simplyme28

Hi all, wondering what you are doing to write your vitals in droplet precaution rooms? I work in a SNF and my hall has been designated as the “Covid” hall for any potentials/symptomatic/pending results etc. So I have quite a few droplet precaution rooms and my brain can not remember a patients vital signs without writing them down. Any one find a way to do this in a clean manner in a droplet precaution room?

Take what was told to you and use it. For whatever reason you are coming off as over confident to the nurses training you. Just because they said that does not mean they are trash talking , and I most certainly would not say 'f whatever anyone else thinks' they are the ones training you and often when you train someone you can see things that person doesn't see themselves. I've had new nurses training under me and it puts you in a position where you have to be very honest. One of the nurses I trained is absolutely over confident which I passed along when asked how she was doing. That's not a reason to feel like everyone thinks you can't do the job. Find out why they felt that way and work to correct it. As far as your error goes, mistakes and errors happen, we are human after all just make sure you learn from it.

Just to follow up with everyone who responded. The woman was sent to the hospital last week (finally) due to delirium continuing to get worse. She was found to have an interventricular hemorrhage d/t what we do not know. She is back in the nursing home and has markedly declined and seems like she will continue to do so.

The other problem is the family is convinced it is a stroke (some of her symptoms can be related to that) so they don't want her sent out to the hospital, they feel it would be too much on her. I'll be asking for as much as we can provide for a work up in our facility and if something pops hopefully it's obvious enough to convince family for hospitalization

After the mental status change

She's been checked twice for UTI (2nd time on family insisting) in the last couple weeks and she's had CBC, BMP, MAG done for labs. If there's any other I'm missing them. We also did a CXR in the beginning worried about infection or CHF. Everything so far has checked out. I'll have to double check to see if she's had a liver panel

I work in long term care and I have a resident who has had a change in mental status and has seriously declined in the past couple of weeks. It started with what seems like acute delirium then continues with increased confusion, aphasia, mood swings and uncontrollable emotions. She has also gone from nearly independent with a walker to completely dependent with extensive two assist. She's treated with Coumadin (always has been) and is regularly stable until today. She's been on 2.5 of Coumadin and INR spiked from 2.09 to 6.01 in a week. No medication changes. No diet changes. Any suggestions or input??