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Essay / Research Paper Abstract
A 4 page continuation of the development process of a pilot program for nurses to teach the effectiveness of insulin IV drip therapy on the regular medical unit, rather than transferring the patient to ICU, which often requires transferring the most stable ICU patient to the regular medical unit. The paper includes implementation and evaluation plans. Bibliography lists 6 sources.
Page Count:
4 pages (~225 words per page)
File: CC6_KSdpsSecDE.rtf
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Unformatted sample text from the term paper:
This is a continuation of the development process of "a pilot program for nurses to teach the effectiveness of insulin IV drip therapy on the regular medical
unit. Insulin IV drip is only given in the ICU," and when a patient on the regular medical unit develops blood glucose of over 400 mg/dl, he needs to
be transferred to the ICU to receive treatment. This procedure becomes problematic when there is no bed available in the ICU, which is a common scenario. When this
is the case, the most stable ICU patient must be transferred out of ICU, or if there is no good candidate for that action, the patient whose blood glucose is
elevated must be treated "on the regular unit with SQ insulin coverage." The purpose here is to contribute to the development of an educational unit "to educate the nurses
on the medical unit on the effectiveness of insulin IV therapy." Objectives include: * Maintenance of glucose levels at 100-150 mg/dl; * Decreased length of stay; and * Decreased
morbidity and mortality in diabetes population. Section D Criteria The innovation recommended is to allow insulin IV therapy on the regular medical unit,
rather than requiring patient transfer to ICU. This plan is consistent with the principles of planned change in that it focuses on improving overall patient outcome with minimal disruption
in current practice. The time required for implementation includes training time but little else. Initially, nurses on the regular medical unit may invest more time in monitoring blood
glucose levels, but the purchase of additional glucose monitors will decrease the time required for direct oversight of movement in blood glucose levels (Goldberg and Inzucchi, 2005).
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