Wednesday, March 30, 2011

She's fine

Charge nurse got a call from a nursing home last night about a patient transfer. "She's had some shortness of breath for an hour, and when we checked her pulse ox on 2L was 60%. We're sending her to you by 911. Her vitals are decent; BP 166/89, HR 103, RR 16, temp 100.9, and pulse ox 60%."

Charge nurse remarks that her O2 must have come up from 60% if her vitals are okay now.

"Oh no," says nursing home nurse. "They're still 60%, that's why we're sending her."

Face palm. Again.

Lady had raging pneumonia, sepsis, UTI, and probably things we don't know about, like malaria and/or river blindness. And oh yeah, that RR of 16? Try 46 instead.


newnurseinthehood said...

Someone obviously needs to give the nursing home a refresher course on oxygen. You CAN in fact go over 2 LNC if the patient is satting 60. We got a transfer the other day who EMS found laying flat in bed with the non rebreather at 2 liters/minute. Um. Fail.

Lorelei Armstrong said...

How did they send her, parcel post?

donshanrandall said...

Hello SHRTSTORMTROOPER (and everyone else). I am a nursing student (also love Jesus!) looking for a blog to follow to help get the "inside" scoop on what it's really like to be an RN. I love your posts and comments, especially the one about the tragedy in Japan, and hope I am welcome to participate in this blog. Thanx

minimedic said...

Were the rest of those vitals even remotely accurate?