AORN 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.

Source: AORN