I have a question for everyone

dang I'm so glad somebody understood me

I have been in LTC for 14 years and it is my heart and soul. I work and have worked with some awesome nurses!

but sometimes...sometimes I understand why people think nursing home nurses are idiots. and believe me, I will be the first person to jump if someone at the hospital treats me or one of my nurses like we are idiots, which happens. But when we do crap like this it makes me want to scream!

Recently I had a nurse that didnt know that oxycodone was percocet.

But this insulin thing is really making me mad. What is infuriating me is that some of the nurses are believing this stuff, that they can't "mix" insulin. I keep asking them.."can you tell me the difference in that and giving a patient some N insulin and some R sliding scale coverage at the same time in the same syringe?" and they STILL argue that you shouldnt "mix" insulins .

I would like to find some documentation on the net that talks about this but when I googled, all I found was about the insulin itself.

If any educator has any info I could use, I would be very appreciative.

dang I'm so glad somebody understood me

I have been in LTC for 14 years and it is my heart and soul. I work and have worked with some awesome nurses!

but sometimes...sometimes I understand why people think nursing home nurses are idiots. and believe me, I will be the first person to jump if someone at the hospital treats me or one of my nurses like we are idiots, which happens. But when we do crap like this it makes me want to scream!

Recently I had a nurse that didnt know that oxycodone was percocet.

But this insulin thing is really making me mad. What is infuriating me is that some of the nurses are believing this stuff, that they can't "mix" insulin. I keep asking them.."can you tell me the difference in that and giving a patient some N insulin and some R sliding scale coverage at the same time in the same syringe?" and they STILL argue that you shouldnt "mix" insulins .

I would like to find some documentation on the net that talks about this but when I googled, all I found was about the insulin itself.

If any educator has any info I could use, I would be very appreciative.

When regular insulin is mixed with NPH insulin and sits for awhile, the regular insulin usually becomes blunted a little. For that reason, if people are drawing up their insulin before hand and are keeping it in the refrigerator, I always tell them that they should get the insulin drawn up again before they use the last dose. The dose they are using should have sat for at least 24 hours.

If a person who is usually using pre-drawn insulin, uses it freshly drawn up, it could peak sooner and cause insulin reactions.

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.