Glucose Management Protocol Development: A Successful Collaborative Effort
Objective
This multidisciplinary clinical improvement initiative compares patient outcomes before and after implementation of nurse-driven standardized intravenous insulin protocol in the ICU, supported by a dose calculator software application (EndoTool).
Setting
VA health system with 238 beds across two academic medical centers.
Results
- Average blood glucose decreased from 137 to 127 mg/dL with EndoTool.
- Average blood glucose 4 hours after insulin initiation decreased from 182 to 126 mg/dL with EndoTool.
- Average peak blood glucose decreased from 255 to 219 mg/dL with EndoTool.
Conclusions
A nurse-driven standardized intravenous insulin protocol, supported by a dose calculator software application (EndoTool), improves glucose control and helps achieve tight glucose control in the ICU.
Authors
Melinda Davis, RN, MSN, CCRN, CNL.
Source
Presented at American Association of Critical Care Nurses National Teaching Institute Conference. Published in Critical Care Nurse, Volume 28, Issue 2, pe31.
Year
2008
Tags
- Cost Savings
- Healthcare-Associated Infections
- Hospital-Acquired Conditions
- Hyperglycemia Reduction
- Hypoglycemia Reduction
- Length of Stay
- Surgical Site Infections
- Glucose Variability
- Mean Glucose Improvement
- Target Goal Attainment
- Time in Range
- Time on IV Insulin
- Time to Target
- Burn Injury
- Cardiac Surgery
- DKA/HHS Management
- Emergency Department
- Induced Hypothermia
- Intra-op Glucose Management
- Obstetrics/Labor & Delivery
- Pediatrics
- Residual Insulin Adjustment
- BG Check Compliance
- BG Test Reduction
- Nursing Satisfaction
- Protocol Adherence
- Provider Satisfaction
- Workflow Improvements