This is a RANT

Posted

True story

Day Shift...

Super RN: Are you giving the BP meds?

LVN: Yes

Super RN: Then why are the morning BPs so high?

LVN: Those are taken before the meds are given.

Super RN: But if you are giving them, why are the BPs so high in the morning?

LVN: (Looking at BP chart) If I haven't been giving them, why are the afternoon BP readings within range?

Super RN: Yah, that means you haven't been giving them b/c they are high in the morning!

Why do I have to deal with this...

FYI, I'm not blaming the previous shift, none of these patients get BP meds at bedtime.

PoodleBreath

Specializes in Hospice, LPN. Has 15 years experience.

Of all the reasons for B/P to be high or fluctuating noticeably, most likely is that B/p meds need to be adjusted and its no one's fault, patient's needs change. Have you followed up with the provider? What a strange thing for the RN to be suggesting.

SuperScrubsTiffany, LPN

Has 6 years experience.

11 hours ago, PoodleBreath said:

Of all the reasons for B/P to be high or fluctuating noticeably, most likely is that B/p meds need to be adjusted and its no one's fault, patient's needs change. Have you followed up with the provider? What a strange thing for the RN to be suggesting.

I totally agree with your post.

T-Bird78

Has 6 years experience.

I worked in cardio and had to do an EKG on a pt. I printed it off and was going to give it to the doc, when the RN grabbed it out of my hand, looked at it, and said “you did this wrong, there’s no way that’s right” and stared putting leads back on the pt. Fortunately doc came in, looked at the EKG, commented how the condition had not changed from the last time. RN looked shocked that it was right, that I’d actually done the EKG correctly. I had to smirk when she had to give pt instructions for direct admit and she reviewed his prior EKG and saw it was the same, and she’d been the one to do it that time. 

SuperScrubsTiffany, LPN

Has 6 years experience.

1 hour ago, T-Bird78 said:

I worked in cardio and had to do an EKG on a pt. I printed it off and was going to give it to the doc, when the RN grabbed it out of my hand, looked at it, and said “you did this wrong, there’s no way that’s right” and stared putting leads back on the pt. Fortunately doc came in, looked at the EKG, commented how the condition had not changed from the last time. RN looked shocked that it was right, that I’d actually done the EKG correctly. I had to smirk when she had to give pt instructions for direct admit and she reviewed his prior EKG and saw it was the same, and she’d been the one to do it that time. 

I know that must've been satisfying for you. 

T-Bird78

Has 6 years experience.

On 10/22/2021 at 9:12 AM, SuperScrubsTiffany said:

I know that must've been satisfying for you. 

For that brief time, yes. She wound up getting me fired a few weeks later. I was on triage and a pt called to speak to her physician and got mad when I told pt he was in surgery but we could see pt that day, we had 8 other physicians and 7 mid levels with openings. Pt yelled and hung up on me. Pt called back, same conversation, hung up. Pt called again, demanded to speak to someone else, I asked the other nurses at the nurses station if they could talk to pt, other nurses said “that’s not my job today” or just flat out ignored me, I told pt no other nurse was available, pt yelled at me to page doctor on overhead PA system, I told pt I couldn’t do that because he was elbow-deep in someone’s chest cavity, pt hung up on me.  Pt called again, I told pt they could go to the ER and their physician would be the one to round on pt there if pt did not want to come into the office, pt said they’d call corporate and complain about me. A week later, the EKG nurse told me HR needed to see me at the main office and to bring my stethoscope just in case.  I was fired that day, after all of 5 weeks on the job.