HomeMy WebLinkAboutPB 405.01M REVISED 5-2015_Blood GlucosePPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS
405.01M405.01M405.01M405.01M ---- BBBBlood Glucose Determinationlood Glucose Determinationlood Glucose Determinationlood Glucose Determination
Anne Huff, Fire ChiefAnne Huff, Fire ChiefAnne Huff, Fire ChiefAnne Huff, Fire Chief
Beaumont Fire-Rescue Services
Discipline:Discipline:Discipline:Discipline: EMTEMTEMTEMT----BLSBLSBLSBLS
Effective:Effective:Effective:Effective: 9/9/9/9/16161616/2009/2009/2009/2009
ReviReviReviReviewewewewed:ed:ed:ed: 5/22/20155/22/20155/22/20155/22/2015
Replaces:Replaces:Replaces:Replaces:
I. I. I. I. ObjectiveObjectiveObjectiveObjective
The EMT shall demonstrate, with the equipment provided, how to successfully acquire a
blood glucose determination.
II. II. II. II. Instructions Instructions Instructions Instructions –––– Procedures for Achieving the ObjectiveProcedures for Achieving the ObjectiveProcedures for Achieving the ObjectiveProcedures for Achieving the Objective
You will explain and demonstrate the proper techniques for blood glucose monitoring.
You will begin at my instruction to start. The skill will end when you have completed all of the
identified steps and you tell me that you are finished. Do you understand these instructions?
III. III. III. III. Examiner’s NoteExaminer’s NoteExaminer’s NoteExaminer’s Note
The EMT will not be allowed to review the performance steps at the time of evaluation.
IV. IV. IV. IV. Preparation & EquipmentPreparation & EquipmentPreparation & EquipmentPreparation & Equipment
A. Glucose meter
B. Meter test strips
C. Lancet, Lancet device (optional)
D. Alcohol swabs
E. Sharps container
F. Watch or clock which displays seconds
V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources
A. Brady Emergency Care, 7th edition, pages 472-473.
B. SOG 203.01A, SOG 203.01G.
PB 405.01M – Blood Glucose Determination Page 2 of 2
405.01M – Blood Glucose Determination
Discipline: EMT-BLS
Name:
Officer #:
Evaluator:
Officer #:
Date:
Location:
If the First Responder:
a) Prepares the lancet and/or lancet device ....................................................................... 1.0_____
b) Let patient arm hang down along side if possible ........................................................ 1.0_____
c) Remove test strip from vial & insert correctly into meter. ............................................ 1.0_____
d) Confirms number on vial and meter are matching .................................................... P/F_____
e) Waits for blood drop symbol on meter before continuing ......................................... 1.0_____
f) Grasps the finger and prepares site to be pricked ....................................................... 1.0_____
g) Drop the blood on the specified area on the test strip ................................................ 1.0_____
h) Read the blood glucose value on meter display ........................................................... 1.0_____
i) Remove test strip, place strip and lancet in biohazard (sharps) container ............. 1.0_____
Time Allocation
Completes skill in allotted time ................................................................................... P/F _____
Allotted time for this skill: 5 minutes 0 seconds
Actual time: _____ minutes _____ seconds
Points
Possible
Passing
Score
Attempt
Performance Rating
(Points)
PASS
FAIL
8
6
First
Second
Medical Director’s Initials DK Date 5/22/2015