If you didn't chart it
This is completed once a shift for a first check blood glucose reading >300 and/or < 70 identified by the PCT or RN.
What is Glycemic Event Huddle
When to initiate hypoglycemia protocol.
When the patient has a blood glucose level ＜70mg/dL. This includes point of care results AND lab value results.
Where to find the guidelines for care on diabetes management and blood glucose monitoring here at St. Vincent Evansville.
If a patient has ACHS blood glucose checks ordered, when is the requested times to perform the HS glucose check?
2100
Time that blood glucose should be checked in relation to meal time delivery?
Within 30 Minutes
What is the Adult Care Plan Flowsheet. (There is a place specific for Diabetes Inpatient Education)
How often should a patient check their blood glucose according to the Sick Day guide?
At least every 4 hours while awake
Where can staff find information on patient education and links to other resources for diabetes, including down time forms and physician resources?
Good Day Ascension
When is it appropriate to hold a patient’s long acting insulin ( Lantus, Levemir, etc)?
ONLY with a physician order
Time frame that rapid acting insulin needs to be administered after blood glucose check?
30 minutes ( 60 hard stop)
Where do you document interventions/treatment of hypoglycemic events?
What is the Hypoglycemia Protocol parameter under Adult Vital Signs Flow Sheet
When should you contact a provider with hypoglycemic results?
Within 60 minutes of blood glucose ＜70mg/dL OR immediately after treatment of ANY blood glucose ≤ 40mg/dL
Resource available that contains content such as clinical trials, medication information, skills review and even provides patient education handouts in multiple languages?
Elsevier
This insulin coverage scale to be given after a patient eats and is based on the total amount of food consumed?
Prandial dose- Percent intake order
How long to wait between rapid-acting (Novolog) doses?
At least 3-4 hours
Where can you access the summary of diabetes care including Point of care results, diabetic medications, hypoglycemic treatments, diet and HgbA1c?
Diabetes tab in SCM
What is the preferred first choice treatment for mild-moderate (69-40mg/dL) for patients who are able to eat/drink by mouth?
15 grams of oral carbohydrates and ensure complete consumption:
Medical Carbohydrates include: Glucose tablets- 15 grams OR dextrose 40% gel- 15 grams
Handout guide that should be provided to every newly diagnosed diabetic patient upon admission?
Diabetes Management: A Beginner’s Guide
This insulin coverage scale is to be given after the patient eats but within 1 hour of pre-meal blood sugar check?
Prandial- Carb count and 100% intake
The time between the last meal of the day and a patient’s bedtime check and coverage?
At least 3 hours after last meal
When administering carbohydrate coverage insulin, where do you document the amount of carbohydrates a patient consumes ?
When you scan the correct order of insulin for administration.
How often should blood sugars be rechecked on a patient who is experiencing a hypoglycemic episode?
Every 15 minutes until the resolution of hypoglycemia. And then ONE hour after resolution has occurred.
When discharging a patient with newly diagnosed diabetes; where can you find equipment to educate them on how to administer their insulin?
Diabetes totes on all units
This insulin coverage scale is administered to treat elevated blood glucose levels. It may be ordered at Low, Moderate, or Aggressive and is still administered if the patient is NPO.
Correction Insulin ( sliding scale)
When to recheck a blood sugar after the RESOLUTION of a hypoglycemic event?
60 minutes