ED staff not checking blood sugars - page 2

I was just wondering, if a patient comes to your hospital and part of their history is diabetes but that is not part of their primary diagnosis, do you still check their fingerstick? I just found... Read More

  1. Visit  rn/writer profile page
    2
    When I was an EMT, part of our protocol was to do a blood glucose on anyone with an altered LOC. Why would we do this on someone who was clearly injured in an MVA? Because you don't know whether the crash was the primary event or a result of someone who was already altered.

    With so many undiagnosed diabetics walking around, doing a blood glucose in the ED might catch the condition for the first time. I'm with Roy in saying that mild elevation isn't a cause for alarm--although it can certainly be an invitation to follow up once the excitement has died down--but you can see some amazing numbers in folks who have no clue that they have a problem.

    In one EMT case, I recall a relatively young man who felt sick on the job. He was a big guy and his s/s suggested a possible MI. We did a fingerstick as a "rule-out" kind of thing and got a reading in the 680s. His heart was fine. His blood sugar was in orbit. He'd obviously been diabetic for some time, but he had no idea. It's conceivable to me that he could have gone through a detailed cardiac workup, and when nothing heart-related showed up, he might well have been sent home with his diabetes still undiagnosed. I'm sure this happens more than we like to think.
    Roy Fokker and Quickbeam like this.
  2. Visit  oramar profile page
    0
    My friend is involved in a lawsuit. Her husband came in to ER twice with NV and flu like symptoms. No one ever checked his blood surgar no way, no how. They just kept treating him for flu. He was a 40ish male of a from a group that is know to be diabetes prone. He was finally diagnosed with diabetes after his health was seriously harmed by a extremely high blood sugar. I don't care how it gets check, finger stick or blood draw but it needs to be checked.
  3. Visit  Batman24 profile page
    0
    Quote from cheshirecat
    I am a bit confused. Why do you need a doctors order to do a blood sugar?

    Surely it is part of the job of treating the whole person? Does it require a docs order to do ob?
    I'm a little confused by that too. Our ED does do them and the nurses have standing orders for them to do it when they deem it necessary. I would think that would be standard procedure.
  4. Visit  canoehead profile page
    0
    Nope, I just got "spoken to" last night for doing glucoscans without an order. Seems risk management feels that is practicing medicine without a license. Blattttt!
  5. Visit  Tweety profile page
    0
    Quote from cheshirecat
    I am a bit confused. Why do you need a doctors order to do a blood sugar?

    Surely it is part of the job of treating the whole person? Does it require a docs order to do ob?
    Here in Florida we're covered and any nurse anytime can do an Accucheck.


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