Getting Testy
When does the control solution expire?
three months after opening
When a patient is in DKA, when are the blood glucose targets changed? What are they changed to?
when first put on stabilizer they should be changed (by order) to 180-240; then when the bg is <250, contact provider, get new orders and change to 90-140.
How low does the patient's blood glucose need to be to be considered Hypoglycemic?
<70 mg/dL
Where can you find instructions on how to look up patient insulin pump basal rates?
Pump and CGM Reference book
What is the difference between a pump and a continuous glucose monitor (CGM)?
Insulin pump gives person some fast acting insulin all the time (basal) and gives insulin for food and high blood glucose levels (bolus) and a CGM reads glucose in interstitial fluid.
When do the controls need to be checked?
Every 24 hours or when prompted by meter
How many patients can be entered on one GLUCOSTABILIZER computer?
as many as you need to
When a patient has hypoglycemia and it is treated, should you recheck the blood glucose? If yes, when?
15 minutes after treatment
If there is a patient who was just diagnosed with diabetes and you are completing the new onset education, what can you use?
teaching tool kit
What are three brands of pumps?
Medtronic, Tandem (tslim), and Omnipod
When should the Precision XCEED glucometer be docked?
After every patient or group of patient tests
How often do you need a fingerstick glucose when using GLUCOSTABILIZER?
Every hour
What continues to make glucose even when a patient is fasting?
the Liver
Where can you find the diabetes related protocols and pathways
Intranet - departments/groups - nursing - clinical pathways - diabetes
Where do you look for basal rates in insulin pumps?
Pump history
When should you recheck the glucose?
If the result is over 500 or less than 70 and the patient is not symptomatic
Where can you find GLUCOSTABILIZER?
Special computers that do not sign off in every unit
The patient does not have an IV and is NPO, how do you treat moderate to severe hypoglycemia?
Glucagon
What resources are available to give patients regarding Diabetes Education?
Diabetes Self-care Guide, Nutritional Guide, and other information sheets found on Education platform.
What does the patient need to sign in order to keep their pump on?
Patient agreement (printed and scanned into chart)
How do you ensure the right patient's data will get entered into the correct chart?
Scan the patient's ID band
Who is responsible for making sure the GLUCOSTABILIZER is turned on again after a patient is transferred?
Transferring nurse
Where can you find the insulin protocol?
Intranet under departments and groups/Nursing/Pathways/Diabetes
If you have a question or a problem with a glucose meter, how can you contact the Diabetes Coordinator?
Rover, Epic messenger, email, or call x6517
What are some of the most common brands or types of CGM?
Dexcom (G6 and G7) and Freestlye Libre