bclem05

Thanks for all the responses! As I assumed the overwhelming response seems to be that day shift is giving rapid acting insulin in proximity to the patient eating. One thing I haven't given enough thought to is having night shift check sugars and day shift give the insulin. Seems like a good compromise in time saving and best practice/ patient safety. Although I do wonder how other nurses would feel giving insulin based off a sugar that was taken 30 mins -3 hours prior? On the safety side, I suspect the glucose level wouldn't change much over this period of time and by giving the insulin with meals would we would negate the majority of if not all hypoglycemic events. Thanks for everyone's input

Hi everyone, my question is on how you deal with morning glucose checks and insulin administration? I work on a busy tele floor where the night shift is currently doing the morning glucose checks and coverage around 0600, trays aren't passed till around 0730. As you can see this is problematic. A little background info, nearly all of our patients are on a sliding scale with Aprida and we do 12 hr shifts 7 to 7. Currently management is looking at passing the morning glucose checks to the day shift so insulin will be administered within a 15 minute window of the breakfast trays being passed.There is a lot of negative feedback from day shift. They feel that the morning hour is already too busy and they just won't have enough time to accomplish everything plus morning glucose checks and coverage. So my question is how do you guys deal with morning glucose checks and coverage? Who (day or night shift, RN or CNA) checks the blood glucose and at what time? who is administering the insulin and at what time? and how fast are trays received after insulin is administered? Thanksin advance Brett

@smleahy11 Thanks for the insight

Hi guys, I'm really interested in how you deal with morning glucose checks. I work on a busy tele floor, currently night shift is doing the morning glucose checks and coverage around 6 AM, trays aren't passed till around 730. As you can see this is problematic. A little background information, my hospital is still stuck in the past in regards to DM management in that only about half of the patients have basal coverage although we are starting to see more and more and the majority of blood glucose control comes from a sliding scale, typically with the use of Aprida. Also we do 12s 7 to 7. So my question is who (day or night shift) checks the blood glucose and at what time? who is administering the insulin and at what time? and how fast are trays received after insulin is administered? Thanks in advance

I go to SFSU. I had a 3.6 overall GPA and a 3.7 prerequisite GPA. I would recommend looking at the NCLEX pass rates from the BRN Board of Registered Nursing - NCLEX Pass Rates. Do well on your TEAS or any other entrance exam and go from there. I would really recommend going to a school with a pass rate of higher than 90%. Also try and contact some faculty from the schools you want to attend and start a dialogue. Apply everywhere and be picky. I know you think you're on the of wrong side of things to be being picky but its important to get into a good program and not just settle. Good luck!

Being out of the country during orientation, my parents attended in my place. From hearing their report, there seemed to be a fair number of students who had their parents accompany them to orientation. Yes, you are an adult and coming this far a responsible student, but why does it matter if your mom goes with you? I'm assuming your mother has been very supportive up to this point and would probably like to continue in that roll. By attending your orientation your mother will be in the know, and have a better understanding of what you're up against in the coming years. The only down turn, is the possibility that you maybe shy or embarrassed by your mother's presence at the orientation, thus impeding you from interacting with your new cohort as you normally would. Either way would be fine but if your mother wants to go and your okay with that then bring her along. Best of luck with school!

How about Disturbed thought processes e.g. confusion disorientation, inappropriate social behavior, altered mood states, delusions, impaired cognitive processes the NANDA would be: disruption in cognitive operations and activities related to Pick's disease