critical POC glucose lab confirmation

We require an immediate repeat on the meter for the first critical result. If the patient stays critical, no consecutive repeats are required.  A lab draw is only required if the meter result repeats out of meter AMR (<10 or >600).

Hi
I also inherited similar policies and procedures!
Current:
Critical low <40 mg/dL - repeat with glucometer if result is suspect.  

Critical high >400 mg/dL

In the ideal world...

We use the NOVA glucometers - patient history access, QC reviewed daily and monthly, CAP surveys - I believe there are enough quality monitors in place to ensure the proper functioning of the meter that would preclude repeating ever critical ever time...

I will be following this thread very closely as I am trying to institute the "ideal" world process!

For our facility, criticals do not need to be repeated unless they are outside of the AMR (<10 or >600). If the repeat has the same result (outside the AMR), then a STAT Lab glucose is ordered for confirmation. 

In our facility, a glucose <40 mg/dL is considered critical low. If the patient is a neonate than a glucose verification lab draw is required. If it is not a neonate than nurse will repeat the test before treatment. For high results (ours is > or = 500), it is up to the individual testing to repeat if they decide it is a questionable result or inconsistent with the patient history/presentation. However, we have our system set up to where a critical high result automatically reflexes (orders) a lab glucose verification draw. We changed to this because our rate of lab glucose verification tests after a critical high fingerstick were very low. Now they are great- the only slight issue now is that I have to cancel some glucose verification tests at times if the patient has a BMP or CMP at the same time. 

We just recently changed our policy.

Critical values require a repeat on the glucometer before any patient intervention (Once every 24 hours). Confirmation labs are up to the physician.