Something i don't get.

I recorded 30 as a pt respiratory rate at 19whatever it is. Patient c/o of chest pain like 15 or so min ago so i did another set of VS and went to document it only to find that beneath my respiratory rate, my preceportr wrote s/p ambulation...24@rest. Huh?! The patient was actually sleeping or so when i counted that thing. And it's still 30 even when i did it on separate occasions now.

What i don't get is that whenever an abnormal V/S comes up, my preceptor has to make sure the follow up is better than the first one. What's wrong if a patients BP was 154/60 but a manual shows it's 180/90. What is wrong with stating the hard core facts as they are. Why do we have to make it look better even when it isn't? It's not just the temperature but it's practically everything else, whether it is that BP i heard so perfectly cuz it almost burst my eardrums or whatever it is, it's like when she rechecks it, it has to be lower thean my value. At first, i thought she was trying to show me as someone who is incompetent or whatever but now, i think there's more to it than just that.
Anyway, she decided to put the pt on oxygen and in her words to the patient..."we're going to put you on oxygen for comfort." So when recording the V/S, i ask how much O2 the pt was on so i could document it and the MD goes "she doesn't need oxygen." My precept goes, yes she doesn't need O2 but she was asking for it. Huh?! i taught the patient was told blank without a choice that she was gonna be put on oxygen.
EKGs fly around here even when they aren't needed and people are put on telemetry sometimes when it's not needed. I don't get certain things that go on here. ICU nurses sometimes don't see eye to eye with the docs. These nurses are by the patient all the time so they see what the docs don't see and most of the time they are right. A few times, they are wrong and the docs are right. Perhaps, by observing from a distance, they are able to see what the nurses can't see. So yeah, i'm just a student, i may not get certain things... i may be right and i may be wrong, i don't know which is which but i hope to understand someday.