When visiting a close friend on a weekend afternoon, I found my friend lethargic and barely responsive (i.e. unable to keep eyes open, talk, drink, lift or squeeze hand). Preceding my visit, I had spo ken to my friend less than 18 hours earlier who was unquestionably alert, communicative and attentive to details. I immediately notified the family and then reported my observations to the duty charge nurse. In my opinion, my observations were meet in a casual manner; which later evolved into defensiveness. Fortunately, a family member and staff supervisor arrived and my friend was transported to the local hospital emergency room. My friend was determined to be dehydrated with drug build-up, causing her apparent lethargic and non-responsive symptoms. I don't understand why the charge nurse, who had just been with my friend minutes before my arrival, did not detect and respond to these symptoms.
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