I did a semester at a cardiac Unit so im totally OCD about taking vitals at least an hour after giving ANY blood pressure meds...
so.....
on the med surg floor my patients bp was unstable. had an MI on the OR table. has floated btw CCU and ICU for a week because of risk of an acute MI. Post op day 8 and has NOT moved from bed...too much pain... and i was being extra cautious. great pt-very likable- appreciative. took his vitals decided to share them with the nurse... bp 82/58 manual. o2sat 83!!!!! pt feeling fatigued etc....diabetic am accucheck 332!!!...not using spirometer..
Nurse says ' who told you to do that huh?.you're just bothering him. Your pt will hate you. you're being a Bad Nurse! and you dont want to do that right now. and no i do NOT want to know his vitals..i dont need them'
is it just me or was that totally unnecessary?..........
*i should add im just a student, dont know much so correct me if im wrong*
To the poster who asked, yes the pt has a hx of copd.
the pt's Bp was 96/82 when i left the floor i dont know what happened to him, i guess i'll find out nxt week.
pt isnt on any orders not to move, PT/OT were doing their best some wonderful ladies out there but the hospital is trying to attain magnet status or something ans they are doing all these opinion poll abt the nurses etc so the nurses have no jurisdiction to force a pt to do what he doesnt want to do as this will reflect in negative scores for the hospital.the pt just just doesnt want to move. . Full code status too-thats why they kept reviving him when he was going down in the ccu. pt just wants to be wheeled outside to smoke-misses his cigarettes. despite trying to teach him about alternatives as he heals.
this whole thing happened right before his 10am meds (15 pills). the nurse was reacting to the fact that i had 'bothered' the patient by taking his vitals again when vitals are 'meant' to be taken once every shift.......
let me clarify something here.... i dont know whether she ran into his room to confirm the vitals or anything after she went off on me.i was with my instructor trying to make sense of the situation in a different corridor of the unit.. for all i know maybe she took me seriously and was proactive but was just in a nasty mood.....
i resent being told that i am making this up.
here is embelishment *she drop kicked me and snarled into my ear 'you'll never be a nurse on my watch you hear?* THAT would be embelishment.... what is so hard to believe about this situation? that nurses can be nasty to students? it happens all the time and vice versa. it is laughable to say that one can NEVER imagine a nurse saying something like that to a student....
all in all- i did not post this to fight with anyone, we are all in this together current and future nurses. and if we cant support each other in the hospital or out of it, we cant expect anyone else to..........
OhioCCRN, MSN, NP
572 Posts
To the poster who asked, yes the pt has a hx of copd.
the pt's Bp was 96/82 when i left the floor i dont know what happened to him, i guess i'll find out nxt week.
pt isnt on any orders not to move, PT/OT were doing their best some wonderful ladies out there but the hospital is trying to attain magnet status or something ans they are doing all these opinion poll abt the nurses etc so the nurses have no jurisdiction to force a pt to do what he doesnt want to do as this will reflect in negative scores for the hospital.the pt just just doesnt want to move. . Full code status too-thats why they kept reviving him when he was going down in the ccu. pt just wants to be wheeled outside to smoke-misses his cigarettes. despite trying to teach him about alternatives as he heals.
this whole thing happened right before his 10am meds (15 pills). the nurse was reacting to the fact that i had 'bothered' the patient by taking his vitals again when vitals are 'meant' to be taken once every shift.......
let me clarify something here.... i dont know whether she ran into his room to confirm the vitals or anything after she went off on me.i was with my instructor trying to make sense of the situation in a different corridor of the unit.. for all i know maybe she took me seriously and was proactive but was just in a nasty mood.....
i resent being told that i am making this up.
here is embelishment *she drop kicked me and snarled into my ear 'you'll never be a nurse on my watch you hear?* THAT would be embelishment.... what is so hard to believe about this situation? that nurses can be nasty to students? it happens all the time and vice versa. it is laughable to say that one can NEVER imagine a nurse saying something like that to a student....
all in all- i did not post this to fight with anyone, we are all in this together current and future nurses. and if we cant support each other in the hospital or out of it, we cant expect anyone else to..........