I'm an inexperienced nurse. My agency recently sent me on a case where I am taking vitals and arranging medications for a couple: The female has CHF along with other medical issues and her spouse has Parkinsons with a history of heart problems (coronary bypass surgery a few years back). Although I am there to ONLY take vitals and prepare their meds (as the agency would put it), as a nurse I know better-it's not that cut and dry. When I enter the clients home I am there to assess and implement. If something goes wrong, it's clearly on me. I've been reading up on all their meds and conditions since I have to be there weekly. I don't want my inexperience to cause harm to these patients. The other day I called the doctor because my clients' Blood pressure was 110/50 and he had an irregular heart beat. The doctor SCREAMED at me and said NEVER to call him again with a reading as such, because it's a normal BP.... I wanted to know if I should hold his next dose of BP meds (safety first) instead I got an earful.....oh well, that won't stop me from calling whenever I'm not sure about something, so, here's to you doc
My question is, what advise can you give me to provide the best care for my patient?? I already brushed up on my CPR, and read the S/S to look for regarding there conditions. Anything else I should be doing (besides the obvious, leaving the case ). I'm in a bind. Help!