Hood Nurse: Yeah, so I'm giving you Mrs. Smith, she's a 65 year old lady being admitted by Dr. Spazz for chest pain. She had one episode of burning to her epigastric area that was unrelieved by antacids, we gave her some Morphine here and the pain hasn't returned since. She should be a pretty easy admission, she's overall a pretty simple healthy patient, her enzymes are all negative, but the doctor wanted her to stay for a stress test just because of her age and because she's a diabetic.
Floor Nurse: Wait! She's a diabetic! Well, what was her last blood sugar?
Hood Nurse: Um, hold on, let me look at her labs from earlier. Looks like it was 63 on her metabolic panel, but she said she hadn't eaten all day and was complaining of being hungry so we gave her a sandwich right after that.
Floor Nurse: 63! That's too low! You need to recheck it!
Hood Nurse: Um, I mean, like I said she was fasting and then she was fed. It wasn't critically low by any means, and it was addressed.
Floor Nurse: Well, you still need to recheck it.
Hood Nurse: Look, this patient is stable, she has no complaints even slightly resembling those of hypoglycemia, in fact, she's been discussing the next Dancing With the Stars cast very passionately with me for the last hour or so, obviously she's okay.
Floor Nurse: Well, I'm not taking that patient until you check her blood sugar again.
Hood Nurse: Yeaaah. I'm not going to do that. It's not an emergency. I'm gonna go ahead and use some judgement and assessment skills and say she's fine. If a blood sugar of 63 just before eating a sandwich is that much of an issue for you, you can go ahead and check it when she comes upstairs or you can call the house supervisor on me if you feel like this is a legitimate issue worth refusing a patient over.
Floor Nurse: Well, whatever. It's your license.
Hood Nurse: Yup. Any other questions?
Floor Nurse: No. (click)
What, you're not even gonna stay on the phone to get the vital signs and ask me if the patient is alert and oriented or if she has any skin issues? Yeah, sorry, on another day I might have obliged, but when there's 50 sick people in the waiting room and I have three other patients that need shit, you're not going to bamboozle me into doing your HS blood sugar. I guess I'm just a bitch that way.