The day started off fine. she was listening as I explained things I'm stickler for when it comes to her 504 such as.. making sure her BG is within normal range for all standardized testing, and checking for ketones and calling me if her BG is over 250 on two consecutive checks or over 300 after one check. I highlighted things in the 504 that really matter to me, I explained my expectations of treating a low and a high BG, and I went over her dexcom. When we checked her BG I showed her how to administer insulin. I was a bit alarmed when she said the last pump she worked with this big...
"Huh did they make them that big??"
"how long ago was that?"
But I was still like.. okay, okay.. it's okay. She'll learn. I didn't feel like her meshing with the class was going to be very seamless, BUT I thought.... it's her first day, it will come with comfort, and at this point though, I really want somebody who meshes but, I'm just desperate for competence and that the teacher may have to just look forward to Mondays, Thursdays and Fridays when Dana is there.
THEN came lunch. I had Presley check her ketones because she had been in the high 200's all day. So her and her nurse went to the bathroom and came back and told me she had trace ketones.. but ketones none the less. I told Marissa "Okay, so if there are ever ketones present you'll need to call me and more than likely I'm going to ask you to give her 1 unit. so go ahead.. one unite via a syringe"
As she drew up the shot I was watching and thinking "that's not how I do it, BUT don't be so darn controlling" She drew the insulin REALLY far down, I again thought "wow, that's a lot, she must just be being EXTRA cautious to not get an air bubble" Then when she was at 10 units.. (you read that right TEN units) she said.. "okay...you said two units right" ... confused I replied "no, 1 unit" she said "oh okay..." then took the shot down to 5 units... and said "okay there.." I think my eyes would have popped out of my head if my sunglasses weren't on. I said "Oh no, that's 5 units, this is one unit" then took the shot down to 1.She said "oh, ok, back in the day the needles use to be longer" (I shit you negative) uuummm I don't think so. One has always been one, and two has always been two. Basic nursing skills, BASIC.. NURSING.. SKILLS. This isn't going to work.
So now we're back at stage one.
Poor Presley, I think it's starting to take it's toll on her. She's tired of meeting people, and I'll tell you what. I wont be doing that again. Nobody will be going into the classroom till after I meet them, and I go over her 504 and my expectations. I probably wont have them meet Presley either till I feel like it could work..
Funny thing happened though, it made me laugh and think about how stupid white people are around black people, because we're so afraid of being considered raciest.
After snack Presley wanted a drink, she handed me her book and said "hold this.. I'm thirsty" I was like.. "ew no.." she said "hold it.. I cant drink and hold my book" I was looking at her and said "Who do you think I am? I'm not your Sl....." then I stopped and said "Maid... I'm not your maid" HAHA because I couldn't say the word Slave in front of a black lady. So stupid
(oh, obviously our nurse today was black)