Session: SUN 839-872-Diabetes & Obesity Management
Poster Board SUN-865
Objectives: To evaluate medical staff experience and acceptance of the protocol through a survey.
Methods. A survey followed by group discussions among the medical staff of the Medical and Central Intensive Care Units were done. Questionnaires were distributed to the nurses of the two ICU units and the medical residents who manned in these ICUs. The survey focused on assessment of their experience and acceptance of the insulin protocol. Group discussions were done after the survey to clarify and confirm the information derived from the survey.
Results. A total of 109 medical staff (47 nurses and 62 medical residents) participated in the study. Majority (76.7%) of the ICU nurses felt that they had good knowledge of the IIP. Seventy-sevent percent of nurses agree that the Modified Yale Insulin Infusion Protocol (IIP) is effective in controlling hyperglycemia and 57.4% felt that it prevented hypoglycemia. While 74.5% held that the protocol increases their workload due to frequent glucose checks and need for computations to adjust the drip, majority (64%) agree that it is easy to administer. Seventy percent of nurses are satisfied with the use of the protocol. Similarly, most (80.6%) medical residents in the ICUs believe that the IIP is effective. While most felt that the protocol is not easy to administer (68%), majority (64%) would still opt to use it for their patients. The staff believes that periodic training and provision of supplies are key factors in improving the protocol.
Conclusion. Experience and acceptance of the insulin infusion protocol is generally excellent for both nurses and physicians. Despite an increase in workload, most believe the protocol to be effective and would advocate its use for ICU patients.
Nothing to Disclose: QGN, CAJ, ITI
*Please take note of The Endocrine Society's News Embargo Policy at http://www.endo-society.org/endo2013/media.cfm
See more of: Abstracts - Orals, Featured Poster Presentations, and Posters