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The Diabetes Educator
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PROFESSIONAL DEVELOPMENT

Implementation of a New Intravenous Insulin Method on Intermediate-Care Units in Hospitalized Patients

Ellen D. Davis, MS, RN, CDE, Kerry Harwood, MSN, RN, Lea Midgett, BSN, RN, Melanie Mabrey, MSN, ACNP, ADM-BC and Lillian F. Lien, MD

From the Department of Advanced Practice Nursing (Ms Davis, Ms Harwood), the General Medicine Unit (Ms Midgett), and the Division of Endocrinology, Metabolism, and Nutrition (Ms Mabrey, Dr Lien), Duke University Medical Center, Durham, North Carolina.

Correspondence to Ellen D. Davis, MS, RN, CDE, Department of Advanced Practice Nursing, Box 3677, Duke University Medical Center, Durham, NC 27710 (davis010{at}mc.duke.edu).

Good blood glucose control in hospitalized adults leads to reduced mortality. Intravenous (IV) insulin has been shown to be an effective way to achieve tight control of blood glucose. Managing IV insulin is a labor-intensive task for nurses and is generally done in intensive care units with high nurse-to-patient ratios. In this 3-month study, intermediate-care general medicine units with a nurse-to-patient ratio of 1 to 5 or 6 were evaluated for effectiveness of monitoring IV insulin. The project, which relied on intensive in-service education, an audit tool, and continuous positive feedback for nurses, yielded positive results.

The Diabetes Educator, Vol. 31, No. 6, 818-823 (2005)
DOI: 10.1177/0145721705283077
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[Abstract] [Full Text] [PDF]


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