Hello - I have been an RN for about 2.5 weeks. I am currently in an orientation program for a tele/PCU floor.
I have some questions. I do not want to appear uneducated at work. But alot of things I just do not feel were covered in school or in text books. I have asked some questions, but get unclear responses.
How do you tell if a patient is going bad? I know I have gut feelings.....but when do I call the doctor? I don't want to call the doctor just because.....what are my key warning signs? I want to be able to provide the doctor with logical, objective observations that they may not have picked up on during their rounds. Do my instincts count?
When is a blood pressure too high?
When is a blood pressure too low? Is there a panic level?
What if there is a huge difference in the ortho B/P's? Do I call or just chart?
Is there any interventions I can do without a doctors order?
I know you call a code if someone is not breathing or no heartbeat. That much I did get out of school and BLS. But how do I know it is coming...... I had an instructor tell me she did not experience codes because of her excellent assessment skills. I was like *WOW*. She is super nurse. So too shall I strive........
I had an instructor tell me she did not experience codes because of her excellent assessment skills. I was like *WOW*. She is super nurse. So too shall I strive........ 
begalli
1,277 Posts
OMG, coming from you, Angie this is an incredible compliment!
There are many on these boards who, I think, would be great to work side by side with. You Angie O, 100%.
:biere: