What happen to taking Vital Signs???

Nurses General Nursing

Published

Sorry, but I must vent.

I am at a hospital, that has a BP cuff and a stethoscope in EVERY room.

So why is it that no one can possibly get vital signs without access to a dynamap???

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When I was a tech, I worked in a facility that did not have access to dynamaps on the MS floor, and we did VS manually...ALL of them. But it seems that the techs at the facilities that have been at, are physically and or mentally incapable of taking a manual BP. They have little tiff fights over who gets to use the dynamap first.

If the machine cannot get a reading, they keep trying to again until it does. And if it just will not read, they are completely mystified as to what to do.(a clue...if the patient has Afib or an arrythmia..the machine may not be able to read or may give an incorrect reading)

They get a totally absurd result but don't recheck it manually.

They spend 30 minutes trying to find the dynamap....they could have been finished with vitals if they did them manually by the time that they find it.

I have given up on the "I need a set of VS, stat."..because they would go running for the machine..it is faster to do it myself.

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The other night of my patients needed to be on the dynamap for two hours as he was having serious issues. I ask the tech for a set of VS on another patient getting blood. I find that he didn't do it...because he couldn't find the machine. Of course, he didn't let me know either. Thankfully, both patients were fine.

Really, how hard is it to do a manual BP? Especially when EVERY single room has access to the equipment.

Do any of y'all have problems with this issue?

My 2nd year classroom teacher and clinical instructor forbid our group to do manual blood pressures. She claimed the dynamaps were much more accurate. But, this is the same teacher that didn't think we needed to learn about EKG readings. -- needless to say, she is now unemployed.

So, am I good at bp's? definitely not... but, I am practicing every chance I get. I start my first RN job on a medsurg unit on Sept. 12.

dynamap

Off topic...everyone's spelling it "Dynamap," isn't it Dinamap?

On topic...until our unit hires a third PCA to do manual vitals, I'll never have time to carefully take a manual BP. If we were required to do all BPs manually, I'd cheat like physicians do...pump it up to 200, watch the needle start to bounce (systolic), and watch the needle stop bouncing (diastolic)...but you didn't hear it from me ;)

ty

Off topic...everyone's spelling it "Dynamap," isn't it Dinamap?

ty

yep, you're right!! It's dinamap!! I always spell it dynamap, just seems right for some reason. Apparently it isn't. LOL Dynamap is some sort of software I guess. I only looked it up really quickly. :)

Specializes in Oncology/Haemetology/HIV.

So sorry!!!!

I don't use them so really do not know how to spell them.

Automated BP machine, anyone????

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