Policy on Out-of-Range Glucose Results
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What is everyone’s policy for glucose results that fall outside the reportable range? Do you hold these in your middleware for review, or are they auto-released to the EMR?
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It is out of compliance to report outside of reportable range – if the result is outside of the reportable range will your course of action be different - for example (<20 or 15) or >450 or 550).
We built rules to report within our reportable range.
Sincerely,
Alma
“Far and away the best prize that life offers is the CHANCE to work hard at work worth doing” – Theodore Roosevelt
Alma Calzado-Knudson, MBA, CLS, MT (ASCPi & AMT)
Manager, Lab Quality and Point of Care Testing
Student Education Coordinator
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Our reportable range is 10 to 600 mg/dl. If the result is outside of this, it will display at >600 or <10 mg/dL and we train staff to do a venipuncture and send to the lab for specific value.
We do the same as Jake.
We have rules programmed through our middleware as well as policies/procedures related to critical and unexpected test results.
Nova Statstrip Meters
RALS middleware
Meditech- LIS
Critical Values <40 & >400
Linearity: < 10 & >550
Only results held for review in middleware:
One thing that IS important is to make sure that your device management system is able to convert the results observed on the device's display to match what you report ultimately to the patient chart. For example, if your reportable range goes to 600 and you report >600 in your EMR, you would the device display to match that, and not the actual result calculated by the device.