13 Blood Glucose Monitoring
Assessment
- Reviewed ordered schedule.
- Assessed area of skin to be used as puncture site.
Nursing Diagnosis
- Developed appropriate nursing diagnosis based on assessment data.
Planning
- Identified expected outcomes.
- Explained procedure to client.
- Placed equipment at bedside.
Evaluation
- Reinspect puncture site for bleeding or tissue injury.
- Compared result of testing with normal levels.
- Identified unexpected outcomes.
- Reported abnormal levels to team leader.
- Recorded procedure, glucose level and action taken for abnormal findings.
Blood Glucose Monitoring – Implementation
- Performed hand hygiene.
- Assisted client to perform hand hygiene.
- Positioned client comfortably.
- Removed reagent strip. Checked expiration Date and code number of strip.
- Activated glucometer.
- Inserted strip into glucometer.
- Applied clean gloves.
- Selected puncture site, avoiding central area of finger.
- Gently massaged fingertip while being held in a dependent position.
- Cleaned site with antiseptic swab and allowed to dry.
- Removed cover of lancet.
- Quickly punctured site with lancet.
- Squeezed site slightly until droplet formed.
- Applied drop of blood to test strip. Obtained results.
- Turned meter off and disposed of test strip, lancet and gloves.
- Discussed results with client.
- Cleaned glucometer as per protocol.
Faculty Comments
| Assessment | Nursing Diagnosis | Planning | Implementation | Evaluation |
|---|---|---|---|---|
| Attempt Number & Outcome Number |
||||
| Student Signature
|
Faculty Signature |
Date |
||
| The student was unable to perform the skill competently and will be retested. |
Faculty Signature |
Date |
||