If you were out of 50/50 insulin and had a patient with the order, what would you do? If you had no 50/50 but plenty of N and R available, would you just draw it up yourself?
2 weeks ago one of the LPNs was out of 50/50. I am the nursing supervisor in our LTC. She needed 20 units. I told her to use 10 of N and 10 of R.
Now there is some, um..shall we say...drama at our facility because 2 other LPNs are telling all the other nurses that the nurse I told to do that is going to lose her license because she "mixed" insulin.
I calmed her today and even called the pharmacist at the hospital so he could tell her what she did was correct.
I feel like beating my head against the nearest brick wall
Nov 20, '05
sounds like some of the ill-informed nurses that work in my facility.
last weekend, a CNA gave a groshong cath to a agency nurse working the ltc part of my building. nurse didn't do anything about it, and neither did the 7 nurses on the following shifts.
apparently, it sat on the desk for all that time as well. eeek!
please don't flame me....i work with some awesome ltc nurses. but i also work with some that could use a little educational updates:stone things change from decade to decade. i cringe when people don't know the difference between lortab es and vicodin es, hence giving way over 4gm of tylenol a day...and tyring to explain the difference to some nurses. or trying to explain to a nurse that aldactone is NOT an antibiotic. where's the brick wall at? i'll join you!
Last edit by rehab nurse on Nov 20, '05