Order for Assessment?

[James613]

I am going to be starting a peds PDN case once client gets discharged from hospital. I asked the mother of client (whom I know personally) if there will be a peds BP cuff there for him. She said that the (care coordinator?) RN at the hospital said that she doesn't see why he would need BP taken and if he would need it, that it would be ordered and would be sent home w a cuff. I find this crazy that a regular full assessment wouldn't be done each shift?? He's a new trach/vent patient btw. Is that really how it is??..if it is not ordered you don't do it?..not even assessing? For real??!!

[LilyRN99]

I haven't ever been required to check a pediatric BP in the 5 years of private duty nursing I've done. If needed, I would lthink there would be one in the home. How would the parents assess the BP when the nurse isn't there?

[Girlafraid13]

I bought my own peds bp cuff. And check every patients BP every shift, there's a few that don't have an order for it. But I always like to check anyway.

[JustBeachyNurse, LPN]

I bought my own peds bp cuff. And check every patients BP every shift, there's a few that don't have an order for it. But I always like to check anyway.

and without an order what do you do with an out of range BP?

[KR]

Well said.