nurjco

Our facility has 2 copies. One goes in the chart and the other goes to the blood bank when the transfusion is done. But all copies stay on the floor until the blood is complete therefore the alteration was written on both of the copies when the post transfusion vitals were taken. I believe when these vitals were taken, it was noted that there was an increased temp and by changing my oral temp to an axillary temp it wouldn't have been that much of a change and wouldn't be considered a possible blood reaction. The story gets worse because this particular nurse then didn't give the second unit of blood and passed it on to the next shift to give and ultimately the patient ended up having a classic blood reaction to the next unit. Temp increased even further, confusion, and back pain.

Our facility has 2 copies. One goes in the chart and the other goes to the blood bank when the transfusion is done. But all copies stay on the floor until the blood is complete therefore the alteration was written on both of the copies when the post transfusion vitals were taken. I believe when these vitals were taken, it was noted that there was an increased temp and by changing my oral temp to an axillary temp it wouldn't have been that much of a change and wouldn't be considered a possible blood reaction. The story gets worse because this particular nurse then didn't give the second unit of blood and passed it on to the next shift to give and ultimately the patient ended up having a classic blood reaction to the next unit. Temp increased even further, confusion, and back pain.

I believe this is exactly what was happening. It meant less work for her by altering the charting.

I believe this is exactly what was happening. It meant less work for her by altering the charting.

:stone Hi I am new to this forum and I have come across a situation at work that I wanted to get more input on. Here's the situation: I had to give pt. 2 units of PRBC's. I did the pre vitals and they were all fine. Including a normal temp of 98.8 orally. 15 min. vitals were also normal. I then was ending my shift and passed this patient on to another RN to finish the transfusion and also complete the next. When I came back to work the next day it was reported to me that the pt had become confused in the night. I happened to glance at the blood vitals with the transfusions and noted that my charting of the temp had been altered to include 98.8 AX and that the post transfusion temp was 100.9 Ax and the box next to the transfusion reaction was check marked as None. I notified my supervisor of the change and made her a copy. I am not sure what will happen next with this particular nurse, if anything and am wondering what you all feel the appropriate steps should be for her. This nurse is notoriously known on our floor as being able to get away with A LOT. I would like to be prepared. Thank you.

:stone Hi I am new to this forum and I have come across a situation at work that I wanted to get more input on. Here's the situation: I had to give pt. 2 units of PRBC's. I did the pre vitals and they were all fine. Including a normal temp of 98.8 orally. 15 min. vitals were also normal. I then was ending my shift and passed this patient on to another RN to finish the transfusion and also complete the next. When I came back to work the next day it was reported to me that the pt had become confused in the night. I happened to glance at the blood vitals with the transfusions and noted that my charting of the temp had been altered to include 98.8 AX and that the post transfusion temp was 100.9 Ax and the box next to the transfusion reaction was check marked as None. I notified my supervisor of the change and made her a copy. I am not sure what will happen next with this particular nurse, if anything and am wondering what you all feel the appropriate steps should be for her. This nurse is notoriously known on our floor as being able to get away with A LOT. I would like to be prepared. Thank you.