Wednesday, 24 January 2018

glucometer 4Diabetic care practices are often overlooked in EMS. Blood glucose testing can expose people to bloodborne viruses such as Hepatitis B, Hepatitis C Virus, and HIV when testing supplies and materials are used on multiple patients. Outbreaks of Hepatitis B infection associated with unsafe diabetes care have been identified with increasing regularity particularly is settings where individuals require assistance with monitoring their blood glucose levels and glucometers are used on multiple patients. EMS is one of these settings.

Here are some simple rules EMS providers should follow when testing blood glucose levels.


1. Use single-use lancets that permanently retract upon puncture. This adds an extra layer of safety for both the patient and you.
2. Dispose of used lancets at the point of use in an approved sharps container.
3. NEVER reuse lancets.
4. Clean and disinfected the blood glucose meter BEFORE and AFTER each use per the manufacturer’s instructions. This must be done to prevent the carry-over of blood and infectious agents. NOTE: If the manufacturer does not specify how the meter should be cleaned and disinfected then it should NOT be used on multiple patients.
5. Change your gloves between patients. Healthcare personnel should change gloves between patients, even if patient dedicated testing devices and single-use, self-disabling lancing devices are used.

Think about it….

When was the last time you cleaned and disinfected the blood glucose meter on your ambulance?

RESOURCES:

1. CDC Infection Prevention during Blood Glucose Monitoring and Insulin Administration
https://www.cdc.gov/injectionsafety/blood-glucose-monitoring.html
2. Diabetes & Viral Hepatitis: Important Information on Safe Diabetes Care (PDF Suitable for use as a poster.) http://www.oneandonlycampaign.org/sites/default/files/upload/pdf/Diabetes%20and%20Viral%20Hepatitis_Safe%20Care.pdf
3. Diabetes & Viral Hepatitis: Important Information on Safe Diabetes Care (VDH PowerPoint Slide) http://www.vdh.virginia.gov/.../sites/13/2016/03/SafeDiabetesCare.pptx
4. Letter to Manufacturers of Blood Glucose Monitoring Systems Listed With the FDA https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/InVitroDiagnostics/ucm227935.htm
5. Glucometry Waiver is Necessary for EMS, Tidewater Emergency Medical Services Council Inc.; http://tidewaterems.org/glucometry-waiver

 

###

Upcoming Events

CISM Team Meeting
Tue Feb 06 @ 6:00PM - 08:00PM
EMS Medical Operations Committee - TEMS
Wed Feb 14 @12:00PM - 02:00PM
Washington - Lincoln Day Office closed in observance of the holiday
Mon Feb 19 @12:00AM
Audit and Finance Committee - TEMS
Thu Feb 22 @10:00AM - 11:30AM
OMD Committee Meeting -
Tue Mar 06 @ 3:00PM - 05:00PM
TEMS Quarterly Drug/IV Box Inventory
Wed Mar 21 @ 4:30PM - 04:31PM
EMS Medical Operations Committee - TEMS
Wed Apr 11 @12:00PM - 02:00PM
CISM Team Meeting
Mon May 07 @ 6:00PM - 08:00PM
OMD Committee Meeting
Wed Jun 06 @ 3:00PM - 05:00PM
EMS Medical Operations Committee - TEMS
Wed Jun 13 @12:00PM - 02:00PM

Upcoming Classes

PFRES CEU Class Day 1
Mon Jan 29 @ 9:00AM - 04:00PM
ACLS UPDATE
Mon Jan 29 @ 9:30AM - 04:00PM
PFRES CEU Day 2
Tue Jan 30 @ 9:00AM - 04:00PM
Basic Life Support
Tue Jan 30 @ 9:00AM - 01:00PM
PFRES CEU Day 3
Wed Jan 31 @ 9:00AM - 04:00PM
PFRES Day 4
Thu Feb 01 @ 9:00AM - 04:00PM
PFRES CEU Day 5
Fri Feb 02 @ 9:00AM - 04:00PM
Basic Life Support
Mon Feb 05 @ 9:30AM - 01:30PM
PALS
Tue Feb 06 @ 9:00AM - 05:00PM
ACLS PROVIDER (2 Day)
Thu Feb 08 @ 9:00AM - 04:00PM
Platinum Partner
Gold Partner
nationalcprassociation
www.nationalcprassociation.com