It'll depend on your facility's policy. Before you call, know:
1. Patient's name, birthdate, room number
2. Patient's blood glucose level as well as the patient's blood glucose levels over the past couple days. Has it been running high? Does it swing wildly? What was it yesterday at this time?
3. Why, if you can figure it out, this number is different from the patient's norm. Was the blood glucose level taken right after they ate? Did they just start on steroids? Did family leave a birthday cake for the resident? Are they sick? Did their lantus just get reduced?
4. The patient's current vital signs. Blood glucose levels can go up when someone is sick.
5. The patient's current orders for diabetes meds, i.e., lantus, novolog, metformin, as well as any recent changes to these meds.
So, the voicemail might look like this:
Dr. Scary, this is beekee at XYZ facility. I'm calling about Mrs. Mary Diabetic, whose blood glucose at bedtime was 500. In looking at her blood glucose levels, it appears that she normally runs between 100 and 250, but her daughter visited this evening and brought some candy for her. Mrs. Diabetic states that she had a snickers bar just 30 minutes before her blood glucose was tested. Her vital signs are BP, HR, T, RR, O2. According to her sliding scale orders, she received 15 units of novolog. She also receives 10 units of lantus every evening. Thanks, please call 212-555-1234 with any additional orders.
Check your facility policy for situations like this. You would modify this script as needed depending on your policy.