2/14/13  Today in clinical Candace was performing bedside glucose readings for two patients.  I observed Candace in the physical therapy department looking for her patient.  She was informed that the patient had returned to her room.  When I approached her, she stated she had one glucose testing done and was going to the other patient\'s room to complete the second one.  Five to ten minutes later, I observed Candace walking up the hallway with a refillable ice pack.  I questioned her about the glucose readings and she stated that she had completed both.  I asked about the results.  She stated patient #1 was 56.  She showed no concern about this result.  I asked her if she treated him and did he have any symptoms.  She stated she did not treat him.  She needed to obtain her other patient\'s glucose reading.  I explained to her the importance of treating the low glucose and it is necessary to prioritize her care.  Even after she obtained patient #2 blood glucose, she did not return to patient #1.  She was walking down the hall will a refillable ice bag for patient #2.  It was apparent by her actions that she did not understand the seriousness of her actions.  After the patient was treated, glucose repeated and lunch served, we sat down and discussed the situation. Hypoglycemia protocol is covered in Nursing I and on clinical orientation.   

Mid-level clinical evaluations were given to students today.  Candace had several areas noted with needs improvements (knowledge, professionalism, skills, and nursing process/critical thinking).  Candace\'s research preps have improved but she needs to improve in several areas in order to pass the clinical rotation.  