There is a new LPN working with us that is a nightmare. Friendly guy on the surface, but is someone who is always kissing the rear end of our grimy ADN. The ADN sends him to the store on company time to get her food, pay her bills, just the basic flunky stuff. This guy is a know it all, who can't be corrected. When he started orientation, he was pulled out in the middle of a class to be the errand boy, and missing very pertinent information for his position as a new grad nurse on the first job.
Anyhow, a patient was newly diagnosed with Diabetes Type 2, and at this time, the only prescription the doctor wrote was for Metformin. No previous prescriptions noted in the chart (again, a newly diagnosed diabetic). And, there is a language barrier, to boot. Anyhow, this bright nurse started teaching him how to inject insulin. One of the RNs walked in and asked him "Why are you teaching him to self administer insulin?" and he says "Because he is diabetic, he is prescribed a diabetic medication, so he has to be taught (with a smug attitude, no less)". The RN then asked him if he looked up the drug to see how it works, and if the patient, in fact, needed this teaching at this time. He gets an attitude and says there was no need to. The nurse had to ask the patient to excuse himself while she spoke to this guy and said that this shows her he does not take the initiative to look up any information or ask if he is not sure of something. Explained that when a person is newly diagnosed with something, he should not be overloaded by learning a skill that he may not have to do. If anything, he should be teaching the patient how to check his own glucose and to document his readings each day, to bring back to the doctor and how to treat himself if he is too high, too low, etc...
A few days later, there was a conversation about bloodwork being done (*please note that this same genius was a phlebotomist for 10 years), and he asked what color is blood. So, do ya think that I would trust this guy with my cockroaches?
