Abstract
Hypo- and hyperglycemia related to improper timing of mealtime insulin occurs frequently in the in-patient setting. The timing of mealtime insulin administration is affected by many variables such as blood glucose meter availability, meal delivery and patient's willingness and desire to eat. The purpose of this collaborative multidisciplinary evidence-based project was to improve the timing of mealtime insulin administration related to point of care fingerstick blood glucose monitoring and meal delivery to decrease the rate of hypo- and hyperglycemia. The average time between point of care fingerstick blood glucose monitoring and insulin delivery on the medical unit where this project was conducted was 57.44 minutes. In addition, mealtime insulin administration was not consistently documented, and timing between meal tray delivery and mealtime insulin administration was not a documented task. The John Hopkins Nursing Evidence-based Practice Model served as the conceptual framework for the project, and the use of the Six Sigma Methodology served as the practice method.
Sigma Membership
Non-member
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Clinical Practice Guideline(s)
Research Approach
Pilot/Exploratory Study
Keywords:
Mealtime Insulin, Prandial Insulin Administration, Hypo/Hyper Glycemia, Nutritional Insulin, Inpatient, Coordinated Mealtime Insulin Delivery, Coordinated Meal Delivery
Advisor
Kate Moore
Second Advisor
Angela Saathoff
Degree
DNP
Degree Grantor
Capella University
Degree Year
2018
Recommended Citation
Hughes, Lucille, "Hospital acquired hypo/hyperglycemia: A clinical issue" (2018). DNP and Student Works. 232.
https://www.sigmarepository.org/dnps/232
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Self-submission
Date of Issue
2018-04-02
Full Text of Presentation
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