Why did she pick on me?

Nurses Relations

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Hello everyone,

I've been a new nurse for almost a year now. I had an incident that still rattles me. There was a patient who had an elevated blood pressure, around in the 170's/90. The doc said to just re-check it in an hour, then she'd figure out if she'd give the pt anything to lower it. I re-checked it, and when I did, it was I think 159/80's range. When I was on the phone talking to the doctor, one nurse, who has worked at my hospital for years, was listening to my conversation with the doc. Then she all of a sudden said something along the lines of "now don't take me the wrong way, but should you really be reporting that blood pressure? That is pre-hypertensive and the patient is old." That is NOT pre-hypertensive value and the patient was simply in her late 50's. She knew that. Just because an elevated BP tends to happen amongst people who are middle-aged and older does not mean it is healthy to not treat an elevated blood pressure.

My question is, was this nurse trying to mess with my mind? I did my job and reported the abnormal value, which is our responsibility at this facility and as a nurse in general. This nurse has had a history of making comments to me like "hah, you're a young nurse" and would try to make fun of me for always documenting things extensively. I think that she is a bit twisted and for some reason is trying to hate on me. I have always been nothing but courteous. When with saying hello and goodbye, and most of the times when I say hello or "have a good night," she never responds back.

What do you think this was?

The whole incident got me very angry. Though I stayed calm and ignored her because she was giving me incorrect information and perhaps encouraging me to work towards losing my license by not reporting an elevated blood pressure (if a patient strokes out...it will be my fault because I did not report it).

Thank you for your feedback, I appreciate it

"Why yes, in fact, in my practice I report abnormal values to the MD."

Don't get into a contest with this nurse. Respond to her inquires direct and on point.

Of could always add "because I prefer my patients not to stroke out for the oncoming RN" however, that would be sarcastic, and wrong. :wideyed:

You know your patient, you know what the MD may have said in rounds (re-take a BP and we will then talk anti-hypertensives) and unless the nurse in question is your charge nurse (and if she is, report to her what the MD wanted, and what you did about it) you are under no obligation to inform her of your plans of care.

Specializes in geriatrics.

Perhaps she was having an off day.

You need to practise according to facility policy and the standard of care. What other nurses do is their business. Whether or not this person felt it was important to treat is irrelevant. You did your job.

Don't concern yourself with other people's opinions. It doesn't matter.

Why care about this when you are right. ? i see so many of my coworkers get so worked up over stuff like tgis. It is comical. I can see my some like to engage them. Some people also get involved because they do thi k they are helping you or have such superior knowledge. Do your job and ignore them. I have said things like, "of you are right I won't page about a bp that is 170/90. Should I wait till pt strokes ?" or i look right at them and IGNORE them. awesome feeling.

Specializes in ER.

170s systolic isn't really high enough to report to an MD here in the stroke belt (Southeast) but I think the best way to solve this issue is to have protocols that establish which BPs are reportable and which aren't. If I had reported that BP to an MD, they would've looked at me like I had four eyes. Your coworker was probably trying to give you advice about, let's call them: cultural norms in your hospital. The MDs you work with may feel that that is an acceptable value. However badly put, you should consider taking her/his advice and of course, consider what your own feeling is.

As with everyone else, ignore her. You're doing a great job.

I am a little worried that this is making you so angry. So what if she made the comment or doesn't respond to your friendliness? You know you are doing the right thing. Don't let it get to you so much, that is why she is doing it. I hope she is not purposely trying to sabotage you...just be careful, and let it go, and certainly avoid asking her for advise!

I really like the response above "You might be right". I use it all the time with my mother-in-law!

A lot of this. If people can get to you that easily, you really need to work on thickening your skin. Yes, they're annoying, but if you're ever actively angry or actively thinking about her outside of your job space where you're directly interacting with her, you've already let her affect you way too much. Nitpicking nosey busybodies will always be anywhere you work -- you really just have to ignore them.

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