Neonate critical glucose policy
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I am new to my POCC position. I was reviewing results to verify that they repeat critical results, etc.
The current policy:
initial result in alert range (<70->400) order a stat blood glucose from lab
initial result outside of linearity range (<10->600) repeat fingerstick. If still outside of range, order stat lab draw.
Do you have a separate process for neonates?
The current policy:
initial result in alert range (<70->400) order a stat blood glucose from lab
initial result outside of linearity range (<10->600) repeat fingerstick. If still outside of range, order stat lab draw.
Do you have a separate process for neonates?
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This is our neonate (<30 days old) policy:
Critical BGM results are <40 mg/dL and > 180 mg/dL
Per the House Pediatrician and head of pediatrics, ALL neonate critical BGMs must be confirmed with a lab specimen.
They do not perform a repeat BGM unless there is some reason to believe the first result is inaccurate (ie, we had an instance where the baby kicked the meter
and they weren't sure the strip completely filled..).