Er pusher

[Erpusher1985]

I am in TPAPN and I could not be more thrilled. I’m still in shock!

however I want to go back to a nursing home but I do not really know what to do at times.

the last one I worked in would have residents in cardiac arrest and basically icu patients. But what about when they need a dr. I would always send patients to the er and really did not hesitate about it. I was also very scared I would miss a sign symptom and they would might die because of it.

when is the right time to send someone to the er? Even if they said they did not feel right and wanted to go to the er I would send them? I always felt when they wanted to see a dr they should be able to

[Erpusher1985]

I just don’t think you can be too careful in this

[Wizard 1]

Usually you'll need to have a doctor's order in a nursing home to send a patient in. Some common reasons are a change in condition, alteration in vital signs, post accident (Falls, trauma of other types), uncontrolled bleeding, difficulty in breathing, chest pain unrelieved by medication, etc. Elderly patients can often have subtle less obvious changes, such as a change in level of consciousness, increased confusion, or restlessness, that can indicate problems which need further evaluation. Something like a UTI can lead to sepsis faster in an elderly patient but with signs that might be attributed to something else.

One of the best things about being a nurse in a nursing home is that one knows the patients well. As a former ER nurse, I'd trust this nurse's intuition. If something seems off, follow up on it. Watch them for those subtle things that can mean a higher level of care is needed.

[Gingernurse81]

You'll know. It's instinct. You'll know when to send them. If it's urgent enough you send them, then get the doctor's order. But trust yourself!