Glycemic Monitoring and Control
The need to monitor and manage blood glucose levels is common among patients served in emergency, acute care, critical care and peri-operative settings. A number of tools have been developed to facilitate glycemic control for inpatients. These divide into those that facilitate surveillance and others that facilitate intervention. All are available when an inpatient chart is opened in the clinical information system (CIS).
Two tools help appreciate patients’ blood glucose response to their inpatient problems and interventions: 1) an overview snapshot block, and 2) a glucose management summary. Both are part of the “Summary” section of an inpatient chart.
Connect Care supports the Basal Bolus Insulin Therapy (BBIT) protocol to help clinicians determine patients’ insulin requirements and the optimal types and timings of insulin administration.
A good place to get oriented to Connect Care insulin management is through the BBIT navigator, even though this is typically used as part of an insulin ordering sequence. Thereafter, the process for completing BBIT orders and taking advantage of embedded decision supports makes more sense.