Random irritations at work.

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Specializes in ICU/Critical Care.

delete.

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Specializes in psych. rehab nursing, float pool.

One would think it should have been called in prior.

Don't you just hate started your shift off like that. I know I do.

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Specializes in ICU/Critical Care.
One would think it should have been called in prior.

Don't you just hate started your shift off like that. I know I do.

We have an insulin protocol in our ICU. The doctor should have been called yesterday and the patient should have been on the drip yesterday. The patient's blood glucose had only come down to 250 right before I left at 7pm and I had started the drip at 10am. Everytime I checked his glucose, I had to increase the grip by 0.5 unit/hr and give him 6-8 units of Regular insulin IVP depending on the glucose result.

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Specializes in psych. rehab nursing, float pool.

They have just recently revised diabetic protocol where I work. We are all familiarizing ourselves with it.

Knowing you have a policy and protocol in regards to this . Have you/ did you fill out an incident report?

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Specializes in Trauma ICU, Surgical ICU, Medical ICU.

I have had the same thing happen to me at work. We also have an insulin protocol that we all follow by the book. We get transfers from other ICUs that never follow it, and sugars have been in the 200-300 range for days. It is very annoying spending all shift getting this under control. I think it is so important, I wish others did too. I always fill out an incident report about those things too. I mean, its written in black and white, how hard is it to just follow it?

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Specializes in ICU/Critical Care.

I didn't fill out a incident report. I know I should have. There was just a patient on our unit who had a CABG and his blood glucose was not controlled before or after surgery and he developed an infection in his leg and had to have it amputated according to what our unit's pharmacist.

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Specializes in ICU/Critical Care.

I am going to talk to my manager tomorrow when I get to work. We have this online incident form to fill out and I don't have the code to sign in and fill the form out. But I'm going to talk to her about what happened with the patient.

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