Please let me VENT!! - page 2

Ok..I am a new nurse with less than 4 months total in the field and currently in LTC. A couple of weeks ago, I get a call from dialysis letting me know that my pt hct is steadily dropping... Read More

  1. by   canoehead
    Definitely reassess and recall, minute by minute if need be. I've had patients transferred to the ICU to "shut the nurses up" and low and behold, they arrest WITH NO WARNING!!! Amazing how that happens.
  2. by   ZASHAGALKA
    You'd be surprise how much this works - in a calm voice, state:

    "I disagree with you. If YOU disagree with me, then you need to immediately come in and assess this patient. Oh, and bring your doc along with you, because otherwise, I'm just gonna call him in, anyway."

    Whenever I have said this to an intern/resident, the answer is always a resigned: "What exactly do you want?"

    In your case, you want an order to transfer these pts to an ED for a thorough, immediate evaluation. (and I can't imagine a guiac positive pt w/ dropping HH wouldn't be admitted for observation and probable EGD/colonoscopy.)

    And the previous poster is correct - it isn't a matter of document to cya. The standard of care is what would a prudent nurse do? You already know that just documenting isn't enough. A prudent nurse would do more. You are a prudent nurse, and that is exactly what you want to do - more. Now advocate for that. Passing meds isn't your primary job - advocacy is.

    Last edit by ZASHAGALKA on Nov 19, '05