In clinical on Wednesday, 2-15-12, Angeline recorded her patient\'s blood pressure of 151/105.  Angeline did not inform her co-assigned nurse or myself of the blood pressure reading.  I went into her patient\'s room, on initial rounds, and she was concerned about her patient\'s pulse of 58. She asked me to recheck his pulse for her, but did not mention his blood pressure.  
When reviewing her documentation, I discovered the BP reading and that he was medicated for a headache around the same time. I immediately questioned Angeline about the BP and she stated that yes, that is the reading she obtained.  When questioned about normal BP range, she gave an appropriate answer.  I asked her why she didn\'t report the abnormal reading, she stated she was more concerned about his pulse rate.  I explained to Angeline about the seriousness of the situation, but right now we needed to attend to the patient.
We went down to check his BP, which was three hours later than the above reading.  His BP was 130/80.  Patient denied any complaints.   
I informed the charge nurse of the situation.  She checked with risk management and was directed to fill out an incident form and notify the physician.  
Mrs. Barush was made aware of the situation today, 2-16-12.  I will inform Mrs. Pacuska on her return to the school.