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KEK RN

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  1. I have experienced the "insulin protocol" at my facility! I was terminated from my position because of it. I walked into a pt room and the gtt was running at 160 cc/hr. I was just getting report and noticed this. Instantly I told the night nurse that was an inappropriate rate. I checked the blood sugar immediately and called the MD. I turned off the gtt and continued to have low blood sugars. I kept calling the MD and he said he would be in to look at the pt. He then wrote orders to stop gtt (which I did 2 hours prior) and do accuchecks-bloodsugar checks QID and give Lantus 26 Units now and qam. I told him I had BS in the 50's and he still said to do checks QID. I ended up doing about 14 blood sugars that day on my pt that was to have QID checks. I was told I didn't do checks enough, and I did do one late entry documentation. That is why I was terminated. That day I looked at the original order, the order stated "start insulin gtt as protocal" come to find out we didn't have a protocal. We had a one page "draft" that shouldn't have even been out on the floor. I'm thinking of filing a grievence, but don't know the proceedure, was wondering also if there are lawyers that specialize in this.

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