Using Nurse-Driven Protocols to Effectively Manage Electrolyte Imbalance and Stress Hyperglycemia in Critically Ill Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/182130
Category:
Abstract
Type:
Presentation
Title:
Using Nurse-Driven Protocols to Effectively Manage Electrolyte Imbalance and Stress Hyperglycemia in Critically Ill Patients
Author(s):
Clark, Patricia
Author Details:
Patricia Clark, DNP, RN, ACNP-BC, ACNS-BC, CCRN, Nurse Practitioner, Huron Valley-Sinai Hospital, Commerce, Michigan, USA, email: pclark@dmc.org
Abstract:
Poster presentation, ANCC National Magnet Conference: Critically ill patients are at high risk for metabolic derangements. Electrolyte imbalance and stress hyperglycemia from critical illness are two metabolic processes which can be managed by nurses using standard protocols. The purpose of this Poster presentation, ANCC National Magnet Conference« is to present the utilization of two nurse-driven protocols. Many critically ill patients are found to have depletion of their calcium, potassium, phosphorus, and magnesium levels. Prior to implementation of the Electrolyte Replacement Protocol, the process was somewhat cumbersome and time-consuming. ICU nurses were calling physicians at all hours regarding abnormal laboratory values. It was not an efficient method to handle this very common occurrence. It posed a safety risk as well, because the treatment ordered for the same imbalance varied erratically with no standard dose of medication or standard time for re-draw of laboratory values. Process improvement drove the development of the Electrolyte Replacement Protocol. Stress hyperglycemia occurs in many hospitalized patients. Insulin therapy, which carefully controls glucose levels in critically ill patients, can improve outcomes and reduce mortality. Since its inception, the Insulin Infusion Protocol has been refined and updated based on current literature as well as actual patient data obtained from retrospective chart reviews. This is an ongoing outcome-driven process, which uses data to modify the dynamic Insulin Infusion Protocol. Nursing care based on the best available clinical evidence is the foundation for the development and ongoing use of these protocols. Care protocols enable nurses to achieve greater autonomy, while providing safe, timely, and efficient care.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing Nurse-Driven Protocols to Effectively Manage Electrolyte Imbalance and Stress Hyperglycemia in Critically Ill Patientsen_GB
dc.contributor.authorClark, Patriciaen_US
dc.author.detailsPatricia Clark, DNP, RN, ACNP-BC, ACNS-BC, CCRN, Nurse Practitioner, Huron Valley-Sinai Hospital, Commerce, Michigan, USA, email: pclark@dmc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182130-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: Critically ill patients are at high risk for metabolic derangements. Electrolyte imbalance and stress hyperglycemia from critical illness are two metabolic processes which can be managed by nurses using standard protocols. The purpose of this Poster presentation, ANCC National Magnet Conference« is to present the utilization of two nurse-driven protocols. Many critically ill patients are found to have depletion of their calcium, potassium, phosphorus, and magnesium levels. Prior to implementation of the Electrolyte Replacement Protocol, the process was somewhat cumbersome and time-consuming. ICU nurses were calling physicians at all hours regarding abnormal laboratory values. It was not an efficient method to handle this very common occurrence. It posed a safety risk as well, because the treatment ordered for the same imbalance varied erratically with no standard dose of medication or standard time for re-draw of laboratory values. Process improvement drove the development of the Electrolyte Replacement Protocol. Stress hyperglycemia occurs in many hospitalized patients. Insulin therapy, which carefully controls glucose levels in critically ill patients, can improve outcomes and reduce mortality. Since its inception, the Insulin Infusion Protocol has been refined and updated based on current literature as well as actual patient data obtained from retrospective chart reviews. This is an ongoing outcome-driven process, which uses data to modify the dynamic Insulin Infusion Protocol. Nursing care based on the best available clinical evidence is the foundation for the development and ongoing use of these protocols. Care protocols enable nurses to achieve greater autonomy, while providing safe, timely, and efficient care.en_GB
dc.date.available2011-10-28T15:10:27Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:10:27Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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