RE: Re: I Hate Hospitals/Lab tests

[Guest guest]

Being one of the other nurses on the list and retired for almost 16

years and still learning. Plus having worked with an agency where I was

responsible for the care of children and adults I look at the whole

picture and make a decision. Sometimes this takes a few days to evaluate

but always observing that no changes are happening during that time that

I would want to take immediate action.

First I always get copies of all lab results and any test that me, my dh

or has. In a case like has been discussed the thing would be to

actually see the CBC and what the WBC results were.

Example: White Blood Count (CBC) 4.7 (normal range 4.2-11.0)

I have always had a good working relationship with all the physicians we

have had personally and when I was working professionally. I have felt

free to question anything.

Temps: I begin to really watch if the temp gets to 101, watch for other

signs if chilling, lethargic or anything not usual for the person. As

we have said many times on this list the parents are the experts on

their kids and they know if something isn't in sync with their child. I

worked in pediatrics at a nationally recognized children's hospital as

the night supervisor many years ago and parents were always an important

part of the team.

a has explained things below which are very helpful.

Let's hope we hear some good news this week how is doing.

Louise

RE: Re: I Hate Hospitals

Us nurses see things many times and often put bugs in doc ear to help,

but

not allowed to actually dx or order or tell people what to do that isnt

a

order but i can explain, there is another nurse or two on this list too

i do

beleive. A cbc isnt a blood culture, look at his labs (you are allowed

by

right) there should be somthing about a culture, and if anything was

found

eg:gram negative rods etc,-- his cbc would tell you if his white blood

count

was elevated hence an infection, if really high needs to be ona atb,

most

all labs also do a " c & s " for culture and senstivity ---this is when

they

take the blood culture and try tiny amounts againts many of the commonly

used meds (atb) for it, to see what it is sensitive to, so the doc can

prescribe the med to kill off the bad bug. As for the temp, it is

different

for different hospitals/ and people, for the elderly if they run a low

grade

temp of 100, that is very significant as they usually run lower as one

gets

older, but for a child a temp of 100 doesnt get the docs too worried. At

our

hospital we often dont give an antipyretic (fever) unless the temp is

101 or

greater. AS our body uses its temp to make more wbc's to fight off

infection, which is normal and especially today with soo much resistence

the

docs try to let the body do its job. As for the cellulitis some have

temps

and some dont, depends on person, the blood culture usually show whats

going

on. I hope i explained this right, please any other nurse chime in.

shawna

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[Guest guest]

i agree here, i have a good relationship with nathan's doc and she always

sends me any of the boys labwork or reports (eg echocardiogram,) etc, so i

can see what is off too, and call and ask any questions or talk about areas

i am concerned about. shawna

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