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Lessons from the Frontline: How EndoTool Helps Nurse Leaders Scale Best Practices

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Casey Dicken, BSN, RN

Clinical Services Specialist

Before joining Monarch, glycemic management was a regular part of my nursing life.

Whether I was a new grad in the pediatric emergency and trauma department, starting insulin drips during pediatric critical care transport, or managing adult patients in a busy emergency room, insulin therapy was something I handled weekly, sometimes daily.

At the bedside, I’ve used a range of glycemic management protocols, including EndoTool, and that hands-on experience gave me a clear view of what works in high-pressure, high-acuity situations, and what doesn’t.

That perspective now shapes how I approach every implementation in my role at Monarch.

Today, as a clinical services specialist at Monarch, I’ve helped implement EndoTool in hospitals across the country, and every time, I draw from that clinical foundation.

I understand what nurses are up against, because I’ve lived it. That real-world connection builds trust with nurse leaders, educators, and frontline champions.

When I talk about EndoTool, I’m not quoting a manual, I’m speaking from experience.

The Reality of Glycemic Management

Let’s be honest, glycemic management is hard.

Paper protocols and manual processes are inconsistent. They vary between shifts and providers, leaving too much room for interpretation at times when precision matters most.

I’ve been there, trying to manage blood glucose while juggling a dozen other urgent needs.

It’s stressful, and it shouldn’t come down to guesswork.

I’ve also seen what education fatigue looks like. As a charge nurse, I helped my team navigate constant updates, new systems, and shifting workflows.

Nurses want to do the right thing, but they’re often expected to absorb huge amounts of information while still providing safe, timely care. It can be overwhelming.

Change is tough. Even when we know it’s for the better, it takes time and support to build confidence and trust in something new.

That’s where having the right tool, and the right people supporting it, makes all the difference.

Why EndoTool Works at the Bedside

What stood out most to me while using EndoTool at the bedside, was how it simplified insulin management.

In the middle of an emergency, nurses don’t have time to flip through protocols or second-guess a dose.

EndoTool lightens that mental load by providing consistent, evidence-based recommendations that are clear, reliable, and fast.

It removes the guesswork so nurses can focus on their patients, not the math.

It’s also intuitive, even for nurses who aren’t familiar with insulin drips. I saw firsthand how it leveled the playing field across all experience levels, making it easier to train large teams and onboard new staff.

Instead of memorizing complex dosing protocols, they could focus on understanding how the tool works, and why it’s safe.

From a leadership perspective, EndoTool makes it easier to scale best practices without overwhelming your staff. It supports clinical judgment, promotes consistency, and removes unnecessary complexity. It’s not about replacing what nurses know, it’s about reinforcing it with tools they can trust.

A Moment That Changed My Perspective

One of my personal turning points came during a hectic ED shift.

I was managing a patient on an insulin drip using EndoTool when I was pulled into a critical situation. A fellow nurse stepped in to cover, and thanks to EndoTool, she could immediately see where the patient was in their run and pick up right where I left off.

No gaps. No delays. No confusion.

That moment made it clear: EndoTool isn’t just another task, it’s a tool that empowers nurses to deliver consistent, safe care, even in the most unpredictable moments.

From Hesitation to Confidence: Conversations that change minds

During implementations, it’s totally normal for nurses, especially those not involved early on, to feel hesitant.

But once we sit down in education sessions, and they get to see the tool in action, everything changes.

They start asking questions. And they get honest answers from someone who’s used it, not just reading from a slide deck.

That peer-to-peer connection builds confidence fast. It’s not about convincing anyone; it’s about showing them how it really works in practice.

What’s surprised me most in this role is how impactful it is to simply share real experiences.

When I say I’ve used EndoTool at the bedside, during high-acuity situations, nurses listen differently.

Because they know I’m not just there to train them, I’ve been in their shoes.

You Don’t Have to Do This Alone

Rolling out a tool like EndoTool can feel like a big lift. but you don’t have to do it alone. With the right strategy and support, we help transform it from “just another system” into a better, more confident way of managing care. We’re not just delivering a product, we’re part of the change.

To the nurse leaders, educators, and champions: your role is essential. You’re the reason best practices take hold. You give your teams the confidence to embrace change and you’re not in this alone.

We’re here to walk beside you, because we’ve been there too.

Together, we’re making glycemic management effective, simpler, and more consistent, for everyone at the bedside.

About EndoTool

Made by Monarch Medical Technologies, EndoTool is the only patient-specific insulin dosing system which simplifies the complex task of glycemic management in hospital environments. The recommended dosing is different for each patient based on multiple clinical characteristics. The FDA-cleared platform is utilized in hundreds of hospitals across the United States and is fully integrated with all major electronic medical records. To see how EndoTool can support your health system, get in touch today.

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