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Opened Oct 12, 2025 by Cara Hartz@carahartz4941
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19.Eight Checklist For Blood Glucose Monitoring - Nursing Skills - 2e


Disclaimer: Always overview and observe company coverage concerning this specific skill. 1. Prepare earlier than completing the procedure: - BloodVitals review the patient’s medical history and present medications. Note if the patient is receiving anticoagulant therapy. Anticoagulant therapy could lead to prolonged bleeding at the puncture site and require strain to the location. Assess the affected person for indicators and signs of hyperglycemia or hypoglycemia to correlate data to pursue acute action on account of an onset of signs. Determine if the take a look at requires special timing, for instance, earlier than or after meals. Blood glucose monitoring is often carried out previous to meals and the administration of antidiabetic medications. 2. Gather supplies: nonsterile gloves, alcohol swab, lancet, 2″ x 2″ gauze or BloodVitals cotton ball, reagent strips, and blood glucose meter. Determine if the blood glucose meter must be calibrated based on agency coverage to ensure accuracy of readings. Read and BloodVitals review understood the manufacturer’s directions and agency policy for the blood glucose meters. 3. Perform security steps: - Perform hand hygiene.


Check the room for transmission-primarily based precautions. Introduce your self, your function, the purpose of your visit, and an estimate of the time it will take. Confirm patient ID using two affected person identifiers (e.g., name and date of delivery). Explain the process to the patient and ask if they have any questions. Be organized and systematic. Use appropriate listening and questioning abilities. Listen and BloodVitals review attend to affected person cues. Ensure the patient’s privacy and BloodVitals review dignity. 4. Have the affected person wash their arms with soap and warm water, and position the affected person comfortably in a semi-upright position in a mattress or upright in a chair. Encourage the affected person to maintain their hands heat. Washing reduces transmission of microorganisms and increases blood circulation to the puncture site. Agency coverage may require use of an alcohol swab to clean the puncture site. Be sure that the puncture site is completely dry prior to skin puncture. 5. Remove a reagent strip from the container and reseal the container cap to keep the strips free from injury from environmental elements.


Do not contact the take a look at pad portion of the reagent strip. 6. Follow the manufacturer’s directions to prepare the meter for measurement. 7. Place the unused reagent strip in the glucometer or on a clean, dry surface (e.g., paper towel) with the check pad dealing with up, primarily based on producer suggestions. 8. Apply nonsterile gloves. 9. Keep the world to be punctured in a dependent position. Don't milk or massage the finger site: - Dependent place will improve blood stream to the area. Do not milk or therapeutic massage the finger as a result of it may introduce excess tissue fluid and hemolyze the specimen. Warm water, dangling the hand for 15 seconds, and a heat towel stimulate the blood move to the fingers. Avoid having the patient stand through the process to reduce the chance of fainting. 10. Select the appropriate puncture site. Cleanse the location with an alcohol swab for 30 seconds and allow it to dry.


Perform the pores and skin puncture with the lancet, utilizing a quick, deliberate movement against the patient’s skin: - The patient may have a choice for the positioning used. For BloodVitals review example, the affected person could favor not to make use of a specific finger for the pores and skin puncture. However, keep in thoughts their preferred site could also be contraindicated. For example, do not use the hand on the same facet as a mastectomy. Avoid fingertip pads; use the sides of fingers. Avoid fingers which might be calloused, have damaged pores and skin, or are bruised. 11. Gently squeeze above the positioning to produce a big droplet of blood. Don't contaminate the positioning by touching it. The droplet of blood needs to be massive sufficient to cowl the take a look at pad on the reagent strip. Wipe away the first drop of blood with gauze. 12. Transfer the second drop of blood to the reagent strip per manufacturer’s directions: - The take a look at pad should absorb the droplet of blood for correct outcomes.


Smearing the blood will alter results. The timing and specific instructions for measurement will range between blood glucose meters. You'll want to learn the instructions carefully to ensure correct readings. 13. Apply pressure, or ask the affected person to apply strain, to the puncture site using a 2″ x 2″ gauze pad or clear tissue to stop the bleeding at the site. 14. Read the outcomes on the unit display. 15. Turn off the meter and dispose of the test strip, 2″ x 2″ gauze, and lancet in keeping with company policy. Use warning with the lancet to prevent an unintentional sharps harm. 17. Perform hand hygiene. 18. Assist the patient to a comfortable place, assessment check outcomes with the affected person, ask if they have any questions, and thank them for his or her time. 20. Document the results and related evaluation findings. Report critical values in keeping with agency coverage, similar to values under 70 or higher than 300, measure SPO2 accurately and any related symptoms. Read more about hypoglycemia and hyperglycemia in the "Blood Glucose Monitoring" part of this chapter. YouTube. Video licensed below CC-BY-4.0.

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Reference: carahartz4941/bloodvitals-spo25630#106