4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
Healthy Columbia Screening Stations Protocols & Processes
Before & During Event
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Sign-in at the Intake desk and get your assignment.
Make a Name Tag.
If necessary, help set up and organize your station.
Set up signs at each station so participants know where to go and what their purpose is.
Make certain that there are plenty of pens at your station.
If this is your first screening or first time at a station, ask for training or work with
someone who is experienced.
7. All volunteers and clinicians need to review protocols before event and practice with
equipment if needed.
8. Remember to ensure that both the screening and survey forms are fully completed during
the event.
9. Always introduce yourself and greet folks warmly.
10. Be upbeat and positive.
11. Actively Listen. If someone wants to share their story, listen, ask questions, encourage.
If you hear something that concerns you, make sure someone at medical checkout knows
or alert the screening supervisor. Make a note in the Notes section of the Screening
Form!
12. If not familiar with the counseling process, then observe and ask questions of a station
leader or the screening supervisor.
13. If you have a question, find the screening supervisor or a Station Leader if you have been
assigned one.
14. Be aware of health literacy of participants.
End of Event
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Help breakdown station and pack into carriers.
Ensure that all protocols are returned to folders and placed in carrier.
Pick up trash and keep area as clean as it was before event.
Participate in Debrief.
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
Intake Station
● Introduce yourself and greet folks warmly.
● Number the intakes beginning with 1 in the top right corner.
● First, make certain that the Screening & Release Form is filled out and signed. First
Sheet
● Next, make certain that the Health Screening Participant Survey is completed. Second
Sheet
o If the community member seems to have vision, comprehension or writing
issues, please assist them with the forms.
● Ask Participant to complete Richland County Survey.
● Direct Participant to the BMI station.
● If the BMI Station is full but another station (Blood Glucose or Blood Pressure) is
available, the participant can be directed to that available station instead.
● If no station is open, point them to a seat and call them in order by number.
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
BMI Station Protocol
● Review BMI Chart Handout during set up.
● Introduce yourself and greet folks warmly.
● Make certain that the Screening & Release Form is filled out and signed, and check that
the Health Screening Participant Survey is completed.
● Ask for height or measure for height.
● When participant steps on scales, please don’t announce weight.
Waist Circumference
● If possible, give the participant the tape measure, ask him/her to wrap the tape measure
around his/her waist at belly button level, and record the measurement.
● If the participant is struggling, ask for permission to assist him/her.
Body Fat Machine
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Turn on and press set
Normal and press set
Enter height (press up or down arrows) and hit set
Enter weight (press up or down arrows) and hit set
Enter age (press up or down arrows) and press set
Enter Sex (press up or down arrows) and press set
Have participant hold the machine in both hands straight in front of them, be sure
palms are in contact with the metal plates.
o Press start
o Record BMI and body fat percentage and turn off
● Record all numbers on Screening & Release Form AND BMI/Body Fat Chart (Third
Sheet)
● If you are not too busy, review the results with participant, and share information
on the BMI Chart- front & back
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
Blood Pressure Station
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Practice using the automatic cuffs on each other.
o Cuffs are designed for use on left arm, use on right arm may report incorrect values.
o Have participant uncross legs and make sure hands are unclenched.
o You can place the cuff over a t-shirt but don’t place the cuff over a heavy shirt or jacket.
If possible, ask participant to remove jacket or roll up his/her sleeve (as long as the cuff
isn’t placed directly on the rolled sleeve).
o On the participant’s left upper arm, place the cuff with the arrow lining up with the
middle of inner bend of the elbow.
o Connect the cuff’s tubing to the side of the BP machine.
o Press “On/Off” or “Start,” depending on which BP machine is used.
Review handout materials.
Introduce yourself and greet folks warmly.
Determine the appropriate size cuff.
Check BP & Pulse.
Record results on Screening & Release Form, and review with participant using the colored
blood pressure chart.
o If the reading is Stage 2, re-check.
o If the participant states that the reading is very unusual for them, adjust and recheck.
o If the reading is still Stage 2, mark with yellow highlighter, and if possible let Terri or the
Screening Supervisor know.
▪ Let the Screening Supervisor know to check the Participant’s blood pressure
manually.
If there is time, share blood pressure & sodium intake materials with patient. Discuss the
handouts with the participant.
Thank participant and direct them to the next station.
Low Blood Pressure: Ask about symptoms. Offer a bottle of water. Recheck in 15 minutes.
Blood Pressure Chart
Diastolic mm Hg
(lower #)
Less than 80
80-89
90-99
And
Or
Or
Systolic mm Hg
(upper #)
Less than 120
120-139
140-159
100+
Or
160+
110+
Or
180+
Blood Pressure Category
Normal
Prehypertension
High Blood Pressure (Hypertension)
Stage 1
High Blood Pressure (Hypertension)
Stage 2
High Blood Pressure (Hypertension)
Stage 3/Crisis
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
Blood Glucose Station Protocol
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Review Protocols and procedures!
Wipe all surfaces down with Clorox wipes.
Practice on yourself or watch others use the machines
Practice removing gloves appropriately
Before each participant sits down, have a band-aid and 3 alcohol wipes open
Have a testing strip ready
Have Single Use Safety Lancet ready
Greet the Participant warmly and help them feel at ease
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Ask participant if they have eaten recently and if they are feeling well (i.e., not feeling faint,
dizzy, etc.).
Give a snack or water if participant is faint or dizzy.
Sanitize your hands
Put on a new pair of gloves
Place testing strip in meter and see that it is ready
Ask participant which finger they would like to use
Wipe finger with alcohol wipe and let air dry for a few seconds
Gently twist and pull grey cap off of lancet; rapid motion may release the lancet point
Press the lancet platform firmly on the side of finger and press release button
Drop lancet in Sharps Container
Squeeze finger to get a droplet of blood
Make sure the blood droplet sign is showing on the meter before collecting blood
Place testing strip in droplet and make sure the blood reaches the green line
Wait for the results
While holding an alcohol wipe, remove testing strip and place in Sharps Container
Clean the participants finger with an alcohol wipe or ask them to do so. Apply pressure if there is
additional bleeding.
If participant bleeds excessively, stay calm, request assistance if needed, and try to prevent blood
from spilling on the table.
Discard all materials with blood on them in biohazard/sharps containers
Tell participant to apply band-aid.
ALL PARTICIPANTS MUST WEAR A BAND-AID, per our protocol!
Put non-contaminated waste in trash
Remove gloves appropriately
Record numbers on Screening & Release Form
Listen and answer questions if possible
Thank the participant and direct them to the next station (either BP or Checkout if they have
already completed BP)
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
High Risk Level Blood Glucose Protocol
In the event a participant has a blood sugar level greater than 350 follow the steps in protocol below:
1. Contact Screening Supervisor.
2. Ask participant if they have taken their prescribed medication(s).
3. Have participant sit in chair away from station for a few minutes.
4. Take blood sugar levels again for a second reading.
5. Ask participant for the name and number of their primary care provider or doctor.
6. Contact doctor’s office and set up action plan for patient to be seen immediately or follow the
doctor’s instructions.
7. Follow-up with participant to see if they have seen or been in contact with their doctor in the past
48 hours.
Low Blood Glucose Protocol
Patient blood glucose ≤ 70mg/dl and/or having symptoms of low blood sugar:
Common symptoms- tremor, sweating, irritability, mental confusion, tachycardia, weakness,
blurred vision, lightheadedness. May be present with normal blood sugar: need for treatment
should be assessed on a case-by-case basis
1. Contact Screening Supervisor.
2. Immediately provide patient with crackers or juice
3. Re-Check blood glucose after 15 minutes
Once blood glucose >70mg/dl, provide peanut butter or cheese crackers
(at this point they need something with protein and fiber)
If still ≤70mg/dl, repeat treatment in step 2 and re-check blood glucose in 15 minutes
Blood glucose ≤ 70mg/dl after 3 treatments, CALL 911
Continue until EMS arrives
Patient Education:
Severe hypoglycemia (low blood sugar < 60 mg/dl) is a medical emergency!
Inadequate treatment may result in seizures, unconsciousness, coma, and death.
Common symptoms of low blood sugar - tremor, sweating, irritability, mental confusion,
tachycardia, weakness, blurred vision, lightheadedness
Some prescription medications can mask the signs and symptoms of low blood sugar so it
is important to check your blood sugar whenever you do not feel like yourself.
Keep hard candy (NOT sugar free) on you and take 5 of them when your blood sugar is < 70
mg/dl
Glucose tablets can be purchased at any pharmacy and can also be used (take 3 tablets
when blood sugar is < 70 mg/dl)
Don’t skip meals, especially if you are on diabetic medications
Medical and Resource Station/ Checkout
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
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Introduce yourself and greet folks warmly.
Look them in the eye and smile. “It’s good to see you today. How are you feeling?”
Listen with Fresh Ears.
Take a minute to review Screening & Release Form and Sign
Take a minute to review Health Screening Participant Survey
Discuss results while encouraging participant towards changing health.
Actively listen and ask what motivates them to make health changes in their lives.
Work with participant on setting relevant and realistic goals, based on personal
motivations.
Fill out My Health Goals connecting results to goals and helping them develop a Plan of
Action!
First Goals should dictated by Protocols, e.g. Stage 3 bp=Doc today
Anyone not having a Medical Home or coverage, should make that a health goals.
Make appropriate referrals, writing next steps on My Health Goals & noting on Health
Screening Participant Survey.
Fill out referral source list for referrals made on Screening and Release form.
Answer any questions.
Tear off White copy of Screening and Release Form, Yellow copy of My Health
Goals, and Health Screening Participant Survey and staple together.
Give Participant all other copies and any other materials to take home.
Place materials in plastic bag, if available.
Ask participant to complete an anonymous Participant Feedback Survey
Questions? Ask! Thank you! Thank you! THANK YOU!
7/1/2014
4100 North Main Street, Suite 203
Columbia, South Carolina 29203
HealthyColumbia@gmail.com
www.HealthyColumbia.org Volunteer123
Healthy Columbia Screening Protocols
Date: ____/_____/_____
Event: ____________________________________________________
Supervising MD/NP/PA:_______________________________________ Contact:
___________________
Standing Orders:
Check Finger Stick Blood Glucose.
___
______________________
Blood Glucose
Results
<70
<100
<125 w/in 2 hrs of eating
100 - 125 fasting
125 - 160
>160
>250
>300
Category
Low
Normal
Normal
Possible Pre-Diabetes (Low Risk)
Possible Pre-Diabetes
Possible Diabetes
High Risk for Diabetes
High Risk for Diabetes
Follow-up
Eat, Check in 15m Follow Low Protocol
Lifestyle discussion
Lifestyle discussion
Lifestyle & fasting BS follow up
Lifestyle & Referral
Referral w/in 1 wk
Lifestyle & follow up in 72 hrs
Needs MD/NP attention today
Blood Pressure
Systolic
<120
and
120-139
or
140-159
or
Diastolic
<80
80-89
90-99
Category
Normal
Pre-Hypertension
Hypertension, Stage 1
160-180
or
100-110
Hypertension, Stage 2
≥180
or
≥110
Hypertension, Stage 3/Crisis
Follow-up
Lifestyle discussion & annual screening
Lifestyle discussion & annual screening
Lifestyle & referral next available or w/in 2
wks
Lifestyle & referral next available or w/in
72 hrs
Needs MD/NP attention today
Body Mass Index
Results
≤ 18
18.5-24.9
25-29.9
≥30
Category
Underweight
Normal
Overweight
Obese
Follow-up
Lifestyle discussion
Lifestyle discussion
Lifestyle referral
Lifestyle referral
7/1/2014