Help when calling the md

[iwannabeanursee]

I'm a new lpn. I just have a question. This hasn't happened to me yet but when it does I want to be prepared. At our facility it says if a pt BS is over 350 call MD. If their BS is below 70 hold novolog and lantus. Let's say their BS is 500 and they're on Novolog 6u and Lantus 12u. What should I say to the doctor when it's high? Do I have to hold anything? From what I hear he goes straight to voicemail. I'm nervous when it comes to calling the doctor. How can I sound professional? Can someone give me an example of what to say in this situation?

[Oldmahubbard]

Great answers here, and just remember, 100% of all people in practice today were once brand new, first day on the job.

Your most valuable experience will happen when some prescriber gets irritable, angry, or maybe even explosive, despite your sincere intentions and preparations.

And you live through it, and understand it was never about you, but all about the patient.

[Here.I.Stand, BSN, RN]

Let's say their BS is 500 and they're on Novolog 6u and Lantus 12u. What should I say to the doctor when it's high? Do I have to hold anything?[/Quote]

Why would you hold insulin for hyperglycemia? What happens to the BG if insulin is withheld?