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I believe my co-workers have it in for me



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No. 10
Old Nov 07, 2009, 11:03 PM

Default Re: I believe my co-workers have it in for me
Originally Posted by ChapterTwo View Post
What's wrong with giving insulin in the back of the arm?
I've been taught that the back of the arm is one of several acceptable injection sites for insulin administration.
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No. 11
from Bug Out
Old Nov 09, 2009, 03:03 AM

Default Re: I believe my co-workers have it in for me
Are you sure they were filling out the incident report because of the location of the injection or was there an overdose or some other med error? Was there a reason that maybe the resident had an established order to only give injections in the ABD? I doubt that the other Nurses "have it in for you" but there may be more to this story than you know...
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No. 12
from Bug Out
Old Nov 09, 2009, 03:11 AM

Default Re: I believe my co-workers have it in for me
Originally Posted by morte View Post
remember, this is on the night shift......depending on the accuity, it is doable
Lets hope that EVERYONE sleeps and there are no medical emergencies...god forsake 2 emergencies at once. Lets say only 40 of those 60 pts receives medications...that means you have 3 minutes per patient to give meds without going over the "1 hour before, 1 hour after rule" Now if everyone only took Prilosec and Synthroid you would be fine but there are those who need Accuchecks, treatments, dressing changes etc. Going by the book you cannot pre pour your meds either...how in the hell are you going complete a med pass safely for that many people? You cannot tell me that a ratio of 60 to 1 is safe....unless you have never done it.
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No. 13
from morte
Old Nov 09, 2009, 11:30 AM

Default Re: I believe my co-workers have it in for me
Originally Posted by Bug Out View Post
Lets hope that EVERYONE sleeps and there are no medical emergencies...god forsake 2 emergencies at once. Lets say only 40 of those 60 pts receives medications...that means you have 3 minutes per patient to give meds without going over the "1 hour before, 1 hour after rule" Now if everyone only took Prilosec and Synthroid you would be fine but there are those who need Accuchecks, treatments, dressing changes etc. Going by the book you cannot pre pour your meds either...how in the hell are you going complete a med pass safely for that many people? You cannot tell me that a ratio of 60 to 1 is safe....unless you have never done it.
have done it, more than once......reread my statement "depending on acuity".....this was a Loooong term, basically custodial "one step above a rest home" floor.....perhaps twenty meds in the am, and not to twenty different patients......so, yes, doable.....with 4 aides and many self care residents.
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No. 14
from Sewbusy~RN
Old Nov 09, 2009, 11:48 AM

Default Re: I believe my co-workers have it in for me
The back of the arm is not the best place for insulin because it is more easily absorbed when injected in the abdomen, but it is still a safe site. Your judgement told you it was better in the back of the arm and that sounds totally reasonable. If that is truly the issue I wouldn't think they have anything on you. However, as a new grad I would stay the heck out of nursing homes, simply to protect your license. Document everything and start looking for a med surg job in a hospital where you can learn more safely on the job.
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