Lethal dose of insulin

[butterscotch]

Sie ist nur verrückt.
Ein anderer Internettroll, belästigend gute Leute!

Todd, I don't know yet what your employer (Ocala, Fla) will say about your website activity but check out the bold:

leg.info@leg.state.fl.us. http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=Ch0464/ch0464.htmThe 2006 Florida Statutes

CHAPTER 464

NURSING

PART I

NURSE PRACTICE ACT (ss. 464.001-464.027)

PART II

CERTIFIED NURSING ASSISTANTS (ss. 464.201-464.2085)

PART I

NURSE PRACTICE ACT

1464.015 Titles and abbreviations; restrictions; penalty.--

(1) Only persons who hold licenses to practice professional nursing in this state or who are performing nursing services pursuant to the exception set forth in s. 464.022(8) shall have the right to use the title "Registered Nurse" and the abbreviation "R.N."

(2) Only persons who hold licenses to practice as licensed practical nurses in this state or who are performing practical nursing services pursuant to the exception set forth in s. 464.022(8) shall have the right to use the title "Licensed Practical Nurse" and the abbreviation "L.P.N."

(3) Only persons who are graduates of approved programs or the equivalent may use the term "Graduate Nurse" and the abbreviation "G.N.," pending the results of the first licensure examination for which they are eligible.

(4) Only persons who are graduates of approved programs or the equivalent may use the term "Graduate Practical Nurse" and the abbreviation "G.P.N.," pending the results of the first licensure examination for which they are eligible.

(5) Only persons who hold valid certificates to practice as advanced registered nurse practitioners in this state shall have the right to use the title "Advanced Registered Nurse Practitioner" and the abbreviation "A.R.N.P."

(6) No person shall practice or advertise as, or assume the title of, registered nurse, licensed practical nurse, or advanced registered nurse practitioner or use the abbreviation "R.N.," "L.P.N.," or "A.R.N.P." or take any other action that would lead the public to believe that person was certified as such or is performing nursing services pursuant to the exception set forth in s. 464.022(8), unless that person is licensed or certified to practice as such.

(7) A violation of this section is a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083.

464.016 Violations and penalties.--

(1) Each of the following acts constitutes a felony of the third degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084:

(a) Practicing advanced or specialized, professional or practical nursing, as defined in this part, unless holding an active license or certificate to do so.

(b) Using or attempting to use a license or certificate which has been suspended or revoked.

(c) Knowingly employing unlicensed persons in the practice of nursing.

(d) Obtaining or attempting to obtain a license or certificate under this part by misleading statements or knowing misrepresentation.

(2) Each of the following acts constitutes a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083:

(a) Using the name or title "Nurse," "Registered Nurse," "Licensed Practical Nurse," "Advanced Registered Nurse Practitioner," or any other name or title which implies that a person was licensed or certified as same, unless such person is duly licensed or certified.

(b) Knowingly concealing information relating to violations of this part.

464.018 Disciplinary actions.--

(1) The following acts constitute grounds for denial of a license or disciplinary action, as specified in s. 456.072(2):

(a) Procuring, attempting to procure, or renewing a license to practice nursing by bribery, by knowing misrepresentations, or through an error of the department or the board.

(b) Having a license to practice nursing revoked, suspended, or otherwise acted against, including the denial of licensure, by the licensing authority of another state, territory, or country.

(c) Being convicted or found guilty of, or entering a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction which directly relates to the practice of nursing or to the ability to practice nursing.

(d) Being found guilty, regardless of adjudication, of any of the following offenses:

1. A forcible felony as defined in chapter 776.

2. A violation of chapter 812, relating to theft, robbery, and related crimes.

3. A violation of chapter 817, relating to fraudulent practices.

4. A violation of chapter 800, relating to lewdness and indecent exposure.

5. A violation of chapter 784, relating to assault, battery, and culpable negligence.

6. A violation of chapter 827, relating to child abuse.

7. A violation of chapter 415, relating to protection from abuse, neglect, and exploitation.

8. A violation of chapter 39, relating to child abuse, abandonment, and neglect.

(e) Having been found guilty of, regardless of adjudication, or entered a plea of nolo contendere or guilty to, any offense prohibited under s. 435.03 or under any similar statute of another jurisdiction; or having committed an act which constitutes domestic violence as defined in s. 741.28.

(f) Making or filing a false report or record, which the licensee knows to be false, intentionally or negligently failing to file a report or record required by state or federal law, willfully impeding or obstructing such filing or inducing another person to do so. Such reports or records shall include only those which are signed in the nurse's capacity as a licensed nurse.

(g) False, misleading, or deceptive advertising.

(h) Unprofessional conduct, as defined by board rule.

(i) Engaging or attempting to engage in the possession, sale, or distribution of controlled substances as set forth in chapter 893, for any other than legitimate purposes authorized by this part.

(j) Being unable to practice nursing with reasonable skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics, or chemicals or any other type of material or as a result of any mental or physical condition. In enforcing this paragraph, the department shall have, upon a finding of the secretary or the secretary's designee that probable cause exists to believe that the licensee is unable to practice nursing because of the reasons stated in this paragraph, the authority to issue an order to compel a licensee to submit to a mental or physical examination by physicians designated by the department. If the licensee refuses to comply with such order, the department's order directing such examination may be enforced by filing a petition for enforcement in the circuit court where the licensee resides or does business. The licensee against whom the petition is filed shall not be named or identified by initials in any public court records or documents, and the proceedings shall be closed to the public. The department shall be entitled to the summary procedure provided in s. 51.011. A nurse affected by the provisions of this paragraph shall at reasonable intervals be afforded an opportunity to demonstrate that she or he can resume the competent practice of nursing with reasonable skill and safety to patients.

(k) Failing to report to the department any person who the licensee knows is in violation of this part or of the rules of the department or the board; however, if the licensee verifies that such person is actively participating in a board-approved program for the treatment of a physical or mental condition, the licensee is required to report such person only to an impaired professionals consultant.

(l) Knowingly violating any provision of this part, a rule of the board or the department, or a lawful order of the board or department previously entered in a disciplinary proceeding or failing to comply with a lawfully issued subpoena of the department.

(m) Failing to report to the department any licensee under chapter 458 or under chapter 459 who the nurse knows has violated the grounds for disciplinary action set out in the law under which that person is licensed and who provides health care services in a facility licensed under chapter 395, or a health maintenance organization certificated under part I of chapter 641, in which the nurse also provides services.

Failing to meet minimal standards of acceptable and prevailing nursing practice, including engaging in acts for which the licensee is not qualified by training or experience.

(o) Violating any provision of this chapter or chapter 456, or any rules adopted pursuant thereto.

(2) The board may enter an order denying licensure or imposing any of the penalties in s. 456.072(2) against any applicant for licensure or licensee who is found guilty of violating any provision of subsection (1) of this section or who is found guilty of violating any provision of s. 456.072(1).

(3) The board shall not reinstate the license of a nurse, or cause a license to be issued to a person it has deemed unqualified, until such time as it is satisfied that such person has complied with all the terms and conditions set forth in the final order and that such person is capable of safely engaging in the practice of nursing.

(4) The board shall not reinstate the license of a nurse who has been found guilty by the board on three separate occasions of violations

(5) The board shall by rule establish guidelines for the disposition of disciplinary cases involving specific types of violations. Such guidelines may include minimum and maximum fines, periods of supervision or probation, or conditions of probation or reissuance of a license.

 

[lealea1005]

You people are such a disgrace!!! Every thread has to turn into who has more knowledge bashing thread. Get over yourselves!!!! Lea Lea you just joined so who are you to be bugging someone of their credentials? Do you think you are better then anyone else here? I know trying to be accepted in the bashing crowd eh? And Shay can you for once make a post that is helpful instead of jumping in the middle of the bashing trying to put your worthless .02 cents in?

BTW Butterscotch you don't have to prove yourself to anyone! They are just trying to find the littliest thing on you so they can say to the forum "See I told you so!"

I asked about his/her experience/credentials because he/she was bashing some one who was giving the correct information and I was wondering what his/her experience might be. Yes, I am new to this forum and NO, I do not think I am better than anyone else here....BUT...I am intellegent enough to defer to senior members who know what they're talking about. I also do not think it's necessary to bring up unrelated historical events which may offend some people just because some one doesn't agree with you. Geez!

Besides...didn't you just bash me and some others.

 

[lealea1005]

Alrighty, to anyone who's interested, here are the facts after corresponding with the vet today.

The vet gave me u-100 insuline syringes (right here on the wrapper in front of me), and demonstrated on my cat how to give the injection using fluids. The syringe was about 1/4 full. The insulin I was given was U40, which it turns out is somewhat irrelevent anyway.

He gave me verbal instructions which I now know where TWO units. That is all he said. When we opened the syringe (my husband and I), I told him 2 units. The syringe is marked by 10, 20 30, 40 and 50 and the wrapper said 1/2 cc. He loaded the syringe to 20, and we both agreed that 20 must be the same as 2 in this U100 syringe with U40 insuline, as it appearred to be such a small dose and comparable to the amount of fluid he loaded for demonstration. My god, You can't even SEE the two marker in the syringe. How could I possibly have known without any experience with this.

Clearly there is no legal issue here. He told me units, I misunderstood. Was he negligent with his instructions? Yes, and no one will make me believe otherwise. He should have been more clear. It's too late now.

You all can bash me now, I'm the stupid OP who killed my cat.

I am so sorry and although I know it's not going to be easy, please do not blame yourself. It was just as you said "a mistundertanding" and lack of experience. I'm sure your cat had a good life with people who loved him/her.

 

[rmet4nzkx]

Alrighty, to anyone who's interested, here are the facts after corresponding with the vet today.

The vet gave me u-100 insuline syringes (right here on the wrapper in front of me), and demonstrated on my cat how to give the injection using fluids. The syringe was about 1/4 full. The insulin I was given was U40, which it turns out is somewhat irrelevent anyway.

He gave me verbal instructions which I now know where TWO units. That is all he said. When we opened the syringe (my husband and I), I told him 2 units. The syringe is marked by 10, 20 30, 40 and 50 and the wrapper said 1/2 cc. He loaded the syringe to 20, and we both agreed that 20 must be the same as 2 in this U100 syringe with U40 insuline, as it appearred to be such a small dose and comparable to the amount of fluid he loaded for demonstration. My god, You can't even SEE the two marker in the syringe. How could I possibly have known without any experience with this.

Clearly there is no legal issue here. He told me units, I misunderstood. Was he negligent with his instructions? Yes, and no one will make me believe otherwise. He should have been more clear. It's too late now.

You all can bash me now, I'm the stupid OP who killed my cat.

I am so sorry for all the confusion you experienced, first of all in how to administer the insulin to your cat and all the bickering that has broken out on this thread, there is no excuse for the behavior of some of the members and you may consider locking the thread.

So now you are confirming that the vet said 2 units, unfortunately, you understood that to be 2 cc and attempted to administer what you thought was the correct dose. According to the conversion chart I provided early in this thread, the 10 units of U-40 you eventialy administered was equal to 4 units (4.00 U-40 =10.0 U-100) which would now be twice the dosage prescribed by the vet. Correct me if I'm wrong.

What to do? Did your vet offer any compensation? Had the pet hospital given any care instructions upon discharge? You may have a case, one which could be defended and costly to pursue, you might consider, small claims court if the vet offers no compensation. The same site which I linked before also have other information which I believe you may find uesful http://www.petdiabetes.org/education_index.htm

 

[janedoe23]

I asked about his/her experience/credentials because he/she was bashing some one who was giving the correct information and I was wondering what his/her experience might be. Yes, I am new to this forum and NO, I do not think I am better than anyone else here....BUT...I am intellegent enough to defer to senior members who know what they're talking about. I also do not think it's necessary to bring up unrelated historical events which may offend some people just because some one doesn't agree with you. Geez!

Besides...didn't you just bash me and some others.

Senior members get the status from posts not from the length of time they are here. A member can register today and be senior member tomorrow if they really wanted to so are you going to say they also know what they are talking about because they are a "senior member'? Take some time read through some of the posts and see that senior members don't also give advice on here. Half the time they are making fun of people and trying to make fun of people's grammar and spelling errors. Sounds like your a little to close to the butt. You might want to pucker up now and get ready for your smootch.

 

[SPR]

Diabetes, and the treatment of, can be very confusing to people, even those in the medical field. I am sorry that you had to even deal with it, but it's a lesson learned. I am not sure if the Vet was negligant. I am sure if he asked if you understood and if you said you did, it's impossible for a person to know if you are telling the truth or not. Education is the key and if you feel that he/she honestly tried to educate you, then that's all you can ask for.

I must say though, that if they didn't tell you that adminstering insulin is important and a wrong dose can be fatal, that's questionable. Did they give you literature on the subject?

 

[lealea1005]

Sounds like your a little to close to the butt. You might want to pucker up now and get ready for your smootch.

Thank you for your insight. Your intelligence is overwhelming.

 

[rmet4nzkx]

Senior members get the status from posts not from the length of time they are here. A member can register today and be senior member tomorrow if they really wanted to so are you going to say they also know what they are talking about because they are a "senior member'? Take some time read through some of the posts and see that senior members don't also give advice on here. Half the time they are making fun of people and trying to make fun of people's grammar and spelling errors. Sounds like your a little to close to the butt. You might want to pucker up now and get ready for your smootch.

So apparently you didn't like the advice you received on your thread after you received your correct legal answer, https://forum.freeadvice.com/showthread.php?t=324274 so now you want to come after people who responded to you there? When you have the credentials to intelligently post on the med-mal forum, please read and learn and not act like a troll. OP's loss is unfortunate and nothing wil bring her cat back to life. Your disruption of these threads only adds more discredit to your reputation.

 

[janedoe23]

So apparently you didn't like the advice you received on your thread after you received your correct legal answer, https://forum.freeadvice.com/showthread.php?t=324274 so now you want to come after people who responded to you there? When you have the credentials to intelligently post on the med-mal forum, please read and learn and not act like a troll. OP's loss is unfortunate and nothing wil bring her cat back to life. Your disruption of these threads only adds more discredit to your reputation.

LOL just goes to show your stalking skills. I had no problem with the thread and what does it have anything to do with what I have stated in this thread? Rmet you come off the wall with some ridiculous stuff.

You say I'm a disruption then please lean over to panze and belize and tell them they're a disruption also. I know you won't do that because it's ok for them to do that as well it's not ok for everyone to have a spelling error here and there but when your posts are filled with spelling errors then that’s ok. I have said your posts are quite helpful at times but then all of a sudden one has to question what credentials YOU really have because some of the simplest answers you can't answer correctly. For example, the diabetic wondering about filing a lawsuit because her DR gave her a steroid. Your response was to find a personal injury lawyer. What the heck? Do you really thinks she has a case?

Rmet admit that you are the internet troll that follows everyone around including to other forums. You also have to make threads to make a point to OP's that it's not ok to lock or delete the thread without you having the last word. We have seen the numerous threads you start and then quickly lock so that YOU can have the last word. Geesh I never seen someone so obsessed with a forum. Maybe it's about time Mary starts paying for your 24/7 status here.

 

[Job_Hunting]

Thank you to everyone who posted informative or caring posts. It was much appreciated. I must say I'm not surprised to see that this thread, like so many others, has become nothing but a playground for childish banter.

Really people, grow up already. Shay Parie, or whatever your name is supposed to be, I have never once since I've been a member seen a productive post out of you. They have always always been nothing but slamming some other guy. Get a life, and I don't care if you ARE a senior member.

 

[texasmed_1]

Thank you to everyone who posted informative or caring posts. It was much appreciated. I must say I'm not surprised to see that this thread, like so many others, has become nothing but a playground for childish banter.

Really people, grow up already. Shay Parie, or whatever your name is supposed to be, I have never once since I've been a member seen a productive post out of you. They have always always been nothing but slamming some other guy. Get a life, and I don't care if you ARE a senior member.

I completely agree with you. I do not have the time to visit the law forums often, but it seems that when I do, I find people who love to chastise one another.
A few have managed to help OP. I find alot of the medical advice given to be very interesting. I do feel that Rmet is very knowledgeable in the feild of healthcare.
Shay Parie, just what exactly is your feild of expertise medical or legal ?