I am an A & ED nurse. I had this major lapse? with one of the patients I was handling to be admitted. He was rushed at the ED, uncoscious and unresponsive. Assessment were as follows: GCS 5 upon neuro evaluation. Vital signs showes an elevated BP: 240/100. The physician deemed the patient to have suffered CVA. We have donE everything that was required, but we did not consider to perform an RBS up until the patient was endorsed to the next shift. The patient was already intubated when the RBS was done, he had an episode of hypoglycemia. So, immediately they gave the patient D5050 for that. His level of sensorium improved significantly, probably GCS 15 without the barrier. Upon knowing all these information, I was really shocked and awfully frustrated. I feel inefficient and lower than dirt right now. I am also thinking of legal implications it might bring forth. What are your thoughts on this?