RNs to do glucose checks on patients without DM

PCAs have done our fingersticks since I came to this hospital 6 years ago. Now they are saying that if a patient is critically ill(defined as a 1:1 ratio, doesn't apply to our floor) or the patient is having glucose checked without a diabetes diagnosis, the RN has to do the check. We are Onc so we do have people on steroids who get checked and people with enteral feeds get checked as part of the protocol. Any idea why this would be? We were just told it was a new state regulation.
What State...and what regulation? Board of Health? Board of Nursing...?

New York State. They didn't cite the specific regulation. I'd rather do all or none myself. This sounds tedious.

If someone is citing a "new regulation" then I want to KNOW what that new regulation is. I tend to be very wary of "new regulations" that can't be cited...

I just looked at the email. It states the FDA and NY State Dept of health have deemed the change necessary for patient safety. But they still don't say why.

I can certainly understand the rationale... but if they've "deemed it" necessary for patient safety, they still need to have that published somewhere publicly for it to be a regulation. Otherwise it's an "underground" regulation.

I guess I still don't understand why the differentiation with diabetes. All my dangerously low fingersticks have been on diabetic patients.

My experience has generally been similar, but I've also seen patients with dangerously low blood glucose levels that weren't. Those usually were EtOH users that forgot to eat...

It would seem your facility has chosen a somewhat non-sensical response to this: NY DOH: Off-label Use of Glucose MetersI'm not sure what difference it makes to have only RN's do BG checks when glucometers are used 'off-label'.

Quote from MunoRNIt would seem your facility has chosen a somewhat non-sensical response to this: http://www.wadsworth.org/labcert/cle...se_1_13_14.pdfI'm not sure what difference it makes to have only RN's do BG checks when glucometers are used 'off-label'.

When does steroid induced hyperglycemia become steroid induced diabetes?

Quote from exp626I've read the statement linked above. Are you licensed by the NY Dept of Education? In my state, RN's by licensed by the Dept of Health. Besides that, it's a crazy regulation. Among other confusions, I can see blood sugars getting missed under this new rule. I'd rather just do all of my own.

We do all of our own glucose checks. Something I guess happened where a nursing assistant didn't report off the check or something to that effect. We don't do many asidefrom our newborns.