Blood glucose protocol in LTC facilities - page 3

So, the other day just as I was coming on shift one of the night turn nurses who is both an RN (as am I) and who has been a nurse longer than I've been alive was dealing with a low blood sugar on a... Read More

  1. by   evilolive
    Quote from CapeCodMermaid
    Couldn't you just pour the OJ in the Gtube?

    I had tried that at the beginning of shift when the off going nurse reported that his sugar was low. I gave at least 2 cups of OJ. His sugar continued to run in the 70's to 80's all night... but then during his AM accucheck he was 37! OJ wasn't going to do the trick via the G-tube ...
  2. by   Havin' A Party!
    Quote from achot chavi
    No one is arguing the advantages of a seasoned RN over an MD resident. Its just a matter of protocol and level of responsibilities...
    Don't wanna get off the main track of the thread here, but the comments the above refers to was addressing "life in the ICU," not in LTC. They were merely an aside to the principal discussion.

    Just clarifying.
  3. by   achot chavi
    consider urslf clarified :-)
  4. by   Not_A_Hat_Person
    Quote from morte
    i am going to have to go with the paramedic come back on this one "it is easier to defend a live one than a dead one."
    Isn't hypoglycemia considered an emergency if the patient is unresponsive? The DON was technically correct, but the important thing is that the patient lived.
  5. by   CapeCodMermaid
    Unfortunately sometimes technicalities are what count.
  6. by   morte
    would you rather go before the board or in court, if the patient died because you didnt do what you knew how to do?
  7. by   CapeCodMermaid
    If you are working within the scope of your practice, and you do what a reasonably prudent person with the same knowledge base does in the same situation, I don't think you'd end up before the BON or in court.

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