Hi,
thank you for reading, I will try to make this as short as possible.
1) started my noc shift; pm shift nurse told me about this non-compliant pt about her blood sugar being 400, and that she administered 10 units of regular insulin. husband's patient walks up and asks me to check on her because she is feeling sick, pm nurse still on the clock. pt has low BP with high pulse pressure, i think of checking her blood sugar, it's 591!! i thought i was gonna collapse. the pm nurse was supposed to call MD if blood sugar is more than 400, but she didn't. also, within 3 hours, her BS was down to 300, in the morning it was already 130. did she lie about only administering 10 units? was I supposed to call MD? what if the pt died on my shift because i believed that her bs was under control? this pt has a hx of liver disease, chronic renal (dialysis) and DM. this high blood sugar was after she went out with a pass and went to a buffet. isn't she liability???
2) that nurse also had an unwitnessed fall and never started her neuro checks; i did and charted it, i couldn't call MD or ask for X-rays at night time...
3) LVN's at night do their hair, nails and make-up at the nurse's station. not only highly unprofessional, but they are getting paid to do something else. one of them hangs out in anempty patient's room the whole night shift while I am STILL orienting and could be learning from someone for a change!!! the whole management is crazy over state coming in right now! idk what to do!