aloha57

I am a 20y veteran of stepdown cardiac who now works in a nursing home by choice. I need help with a scenario. Resident presented with chest pain 7-8/10, non radiating,dyspnea on minimal exertion SBP 172 (far above pt norm. Resident has extensive cardiac hx (Aortic valve replacement, chronic afib with anticoagulation, AMI, angina) Nitro on hand 3 given with minimal relief. Order to call Dr if nitro does not relieve. Substitute supervisor did not want to call Dr until I showed him order to call. Then he said he would call after he spoke to DON @ 4a. Couldn't get in touch with her and wanted to wait for callback. I told him by order we were to call Dr. He said he would call and I told him I would since I was more acquainted with circumstances hx etc. By this time he's mad but allowed me to call at and ED after saying "she always does this' however resident has only been with us for

Hi, I had > 15y Critical Care and this is my view, OR Home care, MS, Nursing Home etc are all specialties that we should respect. Show me an RN that can't learn something from every other RN (inclusive of new grads) and I'll show you and RN that boarders on dangerous. Nursing is great because we learn every day. I took 2 years off and decided that in my 50's and with my personal circumstances I wanted to take a different road. I was hired @ a NH 4 blocks away. Went from 2-4 patients to 35+. Thank good for their patience with me. I've learned so much and love my new career and all it's different aspects. I've learned so much. Sorry that some nurses try to act superior and bless all that have helped me.