https://progressivesurgicalsolutions.com/wp-content/uploads/2016/08/Blog_ASC-Industry-News2.jpg 1320 2000 Courtney Leonis https://progressivesurgicalsolutions.com/wp-content/uploads/2018/01/PSS-RGB-update-website.jpg Courtney Leonis2012-07-15 22:47:382012-07-15 22:47:38AORN Recommendation for Glucose Monitoring in the Peroperative Patient
- Perform admission testing of the glucose level (BG) and HbA1C (not necessary in outpatient surgery).
- Consult medical staff member if BG > 180mg/dL.
- Initiate and become part of a collaborative effort to develop protocol for the surgical patient and maintain BG <140 mg/dL.
- Collaborate to set a specific glycemic target of >80 mg/dL for scheduled non-emergent surgical procedures.
- Perform BG checks every 2 hours during surgery if it is longer then 2 hrs and greater then >110mg/dL peroperativly.
- Be prepared to implement an insulin drip if necessary.
- Perform BG checks in PACU with initial VS.
- Develop monitoring protocols for BG >180 mg/dL.
- At discharge educate patients about hyper/hypoglycemia, infection and non-healing due to these glycemic states.
- Consider obtaining a referral to an endocrinologist if necessary.