Well it is a week later and I don't know the outcome of the pt so I suspect that either she was admitted or she expired.
Scaramedic,
No EKG, I was on a BLS truck, all of our dialysis pt's are transported BLS on the premise that any pt needing higher level of care will be admitted to hosp. Weakness / numbness not able to assess fully, pt was in to much distress to communicate effectively. I had not yet considered hyperkalemia.
AnthonyM83,
I had not even considered returning the pt to the dialysis facility. Even though the dialysis facility is in part of the hosp. The pt care had been transferred to me and I believe that they would have said not our problem take her to the ER. Although was it a proper pt transfer of care? Without proper documentation and facility with held pertinent pt information That is another issue all together.
VentMedic Wrote,
"Rarely do we even get baseline vitals because it was just a "routine".
OMG.. the family is on the phone with Dewey Cheatem and Howe, can you say complete failure to assess?
CBEMT,
L & S saved us about 10 min in this urban mecca of non driving morons! Yes one block! As for remembering all of the DX, RX, Alg, it is a perdiem job in three years I MIGHT have seen this pt once before. I don't think that any providers memory should be substituted for a proper pt transfer of care. This facility has a long history of refusing pt info even on obviously altered pt that can not provide any HX or RX info. The service provider has informed us not to even try to get info from anyone but the pt. I just document that they refused to provide info and have the nurse initial next to it when they sign our run sheet.