'd get the other end of the stick. CYA.

[Pepperlady]

Of course you did the right thing, just the classic description of her pain was enough, let alone her hypertension and a known "funky ECG"

[arelle68]

That's what I would have done. I wonder at an administration that has a problem with such standard care.

[Batman24]

Of course you did the right thing. I'd be leery of anyone who said you didn't.

[Virgo_RN, BSN, RN]

the nurse coming behind me said, "chestpain? was she symptomatic?"

Oh forcryingoutloud! Hello, chest pain IS a symptom!

You did the right thing. I hope everything turns out okay.