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A protocol section provides step-by-step EMT-B actions for hypoglycemia and altered mental status, emphasizing ALS consultation, oral glucose administration, repeat vital signs, and no delay in transport.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/wremac-blood-glucose-monitoring-for-basic-emts/364463/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/wremac-blood-glucose-monitoring-for-basic-emts/364463.png","ImageObject",300,407,{"name":42,"@type":43},"hdkawk","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of the WREMAC blood glucose monitoring policy for Basic EMTs?","Question",{"text":63,"@type":64},"It establishes a uniform procedure for Basic EMTs to become authorized to evaluate blood-glucose levels in the pre-hospital setting using a glucometer.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What training and documentation are required for EMT providers to be authorized?",{"text":68,"@type":64},"Providers must complete an approved blood-glucose monitoring training session, including a practical evaluation with a signed attendance roster filed in agency training records. Annual glucometry training is required, and documentation must be maintained for three years.",{"name":70,"@type":61,"acceptedAnswer":71},"What actions should EMT-B take if a patient has hypoglycemia with altered mental status?",{"text":72,"@type":64},"If glucose is below 60 mg/dL and the patient is awake and able to maintain their airway, administer oral glucose per NYS BLS protocol and repeat vital signs and AVPU after 5 minutes, including a repeat D-stick. For glucose above 60 mg/dL with altered mental status, confirm ALS is enroute and monitor airway, breathing, and circulation.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},364463,1790378668,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145},3985747859855,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","WREMAC Blood Glucose Monitoring for Basic EMTs  \nTABLE OF CONTENT   \n􀀀 Purpose, Policy & Education  \n􀀀 Steps to complete approval process  \n􀀀 WREMAC Blood Glucose Protocol for EMT  \n􀀀 NYS BLS Hypoglycemia Protocol  \n􀀀 Limited Laboratory Registration Instructions and Application (Attachment 1)  \n􀀀 Policies and Procedures sample (Attachment 2)  \n􀀀 WREMAC BLS Agency Application to Perform Blood Glucose Monitoring (Attachment 3)  \n􀀀 Medical Director Verification DOH-4362 (Attachment 4)  \nWREMAC Blood Glucose Monitoring for Basic EMTs  \nPurpose: To establish a uniformed procedure to determine a safe and effective manner for Basic EMT’sto become authorized to evaluate blood‐glucose levels using a glucometer in the Pre‐Hospital setting.  \nPolicy:  \nThe New York State Department of Health Bureau of Emergency Medical Services (NYS DOH BEMS) Policy Statement 05‐04 allows the use of glucometers by Emergency Medical Technicians (EMT) in Basic Life Support (BLS) EMS agencies to check patient blood glucose levels. This approval was given under the conditions that the EMS service wishing to use a glucometer at the BLS level, be granted approval by WREMAC, each EMT complete an approved training program and the service apply and be granted a Limited Laboratory Registration. BLS providers in Advanced Life Support (ALS) agencies must also complete the training prior to performing this skill. In order to provide this additional care, a BLS or ALS agency must complete the following items and be approved by WREMAC before allowing their BLS providers to perform this skill. BLS and ALS agencies that already have their CLIA authorization numbers are able to skip to Step 1 C.  \nEducation:  \nEMT’s who wish to become authorized shall attend a blood‐glucose monitoring training session instructed by a NYS DOH CIC, CLI, EMS Program Agency Representative or the Agency Medical Director (or designee) utilizing the Power Point presentation titled “Diabetes for the EMS Provider” or similar presentation as adopted by the WREMAC.  \nA practical evaluation with a signed attendance roster will be filed in the agencies training files. Providers shall complete annual glucometry training which shall include, at a minimum, review of glucometry equipment and the approved protocol in this policy. Documentation of this training shall be maintained by the agency for a period of three years.  \nAny provider who does not complete the initial training and subsequent training shall not be authorized to evaluate blood‐glucose levels using a glucometer in the Pre‐Hospital setting.  \nSTEPS TO COMPLETE APPROVAL PROCESS  \nProcedure  \nStep 1: Designate an individual who will complete and maintain records of quality  \ncontrol testing.  \nStep 2: Complete the DOH‐4081 “Limited Laboratory Registration Form”(ATTACHMENT 1) .  \nStep 3: Send this document and registration fee to:  \nNYS DOH Quality Control  \nWadsworth Center  \nClinical Laboratory Evaluation Program  \nP.O. Box 509  \nAlbany, NY 12201‐0509  \n** Please note ** ‐ A CLIA authorization number must be received from the Wadsworth  \nCenter and included with your completed packet before the application will be processed by the REMAC.  \nStep 4: Write up agency Policies and Procedures to include the following:  \n1. Training Program and documentation of authorized users.  \n2. Quality Assurance program, include appropriateness review by Agency Medical Director.  \n3. Documentation of control testing process.  \n4. Storage of glucometer and proper disposal of sharps.  \nNOTE: ATTACHMENT 2 is a sample policy & procedure that may be incorporated into the final version of your agency’s policies & procedures.  \nStep 5: Complete ATTACHMENT 3: “WREMAC BLS Agency Application to Perform Blood Glucose Monitoring”.  \nStep 6: Complete ATTACHMENT 4: “Medical Director Verification Form”(DOH‐4362) . Be sure to check off all approvals including “Blood Glucometry”.  \nStep 7: All providers must review the WREMAC Blood Glucometry PowerPoint Presentation found on t","cbCaiiNx5vvmfNbW","https://ap.wps.com/l/cbCaiiNx5vvmfNbW","pdf",727433,21,"English","# Purpose, Policy & Education\n## Steps to complete approval process\n## WREMAC Blood Glucose Protocol for EMT\n## NYS BLS Hypoglycemia Protocol\n## Limited Laboratory Registration Instructions and Application (Attachment 1)\n## Policies and Procedures sample (Attachment 2)\n## WREMAC BLS Agency Application (Attachment 3)\n## Medical Director Verification DOH-4362 (Attachment 4)","[{\"question\":\"What is the purpose of the WREMAC blood glucose monitoring policy for Basic EMTs?\",\"answer\":\"It establishes a uniform procedure for Basic EMTs to become authorized to evaluate blood-glucose levels in the pre-hospital setting using a glucometer.\"},{\"question\":\"What training and documentation are required for EMT providers to be authorized?\",\"answer\":\"Providers must complete an approved blood-glucose monitoring training session, including a practical evaluation with a signed attendance roster filed in agency training records. Annual glucometry training is required, and documentation must be maintained for three years.\"},{\"question\":\"What actions should EMT-B take if a patient has hypoglycemia with altered mental status?\",\"answer\":\"If glucose is below 60 mg/dL and the patient is awake and able to maintain their airway, administer oral glucose per NYS BLS protocol and repeat vital signs and AVPU after 5 minutes, including a repeat D-stick. For glucose above 60 mg/dL with altered mental status, confirm ALS is enroute and monitor airway, breathing, and circulation.\"}]","WREMAC Blood Glucose Monitoring for Basic EMTs | PDF",1790157646,53]