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nurse's aides doing accuchecks



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Oct 06, 2004 10:24 PM

nurse's aides doing accuchecks


I am wondering what everyone else is doing in their ltc facility. We used to educate our cna's and supervise them doing accuchecks. Recently however, this has become an issue at our facility with the staff. What is correct? Where do I find an answer? I am from Pa. What are the rest of you doing?
thank you, Tracy

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29 Comments
No. 1
from BabyNurseBSN2006
Old Oct 06, 2004, 10:33 PM

Hey, here in Southeast Pa(Philly) pca's and na's are not allowed to do glucose in my institution. Nursing students and nurse externs are allowed to though. . .
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No. 2
from Dixielee
Old Oct 06, 2004, 10:36 PM

Our techs in the ER do them after training. No problems as long as proper training is done. Lay people do them all the time on themselves at home, I don't know why trained personel in the hospital can't do so.
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No. 3
from mrdoc2005
Old Oct 06, 2004, 11:13 PM

Only the techs that had been there for 3+ years are allowed to do them after training. I am a diabetic and have done mine since I was 6 or 7 with no real help so I do not see why a trained adult could not.
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No. 4
from Harmony213
Old Oct 06, 2004, 11:20 PM

I work in a hospital in IL and techs do them as soon as they start working. I don't see what problem is, since people do them themselves at home. There really isn't much to accuchecks.
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No. 5
from sandypinktruck
Old Oct 07, 2004, 12:02 AM

At the hospital I work at in VA, the nurses aides do accuchecks, and report the readings to the nurses.

My kids fight over whose turn it is to "stick me" - Even my 6 yr old can perform an accucheck - My kids help keep me compliant. One day while eating a snack, my 8yr old asked me if I was being 'naughty" or if it was okay to eat the snack!
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No. 6
from Thunderwolf
Old Oct 07, 2004, 12:55 AM

At our hospital, our PCA's (patient care assistants aka nurse aides) do the accuchecks and verbally report the findings to the nurse. There has been no problem at all with this procedure. Yes, of course, they are trained first in how to use the machine. In our facility, it is part of the PCA's routine along with vital signs.
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No. 7
from Larry77
Old Oct 07, 2004, 01:12 AM

I'm in WA state...in the hospital I work in, the CNA's do the bedside blood sugers. But, technically by law, they shouldn't because it is an invasive procedure. The only way the hospital gets away with it is by calling it a delegated procedure. If you ask me it's no big deal...nothing a fifteen minute inservice can't handle.
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No. 8
from stephera
Old Oct 07, 2004, 01:13 AM

I am in Texas and we(cna's) are not allowed to do glucose checks.
Originally Posted by trasestry
I am wondering what everyone else is doing in their ltc facility. We used to educate our cna's and supervise them doing accuchecks. Recently however, this has become an issue at our facility with the staff. What is correct? Where do I find an answer? I am from Pa. What are the rest of you doing?
thank you, Tracy
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No. 9
from PHTLS
Old Oct 07, 2004, 01:39 AM

Only licensed staff should do them. Why? How would you like to draw up 10 units of regular Insulin and watch your resident go into a coma afterwards because some tech or aide didn't properly draw sufficient blood for the Accucheck machine to read?

You better get that juice or IM Glucagon ready.
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