Empowering Nurses in Managing Hypoglycemia by a Structured Action Pathway, Training, Generating Awareness and Persistent Monitoring- A first of its kind in India

Program: Abstracts - Orals, Featured Poster Presentations, and Posters
Session: SUN 839-872-Diabetes & Obesity Management
Clinical
Sunday, June 16, 2013: 1:45 PM-3:45 PM
Expo Halls ABC (Moscone Center)

Poster Board SUN-861
Sujeet Jha*1, Nisha Mary Thomas2, Archana James2, Monashis Sahu2 and Swati Waghdhare2
1Max Healthcare, Gurgoan, Haryana, India, 2Max Healthcare
Aims and Objective: Hypoglycemia is one of the most feared complications of diabetes treatment. Traditionally hypoglycemia management in Indian setting is doctor centric rather than nurses centric. Inadequate awareness among nurses and lack of standardised protocol are also the major factors contributing, to delay in treating hypoglycemia leading to increased morbidity and prolonged hospital stay. In view of this it was strongly felt, this clinical threat can be prevented and managed by empowering and participation of all nurses involved in direct patient care.

Method: Hypoglycemia protocol based on ADA formula 15 was designed and made available in each department. Hypo kit with its checklist including Glucose tablet, 25 % Dextrose, Injection Glucagon was made available in each department and nurses are trained to manage hypoglycemia at the earliest, at first sight that is to be the first responder of hypoglycemia. Persistent training of nurses (functional and on job training) along with cent percent reporting of all hypoglycemia was done to diabetes nurse educator through quality flash matrix (QF is a tracker where the clinical performance indicators are monitored round the clock in the hospital).

Result: In comparison to last 2 years significant higher number hypoglycemia cases in year 2012 was managed by nurses through adherence in following Max hypoglycemia protocol (p>0.05; Z-test for proportion).

Conclusion: Nurses driven management, reporting, recording and documentation of hypoglycemia through a stream of speciality nurse- Diabetes Nurse Educator can add value and enhance the quality of nursing care delivered to diabetic patient. Theses speciality nurse role can further extended in insulin titration of in hospital patients also. Empowering nurses will enhance clinical excellence improving patient care.

Nothing to Disclose: SJ, NMT, AJ, MS, SW

*Please take note of The Endocrine Society's News Embargo Policy at http://www.endo-society.org/endo2013/media.cfm