Glucose Results that are "HI" out of the AMR
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Do you require a sample be sent to the lab for ALL "HI" glucose results performed on the meters? Anyone willing to share their policy?
Thank you
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Any result that is greater or less than linearity is supposed to be sent to lab or confirmed by a second method. Since the floors cannot perform dilutions on the handhelds they do not really know how "HI" the result is and may not give enough medication. If it is too low it may be a dilution factor and may need a lab result.
First we have them repeat because it is critical, then they follow the following procedure.
Jeremy Williford, PBT (ASCP)
Point of Care Support Specialist, Clinical Laboratory Services
South Georgia Medical Center | 2501 N Patterson St. | Valdosta, GA 31602
229.259.4804 (office) |
229.249-5461 (fax)
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Subject: [POCT Listserv] Glucose Results that are "HI" out of the AMR
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Our policy is to have a lab glucose drawn for verification for the first in a series meter glucose value that is above 500 mg/dl (our highest level reportable limit). Subsequent >500 glucoses do not need lab verification as they are monitoring for glucose to fall below 500.
Lynn McDonald
POCT Technical Specialist
lynn.mcdonald@allina.com
I think sending the first in a series makes sense especially for an ED patient. They will not continue to send a specimen for every glucose result that is above 550mg/dl which is the meter AMR. I am in the process of revising my policy and appreciate your feedback.