Empty Handoff

A 29-year-old man with brittle diabetes (ie, frequent, severe changes in blood glucose levels) was admitted to surgery for incision and drainage of a leg infection. The patient had a history of chronic renal failure, hypertension, and stroke after a hypoglycemic event. While on the hospital oor befo...

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Bibliographic Details
Published in:AORN journal 2014-03, Vol.99 (3), p.448-395
Main Author: Girard, Nancy J
Format: Article
Language:English
Subjects:
Adult
Anesthesia & Perioperative Care
Blood Glucose - analysis
Diabetes
Diabetes Complications
Glucose
Humans
Infection - etiology
Male
Nursing
Patient Handoff
Perianesthesia
Surgery
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Summary:A 29-year-old man with brittle diabetes (ie, frequent, severe changes in blood glucose levels) was admitted to surgery for incision and drainage of a leg infection. The patient had a history of chronic renal failure, hypertension, and stroke after a hypoglycemic event. While on the hospital oor before surgery, the patients blood glucose level fell precipitously after he received insulin, and he required glucose several times. Because of the workload, the nurse did not accompany the patient to the OR but instead informed the transportation assistant about the patients extreme sensitivity to insulin and asked that the information be passed along.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2014.01.003