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My former employer had the nursing techs do the blood sugar checks, and then notify the RN with the number. However, the meal trays were delivered to everyone on the floor at the same time, so everyone got their insulin at the same time too.
At my current employer, the RNs do the blood sugar checks, but that is mainly because trays are served "Room Service" style (the patient orders their meal whenever they are ready for it, between the hours of 0630 and 1830). You never know when you will have to cover them with insulin, since they do the ordering. I usually ask them to let me know if they've ordered, and do their Accucheck then; the trays are usually delivered with 45 mins to an hour after they call. I cover them when they receive their tray.
I'm not a nurse, I'm a student, but at all the facilities I've done clinicals at (all LTC) the nurse (RN or LPN) assigned to the patient does the blood glucose tests. When we students are on the floors, we do them, report the finding, and administer the insulin if needed. (all of course under the watchful eye of our instructor)
ginger58, ASN, RN
464 Posts
The nurses' aid used to do our capillary glucoses but now it's being returned to the RN or LVN. Has this changed for anyone else?