Blood Glucose Monitoring on the ACCU-CHEK Inform II
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At my hospital, it is a requirement to have a lab glucose draw to confirm a critical glucose on the Inform II meters. My question is, is this necessary? What does your facility do?
Our NICU is having difficulty with this requirement for a variety of reasons and would like to change this requirement (as would I).
-We are CAP and Joint Commission Accredited.
Thank you.
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At our facilities we require that all critical results be repeated on the meter within 10 minutes. It is the physician or responsible clinical personnel who determines whether repeat testing in the lab is necessary.We are also CAP and Joint Commission Accredited.
At our facility, the Nurses have the ability to repeat any value that they do not believe to be accurate according to condition of the patient and past history. All Glucoses over 500 are to have a venipuncture to confirm that result, the catch of it is, they need to get an order for the draw, and then if the Dr. feels that a venipuncture glucose is not warranted the Nurses then document this.
As far as the nursery, their protocol is to repeat the low glucose and then feed the baby. The facility at one time also had a critical low of 51 and anything under that needed to be drawn and confirmed. Over time we realized that we could seldom confirm, because the nurses priority was the patient and rightly so, so we opted to go with a Hypoglycemic protocol to cover this situation, same as what the Nursery did when we started using the Glucometers.
dave