chipper

This just happened last night on my shift, (7p-7a). A resident that is IDDM had an BS of 522 @hs. We are to report to the Doc if this one is over 500. It was a Friday night, followed protcol and order of the s/s and gave resident the alloted humalog. Resident was asymptomatic. Their Doc was not on call but was having the Doc on call paged. I tried two times to reach this person, but to no avail. Left our number so they could call back. My fellow nurse had a resident on their side that was doing bad and tried to get ahold of this Doc, leaving numbers and messages for them. This all happened around 8pm. We tried a few more times, but by then, it was going on 12am and the residents had stablized. My question is, Aren't the physicans on call accountable for these residents? Is this not neglect that they never called back? This Doc is known for this behavior and has done this in the past. Since they did not call back, it makes me wonder what risks as a nurse I would be taking with my licensure with this resident. I know that I would want to send them in to the hospital if they took a turn for the worse, but HEY! I need a Doctors order for that! What do ya'll think? Has this happened to you?

We also have a 24 hour report. But at the facility where I work, thereis a large book calender at the station where we put things like... a new lab or if a resident is going to LOA for a time. We have a 3rd and 4th nurse whose main job is to do wounds and call Dr.s and the like. I have found that these nurses don't always see the 24 hour report, so it is wise to write down important info on this calendar. This way it is written down twice and the calendar stays in one place the year round, so if a question arises,(I didn't see that), you can turn to the date quickly to verify the info.

It was a very rude statement on his part! Ignorance is never very becoming on a person. I hope that his daughter doesn't let her Dad bother her with his ignorance and goes and becomes a nurse with caring and compassion. If her Dad talks like that all the time, she should be able to get along with some of the Dr.s. Ya' think?

I just went for a check up and it was posted @ my Dr.'s that the Flu shat was available. I have gotten one for the last 8 years. I have not been sick, but I hadn't been sick prior to those 8 years either. I think it is a matter of personal chioce. Maybe a little bit of "mind over matter".

when the gentleman first came to our N.H., He was pleasant, happy man. He would get up at night to talk to us night nurses. In the course of a month, he became cranky, hard-to-get-along-with guy that slept or at least stayed in bed all day and night. One night, he was crying and saying that he didn't want to go. We tried to comfort him, but he remained scared. A few hours later, he died. I wonder if maybe he was one that didn't see the "bright light"? There is one room down the hall that always gives me the willies. No one recently has past in there, but when approach the door and reach in to turn on the light, you find yourself tense, as if you are expecting to see someone in that empty room. Last night, a man that the doc says has maybe 2 weeks, sat in the lobby with his eyes closed, praying that the Lord come take him out of here. A little later, he started to cry, mumbling that he was sick and tired of being sick and tired. An aide gave him some tissues and very plainly said,"Thank you." Prior to that, you could not make out what he was saying.

I try to call them Mr., or Mrs., but in the facility where I work is small, 65 residents, with the majority having dementia/ alzheimers, they like to be called by their first name. I really dislilke when people are called Honey, sweety and so forth. The residents call me by my first name nd seem to like the familiality(?), of the situation.