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Administer insulin when glucose is 53?
It's interesting to see all the different ways of handling this. The written policy for insulin in the facility I worked at was for any reading under 100, hold the insulin. For readings under 60, treat with glucose (or juice or soda) and recheck in 15 minutes. We would also notify the resident's doctor.
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Quitting my first nursing job!
What did your supervisor say when you told him/her that you felt your inexperience was putting your residents in danger?
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No needle nursing?
There are plenty of things nurses can do that do no involve needles...however, you will not get through your nursing school clinicals without having doing something with a needle and a person. My advice is...get over it :) I used to have a HUGE phobia but I decided I wanted to be a nurse more than I wanted to let fear control me. One thing I did...i donated blood...cried, wanted to throw up (after taking 4 hours to talk myself into it)...but I did it. I now give insulin shots every shift without a second thought
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Appropriate Patient for Midwife?
Thank you for your responses. The person I posted about is seeing a "midwife" (she didn't specify CNM or CPM)...and plans to deliver outside a hospital.
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Appropriate Patient for Midwife?
Hello, I've been reading this site for some time but this is the first time I have posted. I am a recent PN graduate, scheduled for NCLEX on June 6. I am also pregnant and regularly visit a website with boards just for pregnant women. Recently I saw a post from a woman who is 4 cm dilated at 34 weeks gestation. She is on bedrest. They have not done an amnio to check for lung maturity but she was given steroids a month ago. I am thinking this is not a low risk pregnancy at this point. If she goes into pre-term labor, she needs to deliver in a hospital just in case the baby needs help. But I'm not a midwife...in fact the lowest test scores I received in school were in Maternal/OB. Am I wrong? Is this not high risk? How many of you would continue to care for this patient?