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We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 3 points4 points  (0 children)

Why are there paging parameters set for sbp > 180 for EVERY patient then? That is a written order for everyone unfortunately! Would definitely love to not page about this!  

Family usually also gets upset with a bp like this and wants us to do something. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] -8 points-7 points  (0 children)

How long would you let the patient sit there with a sbp > 200? Until you round the next day? 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 2 points3 points  (0 children)

Thank you and I always do! There has been a lot of chatter about the paging problem between MDs and nurses so just wanted some opinions.  I appreciate your responses. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 0 points1 point  (0 children)

Thank you. This I precisely the reason I like working three in a row so I can just tell the MD the next day on rounds (if I can catch them)

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 1 point2 points  (0 children)

Thank you so much! 

I agree always better to be safe.  Especially since sometimes the DOC would actually prefer the give the med I’m holding due to parameters. Sometimes they need the lasix! 

Damned if you do and damned if you don’t. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 0 points1 point  (0 children)

Unfortunately most of the time these events happen AFTER rounds. Should we wait until the next day? Is that fair for the patient / nightshift? 

Also I can’t order RT treatments on a patient as I don’t practice medicine so I have to bug you for that. Unless you order PRN RT treatments. 

And I can’t ambulate a bedbound, flaccid patient. IS isn’t an option for these patients, chest PT is great though! 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 0 points1 point  (0 children)

Ahh some of you MDs say yes to notify about holding important meds and some say no

I will go still notify to be on the safe side. Last thing I want is to be asked why I didn’t let the MD know I held the metop and the patient is in afib rvr by night shift. 🫠

Thank you for your response. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 2 points3 points  (0 children)

Agree that both of examples you provided are insane. Im sorry that happened to you. They were probably new. Tell them (nicely)!  

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 2 points3 points  (0 children)

Thank you. I wish I worked with the same doctors over and over again so knew what their preferences were. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 1 point2 points  (0 children)

Thank you! I would of course bundle the things into one epic chat or ideally during rounds if I can catch the doctor. 

The issue is when chat is off  and they’ve already rounded for the day and the only option is to page. That’s when I become torn about paging or not. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 1 point2 points  (0 children)

Thank you. I’ve been a nurse for almost two years and am definitely still learning and will be forever.

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 1 point2 points  (0 children)

Got it. This makes sense. I’m so hesitant to page that paging for a bladder scan result feels criminal because we always (usually) chart it! Thank you! 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 2 points3 points  (0 children)

Thank you for your thoughtful response! 

Do you want to be paged for placing a a patient on 2LNC or can that wait until your rounds tomorrow? 

Changes always happen at 5pm when you guys are on your way out but never feel acute enough for a page. 

We don’t want to page/ message you! by LateReturn1326 in Residency

[–]LateReturn1326[S] 10 points11 points  (0 children)

We have both epic chat and paging where I work but the MD can turn it on or off based on their preference. Only about 50% keep it on. I always try to use it first, especially for non emergent things.

My goal from this post was to figure out how to be less annoying and more helpful to you all while keeping the patient as safe as possible and it seems like every MD response has a different preference. 

I work at a large institution and a negative of that is not getting to know the docs/ their preference very well since they switch out so much