Related Experiment Video
Updated: May 7, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Insulin administration and meal delivery coordination for hospitalized patients
Patrick M Houck1, Naga Nalini Tirumalasetty, Renee Y Meadows
1Tulane University, New Orleans, LA.
Background:
Through efforts to continuously improve the quality of care provided to hospitalized patients with diabetes by evaluation of adherence to standards and performance metrics, we identified an opportunity for improvement.
Methods:
A plan-do-study-act cycle was initiated with the goal of enhancing patient satisfaction with the timing of blood glucose monitoring, insulin administration, and meal delivery in the hospital.
Results:
Despite an educational intervention with the nursing staff, patient satisfaction with mealtime insulin administration decreased from 83% to 78%.
Conclusion:
Education of frontline staff was not adequate to achieve our quality improvement goal.
Related Concept Videos
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Insulin Formulations: Types and Delivery
Short-acting insulins are divided into rapid-acting...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...