farmernurse26

Ok, so I'm a school contract nurse through a home health agency working with a very young diabetic patient. The school is great, couldn't be more supportive of my role and continuously praise my efforts at keeping the client's blood sugar levels with...

No, the recess was with other friends from different classes that the client plays with on a regular basis.

I'm an LPN in NC with 4yrs experience and our going rate is about $16-20/hour depending on if it's home health/nursing home/shift diff/etc. But it def would behoove you to go into the RN program in NC because there is a drastic decline in LPN positio...

@Spidey's Mom, no offense taken, the comment wasn't intended towards you, moreso towards some of the comments basically equating me to a sugar nazi afraid of giving insulin to the client or not letting the client be a kid. I have no problem whatsoeve...

suspended for 1 day without pay and without the option to work with another client, then removed from the case at my request.

Thank you for your kind words

there are a couple of parents in her grade level that are persnickety regarding certain treats being given out and they will write back on the note, please do not give this, please give XYZ treat instead, please don't give any treat, etc. And there a...

Furthermore, from NCBI's article on hyperglycemic crises in adults, please see below regarding altered mental status and severe hyperglycemia: "Occasionally, the entire symptomatic presentation may evolve or develop more acutely, and the patient may ...

The order didn't say to give the treat and cover even if the BS was over their set parameters either though. And I'll reiterate that I offered a non-carb protein snack so that the client could at least participate in the celebration in lieu of the tr...

I never pried anything from the client's hand or whatever simile you'd like to insert, and the school/my supervisor made the decision to send the child to the playground then the teacher could give out the treat to the other kids. Yes my client knew ...

Yes, I have been told that i am to have NO CONTACT with the parents as I am not an official school employee, I am simply a contracted employee. The parents never responded with an objection to the celebration nor did they respond with a statement tha...

But we aren't supposed to have contact with the parents, that's the problem. Y'all are assuming that I/we are supposed to call the parents for their decision but nowhere in my orders does it give permission for me to talk to the parents other than wh...

I'm just going to drop this little nugget of information here because it directly pertains to the client in question. "As most people with diabetes already know, insulin helps transfer glucose out of the bloodstream and into the body's cells. It is ...

thank you for sparing me then; i'm very distraught now and feel like I somehow hurt the client's psyche or something, even though they were laughing/playing with me on the playground during the party. I didn't ever want to do that

I never thought of it from that perspective; I just thought that because the client was in school for x amount of hours/day and because we have documented episodes of altered mental/physical status and impaired cognitive abilities due to elevated blo...

@blondy2061h, thank you. i was just afraid that due to the client having an almost 120g CHO lunch (almost double their MD's recommended meal amount) less than 2 hours before the treat time and this client's tendency for the insulin to "snowball" in t...

Thank you for your kind words Invitale, they are much appreciated after going through this ordeal.

@Gooselady, I'm starting to realize that even though I had the client's best interests at heart, and only the best intentions, nobody really cares. I truly care for this child and do not want to see them lose limbs like several of my older, non-compl...

mmc51264: unfortunately one of my siblings is type 1 and so i do know first hand what growing up diabetic is like, and i also know that different foods/carbs are broken down in the body differently. Also, this child has a hoarder mentality stemming f...

Yes, I am a contracted 1:1 nurse for that child only

@JulesA: I conferred with both my supervising RN and the school principal before moving forward with removal of said treat. The parents have been educated repeatedly over the course of many moons regarding proper nutritional choices and were asked to...

I am the one-on-one nurse for this client; I monitor their every bite, record, check blood sugars, and treat accordingly for both as, due to their impaired mental function, they cannot do it themselves. That is why I am in a conundrum over this whole...

@meanmaryjean-so you would not take into account that the blood sugar was already elevated, and that, per MD orders, insulin is only to be given after the client eats, which would cause a severe spike in blood sugar before the insulin had a chance to...

I need your help!!!! I am being written up for insubordination on my 6th day of employment because when my employer was criticizing me for my work and telling me how much stress and how many errors I had made for him I started crying and turned my...

@Bortaz, i wasn't crying because i was being counseled, i was crying because i was overwhelmed, he was treating me like an idiot knowing darn good and well that i did not have any training and i was basically teaching myself how to work the system, a...