Joint Commission Citing & Employee Files

[brockclan3]

Joint commission has been at our facility this week and watched me do a blood glucose check on a patient. I failed to wipe the first drop of blood before obtaining the sample for the stick so our department was cited. My supervisor told me about the citing and that Joint Commission would be reviewing my personnel file. I am a newer nurse (a year and a half) and while working in the department I started in I received several write ups for errors I have made. My question is, given my previous write ups, what does this mean for me and the facility I work at given this error?

[magellan]

What's the rationale of wiping the first blood during Accu Chek? There is a newer version of blood glucose check for several years now that is out in the market which is called Freestyle Libre. It should be embedded in your skin of your arms and there is a sensor that comes with it. When is it there in the arms already, you scan the sensor and it will give you the readings of your blood sugar instantly. Usually, the sensor will stay there for 14 days in your arms that you can still shower and swim with it all the time. You can scan several times you want at anytime and it will give you out the result of blood sugar in micro seconds. I'm wondering with the machine if it will have to discard the first blood that will come in contact during the scanning process. I don't think so because it's really done rather quickly as in micro seconds after you scan the sensor, it will show up the results.

On the other hand, I don't really rely on the protocols of whatever the facilities or hospitals will tell or do so because, everything changes rather quickly in the medical profession like the gadgets you use, the computer software you normally work, even management people they can easily come and go so how are you able to catch up the today's ever changing world in our jobs. As long as you know the concept on how to do your job, that's good enough to keep you functional in every facilities or hospital that you'll be working. Like for an example as a citizen of any country, would you ever know every civil laws, criminal laws, penal laws, labor laws, senate bills, congressional bills etc of the United States? Well, of course, not. So what I'm saying is that as long as you know the concept of right and wrong, such as not killing someone, stealing or destroying, you'll be out of trouble in the society.

[Justcultureisjustcrap]

My question is- where is the evidence that shows a significant difference between the first and second drop of blood??