Report

Hypoglycemia Report Documentation Checklist

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Regions Hospital EMS Revised 1/12/07 Hypoglycemia Category Completed Obtained adequate history Adequately described sign and symptoms Documentation of appearance (skin color, skin temperature, skin condition, mental status/responsiveness, activity/muscle tone, AVPU) Documentation of last meal Documentation of last medication use if appropriate If BGL >80, document MRCC 3 M.D. contact before dextrose or glucagon use Documentation of initial BGL Documentation for non-transport " BGL must be over 80 mg/dL " Someone was present with patient " M.D. consult if on oral diabetic medications " Non-transport sheet left with patient<br><br>

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