Published Nov 1, 2008
86toronado, BSN, RN
1 Article; 528 Posts
Not the first time, but it always makes me feel great!
I was at work, not at school. The patient was on Q15min BP's and had a huge drop - from 100's on 70's to 70's on 40's within 15 minutes. I rechecked it manually to see if it was a mistake, and got 50's over 30's, HR of 41, complaining of dizziness/nausea - so called her RN. She looked her over and said she would page the NP(!)
I excused myself from the pt's room, went to the charge nurse, and insisted that we call a rapid response, she agreed - 5 minutes later we have the NP at the bedside, as well as RR nurse, Respiratory, etc. Got a CBC, EKG, etc... Turned out her H/H had dropped considerably over the last 3 hours, CT showed retro-peritoneal bleeding from her stent placement, got shipped off to CCU! I love advocating for my patients...:redbeathe
Has anyone else had a similar experience where you as the Nursing student, or tech, or nurse's aid have really had to speak up for your patient? It feels good doesn't it?
chicookie, BSN, RN
985 Posts
I have not had that chance but I want to congratulate you on trusting yourself. Alot of people would have just told the RN and left it at that.