okay- here's the situation
69 yo female in because of weakness, fell at home after being at rehab for 3 weeks. normal aging issues- cad, htn, but completely aao x3-also iddm. offgoing nurse gives me report, says pt's fsbs @ 0600 was 39- she gave oj and graham crackers- rechecked the fsbs- it was 50- gave another oj. rechecked 105. pt states she was a little shaky and a bit diaphortic- but otherwise ok- that she knows it was because she took her hs insulin and didn't eat.
so she has metformin and actos ordered for 0800. i recheck her fsbs-it was 127- she's eating- so i give it but not her 70/30.
pt was fine all morning. in the mean time, i am floated to icu and get a call about 3 hrs later stating the md wants to talk to me.
i get there, he says did i plan on trying to kill his pt..because that is what would have happened. i explained what had happened- then reiterated that fact the the pt stated she had not eaten dinner. he freaked!! said he was going to my nm and i would not be taking care of any of his pts again.
so, it is not so much i think i was wrong...the problem came down to the fact that the offgoing rn did not notify him that the pts fsbs was 39 @ 0600- he said if he had know he would have given the order to hold all hypoglycemics and insulin...
what do you all think???