![]() ![]() Just chart what you hear, use proper terminology whenever possible, and ask for a second set of ears if you aren't sure. My preceptor was reviewing my charting and questioned why I put that and i asked if she didn't hear the murmur when she did her assessment, and she was like "oh I heard something but it really is for the doc to say what it is so I never chart that".I just froze and told her that I was charting it so the doc could know to look into it and she looked at me like I was insane. I came on shift and did my assessment once and heard a clear loud systolic murmur. ![]() Unfortunately I've seen far too many nurses who don't even know how to properly identify lung or heart sounds and just copy what was put on the last assessment. Seriously, act like a professional and call it what it is, and if you don't know then ask someone else to listen so you can find out. I would absolutely question any nurse giving me handoff with nothing more than "Coarse" or "juncky". Where i've been coarse is a descriptor to be added to another phenomenon (coarse vs fine crackles/rhonci). As always, do not rely on Reddit alone for answers critical to your health or your career. Safety Reminder: We do not provide official answers or provide professional judgement. Using a stethoscope, the health care provider may hear normal breathing sounds, decreased or absent breath sounds, and abnormal breath sounds. r/UKHealthcare: Everything and anything related to UK Healthcare Normal lung sounds occur in all parts of the chest area, including above the collarbones and at the bottom of the rib cage. They are caused by the blocking of the airway that keeps breath from flowing smoothly in and out of the lungs. These crackles sound like light or heavy snoring. In COPD, rhonchi can mean the airways are. These are similar to wheezes, but unlike wheezes, these sounds are caused by the narrowing of the trachea. COPD lung sounds, like wheezing and crackling, can give clues about the state of your airways and help determine whether your treatment is working. r/Pharmacy: Pharmacists, pharmacy students, techs, and anyone else in the pharmaceutical industry! These sounds can be heard as rattling or bubbling. r/MedicalSchool: Medical students and physicians who wish to advise them. r/HealthIT: Health information technology, electronic health records, security and privacy issues, and related legislation. r/Healthcare: Links and discussion about health care: systems, costs, problems and proposed solutions. r/GlobalHealth: Discusses the discipline concerned with improving the health of the most number of people, irrespective of where those people live in the world. Specific clarification on moderation related to the topics of abortion and reproductive healthįree Mental Healthcare for HCWs Related Subreddits For Prospective Nurses: ![]() No racism, sexism, or other intolerable isms. No COVID denialism, antivax, or other anti-science rubbish Pursed-lip breathing noted with intermittent productive cough. Respiratory rate is tachypneic at 32/minute with neck and abdominal accessory muscle use. Patient reports shortness of breath for five to six hours. No revealing of personal information or social media accounts Sample Documentation of Unexpected Findings. All posts should be related to nursing or healthcare ![]()
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