I forgot to mention with Pt. 1, he claimed he had not eaten in 2 days.
Anyway, the reason I ask is because I took a blood glucose on both of these patients, as is allowed in my protocol. The problem is Base hospitals right hand doesn't know what it's left hand is doing. This creates a situation in which I can take a blood sugar if I have any reason whatsoever to suspect it may be low, but base hospitals other hand says no CBG unless the GCS is less then 15.
I plan on following my protocol and checking CBG on patients that are exhibiting signs that could possibly be related to a glucose problem, but many of these patients have a GCS of 15. My dilemma is this.
I can A: follow my protocols, take the sugar, document it on my ACR, then get dinged on the BH audit, or
I can B: follow my protocols, take the sugar, and falsify the ACR and live life happy, or
I can C: not take the sugar, not follow my protocols, and get screwed anyway.
I choose path A because I WILL NOT falsify a form, and as for witholding a test that could reveal additional info on my patients condition doesn't jive with me.
Any advice? From my point of view, I get screwed no matter what.