moonshawdow

There were none set for this patient. That is why I went to the charge to ask what the policy was at this hospital since I am a travel nurse.

Thanks this this is what I have learned from a really great surgeon but every hospital has certain policy's that I will follow. I appreciate you sharing your knowledge MunoRN

You are extremely rude, there are most certainly vital signs orders for when to call the doctor, don't know what kinda hospital you work at but I Have been traveling for 3 years and this is the first hospital I have seen that did not have standing vital signs orders of calling med if systolic BP greater than 180 heart rate greater then 100 or less then 50 fever of over 38.5 RR greater then 30 ETC I have mostly worked at level 1 traumas. This pt was asymptomatic had bp in the 180s the night before but the doctor only order a one time does no PRN I wasent worried but another nurse made me question my experience and I went and ask the charge nurse what the policy was ofcourse if I was worried I would of called. I think you need more experience on floors at other hospitals

You are right it. I did go to the charge nurse and ask the policy if it was to call for over 180 or 170 she said 180 just like every other hospital I have worked out but your right I was taking the lazy way out and should have just called anyways. Thanks for your helpful kind response.

This was 330 am vitals went to recheck but pt was sleeping so didn't retake. pt was asymptomatic. No PRN orders but had been given 2 nights before a one time dose of PRN hydralazine. He had morning lisinapril due at 8am so just passed on to morning shift. I feel now I should not of just passed it on and called the doctor but usually there is a policy to only call them if it is over 180 but im new to this hospitals policy. Was I completely wrong for holding off? Would like to be better for the future if I was wrong? ....

I always thought it was to call doctors if over 180? Am I wrong and giving my patient bad care?

I can't not stop dwelling. I put in a foley Cath in man for my 2nd time last night and I feel I may have damaged him. when I filled the balloon up he stated it was painful at first and then said it wasn't painful. I got urine return all night but I feel I pay have filled up the ballon in the wrong place would he have been painful all night from it, if it was placed wronged?