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Updated: Aug 14, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Implementation of a new intravenous insulin method on intermediate-care units in hospitalized patients
Ellen D Davis1, Kerry Harwood1, Lea Midgett2
1The Department of Advanced Practice Nursing, Duke University Medical Center, Durham, North Carolina (Ms Davis, Ms Harwood)
Abstract:
Good blood glucose control in hospitalized adults leads to reduced mortality. Intravenous (IV) insulin has been shown to be an effective way to achieve tight control of blood glucose. Managing IV insulin is a labor-intensive task for nurses and is generally done in intensive care units with high nurse-to-patient ratios. In this 3-month study, intermediate-care general medicine units with a nurse-to-patient ratio of 1 to 5 or 6 were evaluated for effectiveness of monitoring IV insulin. The project, which relied on intensive in-service education, an audit tool, and continuous positive feedback for nurses, yielded positive results.
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