I know this is nursing 101 here, but I just started a new job at which I've been told twice (by two different charge nurses) that night shift nurses give the breakfast insulins - even though the trays don't arrive until around 8 am. At my 7 am sign off report (nights leaves at 7:30) the oncoming nurse was a little huffy that I hadn't given a patient 2 units of Reguar insulin due AC breakfast. This patient also had 8 am meds due.
Ever since nursing school I have ALWAYS brought the tray directly into the patient with the insulin, and would never dream of doing otherwise! Are other units having night shift do this, or is this just plain crazy???
Oct 8, '07
Our fasting BGs are done at 0730, breakfast is at 0800.
If I know the oncoming nurse is going to have a busy day and it is not too late, I will sometimes check it before I go, between 0700 and 0730.
Most of the time, dayshift is ok with us leaving it for them, since it's well-known that fasting bgs are to be done at 0730. And I don't mind doing a 1hr postprandial when I first get there at 1930. P&Ps say it has to be done then, ok, I'll do it then. No biggie.
ETA: I would NOT check a BG at 0600 and expect someone to give insulin based on my reading, nor would I give AM insulin at 0630 if there is no breakfast around. I have mamas and their babies....low bg for mom = potential bad baby outcome.
Last edit by ElvishDNP on Oct 8, '07