Monday, 22 July 2013
Learning Objective 1: 1. The learner will be able to understand the recommendations made by the Society of Thoracic Surgeons regarding blood glucose management for cardiac surgical patients.
Learning Objective 2: 2. The learner will be able to identify the need for change for the current insulin drip algorithm for cardiac surgical patients and the outcomes.
The presentation will educate the learner about the specific recommendations made by the Society of Thoracic Surgeons concerning blood glucose management in an adult cardiac sugery patient. Current institution policies at Maimonides Medical Center regarding blood glucose management is not current for the specific adult cardiac surgical patient. An evidence-based driven practice change was implemented on the Cardiothoracic Unit regarding insulin drip algorithms in order to better comply with both the recommendation made by the Society of Thoracic Surgeons as well as the Surgical Care Improvement Project by The Joint Commission. Target glucose ranges for the Cardiothoriacic Unit was only 90% compliant with the Surgical Care Improvement Project. A change in algorithm was implemented as well as re-education of staff nurses on the unit. The presentation will showcase the outcome compliance rate with the Surgical Care Improvement Project as well as re-education rate of the staff nurses on the unit.