How do you judge glucose monitoring?

Hello,I was wondering how you all determine who gets their blood sugar checked and how often. I would think all DM patients, and those on steroids. What about NPO DM, and so on? Every 4, AC/HS? How do you decide? Thanks!!
Nurses are not the one's who decides this. The orders on glucose monitoring comes from a Dr, not a nurse.

Quote from 1pinknurseNurses are not the one's who decides this. The orders on glucose monitoring comes from a Dr, not a nurse.

MD's order, not us nurses to determine. Unless MD missed information that patience is diabetic then a nurse can discuss with MD for new order.

Frequency is determined by the doctor. Of course, it's the privilege of the nurse to check PRN whenever he deems necessary.

Quote from BrandonLPNFrequency is determined by the doctor. Of course, it's the privilege of the nurse to check PRN whenever he deems necessary.

Quote from mitralHello,I was wondering how you all determine who gets their blood sugar checked and how often. I would think all DM patients, and those on steroids. What about NPO DM, and so on? Every 4, AC/HS? How do you decide? Thanks!!

mostly based on MD order, but OP raised good points. The nurse is monitoring the labs and should be able to spot irregularities in any lab, not just the ones the MD has ordered us to monitor. So report to MD if you have issues.

It is generally in the medical plan of care. From a strictly procedural standpoint, generally the admission paperwork specifying the medical plan of care includes frequency of checks and sliding scale insulin coverage, further labs, and/or other intervention.Since lay people are instructed to check their own blood sugars at the signs of hyper/hypoglycemia, it's not inappropriate for a nurse to put prn glucose checks in a nursing plan of care (based on acute assessment of need by an RN) outside of the scheduled, routine checks.