1CAnursepain

To nurse3242, As I tell everyone who will listen, there is no education that is wasted. I was fortunate to get my TNCC paid for years ago. I work as a med/surg tele nurse, but there are occasions where I work in long term care. The next day after taking the class, a patient fell, there were no injuries, but I was able to assess the patient learning the techniques learned in the TNCC class. The doctor was very impressed. You will learn valuable information you will be able to take with you in any area of nursing that you persue, good luck!

Thank you for responding SmilingBluEyes. Yes, this was covered in Nursing school. I am asking because I am questioning my actions minute by minute to find out if my actions could have been done sooner or differently in order to see if the outcome could have been better. I was looking for support and confirmation from my fellow nursing professionals.

You're right Beenthere,donethat. This was my 3rd day at this facility (i am a registry nurse) and usually I do check all the emergency equipment, but hadn't done it at this facility yet. Looking back her Bp might have been to low to register. I am of course going over each moment in my mind to see if there was anything I could have done differently or sooner to change the outcome.

Thank you Cowboyardee for responding, I am an RN, (I have been for 17 years) This is not my first code by far. I'm sorry that I wasn't clear in my post. I feel that her heart stopped beating when the parametics attached the monitor to the patient. I understood that this was a deteriorating situation, which is why 911 was called. There were signs of perfusion, there was no cyonosis present in either the lips or the fingernails, the patient was slightly diaphoretic, not clammy her O2 was 82 so oxygen was applied.

Thank you for commenting Been there done that, A manual bp was attempted but the cuffs were not functioning. the respitory rate was 24 and the pulse ox read 82 so O2 was applied. while attempting to get further vital signs the parametics arrived. there was no cardiac monitor on the "crash cart" due to this being a Long term care facilty, so there was suction and O2. If there was an AED in the facility it was not obtained.

I have a situation that I would like a professional opinion. There was an incident where a CNA (at a LTC) where I had just started registry work. There was a change of condition with one of the patients. She was unresponsive to verbal or painful stimuli. She was breathing (not agonal breaths) but labored breathing. She also had a pulse. I counted about 60 per minute. The parametics arrived, and applied the telemetry monitoring. They initiated CPR at that moment and asked why I had not started CPR. A blood pressure was attempted, but unsuccessful. My question is should I have started CPR? The parametics arrived about 5 minutes after the event occurred.As a nurse for 17 years this was not my first emergency. As the only RN (as opposed to LVN's and CNA's) the patient was my responsibility. Please advice, as this is very troubling for me. The patient did pass.

I personally don't watch medical shows except for MASH (my personal favorite "medical" show. I also used to watch some episodes of House, which I always enjoyed when he was personally doing xrays and having the doctors draw blood. I keep telling myself (and others) that it is just a tv show. If it were real life you know the doctors don't ambulate patients ect.

Meanmaryjean, I would love to read it too.