A Nurse Managed Computerized Program For Continuous Iv Insulin Infusion:jiip(jefferson Insulin Infusion Protocol) And Non Jiip.
Requirements: RN will review the PowerPoint presentation. RN will practice titration guidelines on practice pathway on computer. RN will complete program quiz with a grade of 100%. Unit CNS will review quiz results with staff member. Introduction Uncontrolled hyperglycemia in hospitalized patients results in poor clinical outcomes. IV insulin is the drug of choice for optimal glycemic management in many patients. Safe administration of IV insulin is a complex task. The Jefferson Hospital Insulin Infusion Protocol(JIIP) applies to all adult patients requiring IV insulin but ONLY if the JIIP is ordered. General Guidelines Physicians who do not order the JIIP but want continuous IV insulin infusion (NON-JIIP) for their patients, are responsible for the hourly titration of the infusion and specific fluid orders. The RN may titrate a non â€“JIIP infusion based on previous infusion guidelines online but only if the glucose and piggyback protocol is followed. JIIP Candidates ICU patients with BG>180mg/dl x 2 consecutive measurements. NOTE: Check Blood glucose (BG) on admission to ICU and q4 hours thereafter. If BG <140mg/dl for first 24 hours, measure BG daily or as clinically indica Continue reading >>