MONITORING BLOOD GLUCOSE LEVEL

REQUIREMENTS #

1. A tray containing the following:
   • Blood glucose monitor/glucometer
   • Test strip
   • Lancet or needle
   • Disposable gloves
   • Cotton wool swab in a gallipot
   • Receiver for used swabs
2. Sharps container

STEPS #

1. Check physicians order for the frequency of monitoring glucose level
2. Identify patient and establish rapport (Refer to steps)
3. Explain procedure (Refer to steps)
4. Perform hand hygiene
5. Check the functionality of the glucose meter and ensure reading is in mmol/L
6. Set the tray and send to the bedside
7. Select the site for glucose check (fingers/palmer area)
8. Assess the selected site for any cut, callous, scars or rashes (if any is found choose an alternate site)
9. Insert glucose strip into the glucometer and check for its functionality
10. Wear disposable glove
11. Clean the area with antimicrobial solution and allow to dry
12. Stroke from the base of the finger/palmer area to fill the capillary tube and make the place warm
13. Puncture the area using lancet or needle
14. Drop blood on the glucose strip and allow to read
15. Place dry swab on punctured area applying pressure about fifteen (15) seconds to stop bleeding
16. After noting the reading on the glucometer remove the strip and dispose off
17. Remove gloves
18. Perform hand hygiene
19. Discuss findings with the patient and appropriate officer
20. Document on the appropriate recording software and observation chart (manual or electronic)
21. Dispose off used items, decontaminate tray and place the glucometer in a safe area