u/Substantial-Ad6896

I work privately in home overnights and there is another nurse that works opposite days to me and she keeps incorrectly correcting my charting !

She writes “ac meds” to say “before meds” where as I write ā meds as “ac” means “before meals”

She also charts like personal support, writing down every observation no matter how irrelevant (to nursing), where as I chart by exception and significant findings.

She keeps correcting me in charting and underlining things. I have been ignoring it but it is starting to irritate me.

She is an old school RN (old diploma rn) that thinks rpn’s are useless idiots; I am an rpn with 10 years experience and refuse to speak to her due to her shitty remarks

ETA- I may have not explained properly - she marks her own charting by highlighting the things we chart differently and underlining them, she has also started underlining them and writing (before) underneath, the more I ignore it the larger the word “before” gets and the darker the underline gets underneath it.

I just wanted to mention to anyone who struggles with weight gain in GP to look into a few things that have really helped me:

Methane gas producing SIBO + weight gain

Delayed gastric emptying effect on blood sugar/insulin + weight gain

And also something that has saved me in a flare and helped me retain muscle, but I realize won’t help everyone:

Ultrafiltered protein milk - 0%, there’s no lactose, no fat, no fibre and very small sugar/ carb; it’s one of the only things I can tolerate in a flare, I cannot even tolerate meal replacements.

My favourite brand:

Lactantia ultrapur 0% or 1-3% depending on my tolerance for fat that day and need for calories

There are also brands like Neilson and fairlife which I believe are available in the states.

Good luck, I know it sucks.

Edit to add- Also the lactantia has 20g protein per 250ml serving and starts at 130 cal for 0%