POC glucose testing on hospital staff

That is big no no for point of care testing here in NY at least. Any test done on anyone has to have a providers order. If an employee is ill, they need to be in the ER or urgent care to have testing done. The back tracking is a hassle and your patient ID is false so that's another issue. 

We do not allow testing on employees.  If discovered, it is a variance report. The policy is if an employee does not feel well they go to the ER.

Our employee health nurse does not have a meter, because she can't write an order. I think the sticking point here is that no lab testing should be done without an order. 

I am never very upset about this when I do discover it. I educate those involved due to the fact the first action/reaction of a nurse is to "help." The last person post education filled out the variance report on himself....

Our rate of this is maybe twice a year with 7 hospitals. 

We do have as part of our system policy (20+ hospitals) that employee/self-testing with the hospital glucose meter equipment is prohibited.  That is not to say it never happens, but we do not condone it, and we track the instances of it so that it remains manageable.  I know what most clinical units have chosen to do is to purchase a home-use/drug store type glucose meter on the unit that can be used by employees/staff and it keeps this whole process out of the auspices of the POC program.

Hello
Our facility clearly states in QA section of the glucometer policy that self-testing is prohibited.  It's a liability issue- (Example: staff member doesn't feel well and the glucose is low but not critical and they ask to leave - get into an accident because it gets too low.  Hurt themselves or someone else....who is responsible??)  Staff squirrel their way around this by running a test as QC and tagging it "Operator Error" or "QC Repeated".  
We are a small hospital <100 beds.  We have employee health during the day, 3 express care units within 10-15 drive and the ED.

Same as everyone above except for as stated in our SOP:
 Important Reminder: Hospital glucose meters are for patient use only. The ONLY exception to this is if a glucose is requested on a non-patient (employee, family, visitor) by a provider during a Dr. Blue event. Users may not use the hospital meters to test themselves or other non-patients at any other time. 

We do allow manual typing of fake MRNs because of new babies, transport, dr blues that do not have an MRN. Employee use had become a huge problem in the last 3 years (not sure why it wasn't the 20 years prior to that!). We made this a major quality initiative and cracked down. We wrote safety learning reports and brought education to our competency fair and patient care leadership councils. We also turned off our QC reporting as numbers so they could not run themselves as QC - now QC only states Pass or Fail.  We have not had an incident occur for over a year now. 

Our hospital policy also states that the employee or family member is supposed to go to the ER. Many thing that it's extreme in some cases but it's a liability issue. 

In our glucometer policy we address emergent/urgent situations. If an employee doesn't feel well during their shift, then they should go to Employee Health for nonemergencies and they can have their glucose checked under the care of the EH physician. Your staff shouldn't be testing each other without a doctor's order. See CAP GEN.40930 and 42CFR493: Authorized person means an individual authorized under State law to order tests or receive test results, or both. 

We do the same as most facilities where unregistered (visitors, staff) must be seen in the ER or part of a code Alert (which goes through the ED and is registered). The meters are FDA-approved for prescription use only and all testing must be reviewed and addressed by a physician. Free testing is also prohibited by federal regulation. This still occurs occasionally, but most started to enter their own incident reports.

We know they want to help but there must be physician oversight of any testing in-house. I often say, "Can you draw a blood gas and run it on unregistered people? No? The same applies to any lab/POC test."

My previous facility didn't even allow blood pressures to be taken on unregistered individuals that didn't feel well as failure to address a high or low one could have been a legal issue if something happened and was attributed to the failure to follow up on the reading. They installed a free-standing "take-your-own" automated BP station that had an integrated seat where one sat and just placed an arm in the cuff.