Nurse Satisfaction Using Insulin Pens in Hospitalized Patients

2009 ◽  
Vol 35 (5) ◽  
pp. 799-809 ◽  
Author(s):  
Estella M. Davis ◽  
Anne Bebee ◽  
LeaAnne Crawford ◽  
Chris Destache
Keyword(s):  
Community Hospital ◽  
Hospitalized Patients ◽  
Insulin Administration ◽  
Needlestick Injuries ◽  
Delivery Method ◽  
Nursing Time ◽  
Nurse Satisfaction ◽  
Patients With Diabetes ◽  
Quasi Experimental ◽  
Insulin Pens

Purpose The purpose of this study was to evaluate nurse satisfaction using pen devices compared with vials/syringes to administer insulin to hospitalized patients with diabetes. Methods A quasi-experimental 1-group posttest only study design was utilized to distribute a satisfaction survey to 54 registered nurses in a community hospital after implementation of insulin pen devices from July 2005 to May 2006 on 2 medical-surgical floors. Nurses completed a voluntary, anonymous, self-administered, postassessment, investigator-developed survey asking about the number of years practiced as a nurse and experience administering insulin to patients. The survey also asked about insulin administration satisfaction questions comparing insulin pen devices to vials/syringes, and estimated time to teach patients to self-inject insulin using either delivery method during the study period. Results In comparison to vials/syringes, the majority of nurses agreed that insulin pens were more convenient, simple and easy to use, and an overall improvement compared with conventional vials/syringes. There were no insulin-related needlestick injuries using the insulin pens and safety needles. Conclusion Nurses were satisfied with multiple aspects of insulin pens compared with vials/syringes. Implementation of insulin pen devices does not increase nursing time spent to teach patients to self-inject insulin and does not increase insulin-related needlestick injuries.

scholarly journals A Pragmatic Approach to Inpatient Diabetes Management during the COVID-19 Pandemic

2020 ◽  
Vol 105 (9) ◽  
pp. 3076-3087 ◽  
Author(s):  
Mary Korytkowski ◽  
Kellie Antinori-Lent ◽  
Andjela Drincic ◽  
Irl B Hirsch ◽  
Marie E McDonnell ◽  
...  
Keyword(s):  
Health Care ◽  
Diabetes Management ◽  
Prolonged Exposure ◽  
Glucose Monitoring ◽  
Hospitalized Patients ◽  
Standards Of Care ◽  
Insulin Administration ◽  
Patient Interactions ◽  
Patients With Diabetes ◽  
Glycemic Management

Abstract The pandemic of COVID-19 has presented new challenges to hospital personnel providing care for infected patients with diabetes who represent more than 20% of critically ill patients in intensive care units. Appropriate glycemic management contributes to a reduction in adverse clinical outcomes in acute illness but also requires intensive patient interactions for bedside glucose monitoring, intravenous and subcutaneous insulin administration, as well as rapid intervention for hypoglycemia events. These tasks are required at a time when minimizing patient interactions is recommended as a way of avoiding prolonged exposure to COVID-19 by health care personnel who often practice in settings with limited supplies of personal protective equipment. The purpose of this manuscript is to provide guidance for clinicians for reconciling recommended standards of care for infected hospitalized patients with diabetes while also addressing the daily realities of an overwhelmed health care system in many areas of the country. The use of modified protocols for insulin administration, bedside glucose monitoring, and medications such as glucocorticoids and hydroxychloroquine that may affect glycemic control are discussed. Continuous glucose monitoring systems have been proposed as an option for reducing time spent with patients, but there are important issues that need to be addressed if these are used in hospitalized patients. On-site and remote glucose management teams have potential to provide guidance in areas where there are shortages of personnel who have expertise in inpatient glycemic management.

Inpatient Insulin Pen Implementation, Waste, and Potential Cost Savings: A Community Hospital Experience

2021 ◽  
pp. 193229682110025
Author(s):  
Urooj Najmi ◽  
Waqas Zia Haque ◽  
Umair Ansari ◽  
Eyerusalem Yemane ◽  
Lee Ann Alexander ◽  
...  
Keyword(s):  
Insulin Aspart ◽  
Community Hospital ◽  
Task Force ◽  
Hospital Setting ◽  
Cost Savings ◽  
Self Management ◽  
Self Administration ◽  
Potential Cost ◽  
Hospital Leadership ◽  
Insulin Pens

Background: Insulin pen injectors (“pens”) are intended to facilitate a patient’s self-administration of insulin and can be used in hospitalized patients as a learning opportunity. Unnecessary or duplicate dispensation of insulin pens is associated with increased healthcare costs. Methods: Inpatient dispensation of insulin pens in a 240-bed community hospital between July 2018 and July 2019 was analyzed. We calculated the percentage of insulin pens unnecessarily dispensed for patients who had the same type of insulin pen assigned. The estimated cost of insulin pen waste was calculated. A pharmacist-led task force group implemented hospital-wide awareness and collaborated with hospital leadership to define goals and interventions. Results: 9516 insulin pens were dispensed to 3121 patients. Of the pens dispensed, 6451 (68%) were insulin aspart and 3065 (32%) were glargine. Among patients on insulin aspart, an average of 2.2 aspart pens was dispensed per patient, but only an estimated 1.2 pens/patient were deemed necessary. Similarly, for inpatients prescribed glargine, an average of 2.1 pens/patient was dispensed, but only 1.3 pens/patient were necessary. A number of gaps were identified and interventions were undertaken to reduce insulin pen waste, which resulted in a significant decrease in both aspart (p = 0.0002) and glargine (p = 0.0005) pens/patient over time. Reductions in pen waste resulted in an estimated cost savings of $66 261 per year. Conclusions: In a community hospital setting, identification of causes leading to unnecessary insulin dispensation and implementation of hospital-wide staff education led to change in insulin pen dispensation practice. These changes translated into considerable cost savings and facilitated diabetes self-management education.

scholarly journals 1464. Adjuvant Systemic Steroid Therapy and Length of Hospital Stay in Pneumonia Patients: A Retrospective Cohort Study in a Community Hospital

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S733-S734
Author(s):  
Rattanaporn Mahatanan
Keyword(s):  
Hospital Stay ◽  
Steroid Therapy ◽  
Subgroup Analysis ◽  
Community Hospital ◽  
Length Of Hospital Stay ◽  
Hospitalized Patients ◽  
Systemic Steroid ◽  
Inpatient Mortality ◽  
Copd Patients ◽  
Class Iv

Abstract Background Pneumonia is a leading cause of morbidity and mortality worldwide resulting in a substantial healthcare expenditure. Antimicrobial agents are the main treatment. Recent studies showed the benefits of steroid therapy as an adjuvant therapy for patients with pneumonia; however, the overall evidence is still controversial. Methods Electronic medical records of hospitalized patients (age >18) at a community hospital in a rural Maine with the discharge diagnosis of pneumonia in 2015 and 2016 were reviewed. Demographics, comorbidities, physical examination, initial laboratory, and Pneumonia Severity Index (PSI) were collected for each patient. The exposure was a systemic steroid administered by either oral or intravenous. The outcomes included length of hospital stay (LOS), inpatient mortality, and transfer to tertiary care center. Competing-risks regression was utilized to examine the association between steroid and LOS. Multivariable logistic regression analysis adjusted for propensity score was used for other outcomes. Results A total of 414 patients were included. 277(63%) patients received systemic steroids. Overall, steroid use was significantly associated with shorter LOS (HR 1.26, 95%CI 1.03-1.54, p=0.02) and decrease inpatient mortality (OR 0.11, 95%CI 0.03-0.45, p< 0.01). In subgroup analysis, steroid associated with shorter LOS only in patients with PSI class IV (HR 1.38, 95%CI 1.02-1.89, p=0.04) and PSI class V (HR 2.04, 95%CI 1.11-3.74, p=0.02). There was an association of steroid and shorter LOS in subgroup of COPD patients (HR 1.42, 95%CI 1.02-1.97, p=0.03). Table 1: The baseline characteristics of hospitalized patients with a diagnosis of pneumonia who received steroid vs non-steroid Figure 1: Subgroup analysis the effect of steroid and lenght of hospital stay (LOS) Conclusion Our study concluded that adjuvant steroid therapy associated with a decrease in length of hospital stay and improved inpatient mortality in hospitalized pneumonia patients. Steroid was most beneficial to those with severe pneumonia (PSI class IV-V) and COPD patients. Disclosures All Authors: No reported disclosures

Predictors of sliding scale insulin use by housestaff physicians in the management of hospitalized patients with diabetes mellitus

Therapy ◽  
2006 ◽  
Vol 3 (3) ◽  
pp. 395-398
Author(s):  
Samy I McFarlane ◽  
Agnieszka Gliwa ◽  
Chard Bubb ◽  
Linda Joseph ◽  
Surender Arora ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Hospitalized Patients ◽  
Patients With Diabetes ◽  
Sliding Scale ◽  
Insulin Use

The cost of needlestick injuries associated with insulin administration

2008 ◽  
Vol 13 (9) ◽  
pp. 413-417 ◽  
Author(s):  
Paul Trueman ◽  
Matthew Taylor ◽  
Nicole Twena ◽  
Barrie Chubb
Keyword(s):  
Insulin Administration ◽  
Needlestick Injuries ◽  
The Cost

A HOSPITAL ROOMING-IN UNIT FOR FOUR NEWBORN INFANTS AND THEIR MOTHERS

PEDIATRICS ◽  
1948 ◽  
Vol 1 (1) ◽  
pp. 28-43 ◽  
Author(s):  
EDITH B. JACKSON ◽  
RICHARD W. OLMSTED ◽  
ALAN FOORD ◽  
HERBERT THOMS ◽  
KATE HYDER
Keyword(s):  
Nursing Staff ◽  
Community Hospital ◽  
Newborn Infants ◽  
Newborn Baby ◽  
New Haven ◽  
Nursing Time ◽  
The Subject ◽  
The University ◽  
First Stage Of Labor ◽  
Paternal Participation

introduction Rooming-in is the term currently in use to designate the hospital arrangement whereby a mother may have her newborn baby in a crib by her bedside whenever she wishes. The term was first used by Gesell and Ilg.1 Such an arrangement was established for study purposes on the University Service of the Grace-New Haven Community Hospital in October 1946. The four-bed ward used for this purpose is known as the Rooming-In Unit. An account of development of this Unit with a few preliminary observations is the subject of this paper. Because of the enthusiastic participation of fathers in the project from the day of its inception, the authors were inclined to entitle the paper,“Rooming-In for Parents and Newborns.” The husband may be with his wife throughout the first stage of labor if mutually agreeable; under normal circumstances he may see his baby shortly after birth—even hold him; he may continue to get closely acquainted with his child day after day in the hospital, and watch his wife and the baby at nursing time if that happens to occur during visiting hours. This paternal participation has afforded obvious satisfaction to both parents which we believe is salutary for the baby. Indeed, the first major assumption in making plans for the Rooming-In Unit has been that a mother's satisfaction with herself and with the attention and care bestowed upon her (by husband, parents, members of medical and nursing staff)is the best guarantee for her inclination and ability to satisfy

Sign in / Sign up

Export Citation Format

Share Document