Okay guys. I am a 48yr old new nurse...hired by a LTC that I like. I DO KNOW HOW to take blood glucose ... so that is NOT the problem. I am 2nd shift and have a pt who has DR order to call him if BS is above 400. I do accu-check before supper around, say 430pm. The last three times I have worked, and done the check, I have gotten counts OFF THE charts..in high 400's and once even not countable on the monitor. Protocol is to call Dr. and family...adminster as perscribed...chart, recheck in two hours...chart...and fill out lots of paperwork. When I called the Dr second time he seemed surprised. The family asked if "what are you feeding him". I even recheck when they are that high. I think the nurses that I work with are accountable and professional...but why am I the only one to get high counts.../ Hmmmmm...help!
May 11, '13
Quote from ricksy
Thanks, guys. The last facility I did preceptorship at did not use alcohol cleanse before AT ALL. I have always did the wipe first drop..and still do...with the alcohol cleanse.
If I am understanding you correctly you are wiping off the first drop with an alcohol pad? Because if you are then the entire purpose of wiping the first drop of blood off...which is to remove alcohol tainted blood so as to get an accurate reading...is being undone.
I was always taught if glucomter results don't seem within normal parameters for the patient, recheck with a different machine at a different site and if the results are still too high/too low then proceed according to orders. I would suggest you start calibrating the machine on your cart before you start doing your fingersticks and if it is not within parameters then that machine needs to be replaced.
Last edit by txredheadnurse on May 11, '13
: Reason: omitted a word