BGM critical result reporting documentation
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Hello All,
Currently our statistics for RNs documenting critical glucose values communicated to the provider are in need of improvement. I am hoping the community has some suggestions. My current train of thought is there are two environments for which a critical glucose can occur, trauma or non-trauma. In a trauma the patient is rushed into the ED or L&D, the Provider requests a POC glucose, the result is immediately read to the Provider and with everything going on documentation of that critical is not occurring in the moment or later. Second, non-trauma patients who usually have an order set that RN's follow in regards to a patient's glucose value. An order set may be leading to a more lax attitude towards documenting critical values because the need to talk with a Provider seems unnecessary??
In either situation our RNs need to be better about documenting critical values per TJC requirements. Currently, we have a reflex order that pops up for RNs to call Providers with critical values, but this isn't working nearly as well as it should. Reeducation is necessary to stress the importance of documenting these critical values. However, my question to the community is how are you going about getting your critical values communicated and properly documented to meet accreditation requirements? Have you struggled in the past and found a path that leads to higher compliance? Please share your thoughts! Thanks!!
Currently our statistics for RNs documenting critical glucose values communicated to the provider are in need of improvement. I am hoping the community has some suggestions. My current train of thought is there are two environments for which a critical glucose can occur, trauma or non-trauma. In a trauma the patient is rushed into the ED or L&D, the Provider requests a POC glucose, the result is immediately read to the Provider and with everything going on documentation of that critical is not occurring in the moment or later. Second, non-trauma patients who usually have an order set that RN's follow in regards to a patient's glucose value. An order set may be leading to a more lax attitude towards documenting critical values because the need to talk with a Provider seems unnecessary??
In either situation our RNs need to be better about documenting critical values per TJC requirements. Currently, we have a reflex order that pops up for RNs to call Providers with critical values, but this isn't working nearly as well as it should. Reeducation is necessary to stress the importance of documenting these critical values. However, my question to the community is how are you going about getting your critical values communicated and properly documented to meet accreditation requirements? Have you struggled in the past and found a path that leads to higher compliance? Please share your thoughts! Thanks!!
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