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nunursetoo

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  1. Hi , just got a call at home from nurse who assumed care of my group of patients on day shift (i work nights). I had a pt who had a fem pop bypass and is two days post op. when I assessed her last night she had palpable pulses bilaterally dp & pt to both feet. I did notice that the operative leg had stronger palpable pulses but the other non operative leg was definitely palpable. Auscultated with doppler also and were audible slightly monophasic in the non operative left pt. Anyway the day nurse called me at home and said that the pulses in the non operative foot are non palpable now and foot is cold. said she just wanted to make sure that i did actually have positive pulses last night. I'm sure that she had positive bi lateral pulses last night but now i'm worried sick for the pt and I felt like the nurse was sort of putting blame on me. she said she found that the pulses were negative in non op foot @ 3pm it seemed to me she should have assessed the pulses @ start of her shift. I'm also a new nurse and pretty paranoid about making mistakes or missing things! Just needed to vent - Does anyone have any info on why the non operative leg would have absent dp and pt pulses when the operative leg has great pulses? And do you think im out of a job!!

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