Development of a Protocol for Capillary Blood Glucose Testing in Nursing Home and Rehabilitation Settings
Article first published online: 22 MAY 2006
Journal of the American Geriatrics Society
Volume 54, Issue 7, pages 1114–1118, July 2006
How to Cite
Mader, S. L., Fuglee, K. A., Allen, D. S., Werner, L. R., Wanlass, W. A., Pagel, K. J., Beliel, K. L., McEuen, J. A., Stephens, E. A., Allison, N. L., McWhorter, K. A. and Vandling, J. E. (2006), Development of a Protocol for Capillary Blood Glucose Testing in Nursing Home and Rehabilitation Settings. Journal of the American Geriatrics Society, 54: 1114–1118. doi: 10.1111/j.1532-5415.2006.00788.x
- Issue published online: 6 JUL 2006
- Article first published online: 22 MAY 2006
- diabetes mellitus;
- capillary blood glucose testing;
- nursing home
OBJECTIVES: To develop an algorithm to standardize capillary blood glucose (CBG) testing in nursing home and rehabilitation patients.
DESIGN: Descriptive study in which an interdisciplinary team from a nursing home, a rehabilitation center, and a diabetes mellitus care program developed and tested a protocol to standardize diabetes management parameters and CBG testing frequency.
SETTING: Department of Veterans Affairs nursing home and rehabilitation unit.
PARTICIPANTS: One hundred one patients admitted to the units during the 6-month study period who had orders for CBG testing.
INTERVENTION: Use of a standardized CBG testing protocol.
MEASUREMENTS: Use of management goal, use of CBG testing protocol, total CBG tests/month.
RESULTS: One hundred one subjects received orders for CBG testing; 72 (72%) received orders for a management goal, and 69 (69%) received orders to use the CBG protocol. Of these 69 patients, 22 met their CBG goals and were advanced to less-frequent CBG testing using the protocol, and 15 did not meet their CBG goals and were not advanced. An additional 15 patients were advanced to less-frequent CBG testing but not using the protocol. In all, 54 of 69 patients (78%) were advanced or could have been advanced by protocol to less-frequent CBG testing. Total CBG testing per month did not change before, during, or after the study period.
CONCLUSION: This protocol would be useful in long-term care facilities and in other congregate living settings where patients with diabetes mellitus have staff assisting with their diabetes management. Barriers to successful implementation are discussed.