Blood Glucose Monitoring
All staff must use a fully disposable Unistik Lancet device if they are undertaking near patient blood glucose testing on behalf of a child. This is a use once only device and the lancet remains covered once it has been used. Unistik 3 Comfort Lancets are recommended for use with children.
If a child has an insulin pump individual arrangements will be made with a specialist nurse and parents to ensure school/setting staff are fully trained in the management and use of the pump. This will be documented in the care plan.
When to use
For children who self-test, the use of Unistiks is not necessary and he/she will be taught to use a finger pricker device in which a disposable lancet will be inserted. This device can be purchased at a local chemist or in some cases provided by the Paediatric Diabetes Specialist nurse. The disposable lancet can by ordered on prescription via the child’s GP.
Whenever possible, staff will encourage children to undertake their own finger prick blood glucose testing and management of their diabetes, encouraging good hand hygiene. However in exceptional circumstances such as a child having a hypoglycaemic attack, it may be necessary for a member of staff to undertake the test.
How to use the Unistik lancet:
- Prior to the test wash hands / use alcohol rub.
- Encourage child to wash their hands wherever possible.
- Ensure all equipment is together on a tray including a small sharps box
- Where possible explain the procedure to the pupil
- Apply gloves before testing
- Use a meter which has a low risk for contamination when blood is applied to the strip such as: an optium xceed or one touch ultra
- Ensure meter is coded correctly for the strips in use and that the strips are in date
- Place the strip into the meter
- Prick the side of the finger using a Unistik comfort 3
- Apply blood to the test strip according to the manufacturer’s instructions
- Once the test is completed put the used test strip and lancet directly into the sharps box
- Return the tray to a safe area/room
- Wash hands following the removal of gloves/possible contact with blood, use alcohol rub
- Record the blood glucose reading in the child’s Care Plan/diary
- Parents are responsible for supplying all necessary equipment and medication
- Provision and disposal of a sharps box should be discussed individually with the school nurse / Paediatric Diabetes Specialist nurse
Ensure there is a procedure in place regarding what action is to be taken if the result is above or below normal and document this in the care plan. This must be agreed in consultation with the pupil, his/her parents, the Paediatric Diabetes Specialist nurse, School nurse/GP/health visitor and the identified teacher/member of staff.
If further advice or training is required please contact the child’s Paediatric Diabetes Specialist nurse.