Re: diabetes protocol for LTC facilities
I would think that first off, critical thinking or nursing judgment should come into play. If you have a diabetic that hasn't eaten...the doc needs called or as a nursing measure...push fluids/ carbs as much as you can until you hear from the doc. High blood sugar is easier to treat than low.
As far as not giving insulin...um...that is a docs order, not up to nursing.
We do have glucose gel and glucagon for injection in our Emergency box.
Your facility needs to have a policy in place for when to give the glucose. If it doesn't...how about asking the pharmacy if they have one. Are you a chain facility or corporate based? maybe a sister place has one. Even independant places have consultants that come in and should be able to help you. Don't reinvent the wheel.
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