On the other hand, if the patient is coherent but refusing transport, the standing orders must be documented on the Patient Care Report (PCR) before leaving:
- Identifiable reason why the diabetic emergency happened;
- Blood sugar – normal range or over 120, post treatment;
- Level of consciousness – awake, alert and oriented with a GCS = 15;
- Recent food intake;
- Friend and/or family present to stay with the patient;
- Discussion with the patient if possible to contact physician ASAP;
- Vital signs within normal limits:
- If systolic blood pressure is less than 100, or greater than 160, medical control contact is required
- If heart rate is less than 60, or greater than 100, medical control contact is required
- Offer of transport has to be made to the patient.
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