Blood Glucose Monitoring Protocol Checklist
Comprehensive blood glucose monitoring and management including testing frequency, result documentation, and treatment protocols.
- Industry: Healthcare
- Frequency: Per protocol/Per order
- Estimated Time: 5-10 minutes
- Role: Nurse
- Total Items: 31
- Compliance: ADA Standards of Care, Joint Commission NPSG, Hospital Diabetes Protocol
Testing Procedure
Glucose testing
- Patient identified?
- Testing time per order?
- Result documented?
Result Assessment
Value interpretation
- Result within target range?
- If hypoglycemic, protocol followed?
- If hyperglycemic, treatment per order?
Insulin Administration
If insulin ordered
- Sliding scale insulin calculated correctly?
- Insulin dose double-checked?
- Insulin administration documented?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Environment of Care & Safety
Verify facility environment meets safety standards
- Fire exits clear and unobstructed?
- Emergency equipment functional and accessible?
- Spill kits available and stocked?
- Electrical cords and outlets in safe condition?
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Why Use This Blood Glucose Monitoring Protocol Checklist?
This blood glucose monitoring protocol checklist helps healthcare teams maintain compliance and operational excellence. Designed for nurse professionals, this checklist covers 31 critical inspection points across 8 sections. Recommended frequency: per protocol/per order.
Ensures compliance with ADA Standards of Care, Joint Commission NPSG, Hospital Diabetes Protocol. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Blood Glucose Monitoring Protocol Checklist cover?
This checklist covers 31 inspection items across 8 sections: Testing Procedure, Result Assessment, Insulin Administration, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management, Environment of Care & Safety. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per protocol/per order. Each completion takes approximately 5-10 minutes.
Who should use this Blood Glucose Monitoring Protocol Checklist?
This checklist is designed for Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.