Fired Again ~ HAHAHA!

Nurses General Nursing

Published

:rotfl:

Fired again from LTC and I don't care.

Here's one of the DON's shenanigans: one of the other nurses was telling me about it - they had a patient who had very UNSTABLE blood sugar - there was an order for insulin at "X" time (say, 8pm).

The nurse did a fingerstick on her and her blood sugar was way low - something like 45! So naturally, she held the insulin.....

...would you believe....the DON got onto her the next day - she told her she was "working OUTSIDE OF HER PRACTICE" by withholding the insulin (it was routine not prn), and that she was supposed "to follow doctor's orders!"

Yuk Yuk

The nurse telling ME about it was flabbergasted. So was I...I said, "You're NOT working outside of the scope of your practice when you protect a patient!"

HELLO

Nurses are not friggin' ROBOTS! We're supposed to use some nursing judgement when called for and that's what she was doing.

WHAT DO THEY WANT, MINDLESS ROBOTS?

Freakin' B****!

:rotfl:

Still a student here, but the policy at the hospital where I'm in rotation is that the nurse should hold the insulin, treat the hypoglycemia, and re-check the glucose level shortly afterwards. The exception would be if its early am and the pt has a history of Somogyi.

I don't get the protocol at your hospital at all. Giving insulin to a pt with a glucose of 45 seems pretty dangerous to me. Suppose you don't get a prompt response from the doc, would you give the insulin and watch your pt go into shock while waiting for instructions, especially if the pt has other complications such as nausea and vomiting, abdominal pain, or dysphagia, and they refuse to drink that OJ or eat that breakfast? Guess you'd better be standing by with that D50, or is an order needed for that at your hospital, too?

Thankfully, in my neck of the woods nurses have much more autonomy than that.

Diabetics need their insulin. They are diabetic because they don't make any or adequate amounts. If a patients eating they are going to need their insulin and it shouldn't be held. Obviously there are times when it should be held, or the dose lowered, etc. :)

I love it when I get report. "I held their dinner insulin because their BG was 70". Later at hs I find their BG to be 400. Wonder why.? :)

Specializes in Everything except surgery.
Well then don't go gossiping about folks until you know the details. That's how rumors are spread. :chair:

You know what Tweety...this scenario was messed up all the way around. First this pt. supposedly had a 45 blood sugar at 8pm??? Did this patient not eat supper let alone a snack? And 8pm is too early to be giving a long acting insulin, seeing how it would probably peak at about 0400 in the morning. Too many facts are missing to even comment on the first scenario anywho.

Specializes in Case Management, Home Health, UM.
I was told please don't call my office, write it down and fax it. I wrote it down and faxed it, 1 hour later got an order to give 6units L in the am :uhoh21:Jean

You should have gone ahead and faxed him a blank copy of a Death Certificate with a cover sheet which read: "Thought you might like one of these AHEAD of time, since you don't want to be BOTHERED".

What an a----! :angryfire

The thing I still don't understand is "fired again" and hahaha. Is it funny to get fired? Is this something you do with regularity?

actually it really depends on the presentation of each patient. i've had pts that read in the 30's and were still asymptomatic but have had others in the 40's and were starting to bottom out. if i know the patient not to be feeling sick and/or anorexic, i will give the long acting insuling with a low blood sugar. but i've also poured sugar or chocolate syrup into the buccal mucosa when i was losing them and this is after i gave glucagon. i follow each diabetic pt. very closely w/proper follow up. i just can't rubberstamp identical interventions for all patients.

leslie

The thing I still don't understand is "fired again" and hahaha. Is it funny to get fired? Is this something you do with regularity?

I meant to ask the same question. What does she mean by "again"?

Hmmmm...interesting.

Just whatever you all think okay?

Oh and thirdshiftguy, I'll post about what I want, thank you. If you don't like it you don't have to comment....

What does she mean by "again"?

I'll just let you speculate, since you seem to have the inside track on things, LOL!

:rotfl:

Hmmmm...interesting.

Just whatever you all think okay?

Oh and thirdshiftguy, I'll post about what I want, thank you. If you don't like it you don't have to comment....

I'll just let you speculate, since you seem to have the inside track on things, LOL!

:rotfl:

that quote wasn't from thirdshiftguy.

that quote wasn't from thirdshiftguy

Yes it was.

Originally Posted by 3rdShiftGuy

Well then don't go gossiping about folks until you know the details. That's how rumors are spread.

Relating what happened isn't gossiping....I just felt sorry for the nurse.

This thread has gone South. I'm closing it for a cooling off period with a reminder to be respectful of each other.

Reopening of the thread will at the disgretion of the Mod Team.

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