Completing their clinical placement on an acute medicine

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Question: A nursing student is completing their clinical placement on an acute medicine floor. They are expecting an admission from the ER. After their admission arrives, they help settle the patient and listen to report from the ER nurse. The following patient details are noted on report: 30- year old Type 1 Diabetic patient admitted for DKA. The patient has been in the hospital for the past 15-hours. Interventions to lower blood sugar involved various insulins that were administered via IV push doses and continuous insulin infusions. The patient is now stable enough to be weaned off the insulin drip, as per protocol. The student nurse completes their admission assessment. Their findings are as follows: stable vital signs, stable blood sugar levels, the correct IV insulin infusion running, and the IV site WDL. The transfer of accountability is signed, and the student nurse observes the staff nurse process the admission's orders and review the patient's chart. The student notes that no blood sugar assessments were charted at all for this patient. The student also notes that MAR indicates that only the insulin infusions were administered - not the IV push doses as per the ER nurse's report.

Reference no: EM133619559

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