How safe are these practices? Help, new grad RN in LTC - page 2

Hi, thank you for reading, I will try to make this as short as possible. 1) started my noc shift; pm shift nurse told me about this non-compliant pt about her blood sugar being 400, and that she... Read More

  1. by   CoffeeRTC
    1) No matter what you believe, you need to go by what whas charted. All of the residents have rights...if they want to go out on LOA and eat it up, so be it. When they come back, an assessment should be done. After you found the RBG of 591. you should have called the doc no matter what time of the night.

    Same thing for a fall/ xray.
  2. by   caliotter3
    I had a diabetic resident who ate the goodies her family brought to her. I spoke to other nurses about it and they said it was her right to be noncompliant. They told me to document and go on my way, since the doctor was aware. You can't put handcuffs on the resident when she goes to the buffet. You just have to deal with her physical condition when she gets back to the facility. Of course, that doesn't mean you can't counsel her, and document that counseling, concerning proper eating habits. She probably knows the lecture backwards and forwards, but she earns the right to hear it again, whenever she comes back satisfied.
  3. by   Sparrowhawk
    Doesn't matter what eve nurse did. You call doc and say BS 591...had 10 units of insulin....what's your advice.