Insulin protocol---Q 1 hour accu checks - page 3

Is anyone else dealing with q 1 hour accu-checks and running Insulin drips for every patient with a glucose over 110? This has been happening in my ICU for almost a year. The research supports very... Read More

  1. by   RNforLongTime
    We started using this protocol about a year ago at my facility. Our goal range is 91-120.

    While we do have the VAMP system, which I HATE, I find it easier to poke the finger. I wonder how safe it is to be getting blood from the system every hour. I would think entering the supposed sterile system every hour would increase the risk of the line becoming infected. Plus if your art line isn't connected to the VAMP system, which, in our post-op CABG pt, it's not because the art line is in place for about 18 hrs anyway( cost factor) then you're wasting about 10cc of blood each hour. The policy at my facility states that you're NOT supposed to give back the 10cc of blood that you're wasting. The VAMP system eliminates that waste, which is nice.

    Our CV surgeons are just now starting to put all of thier diabetic pts on the insulin protocol. Just the other night, I had two pt's both on q 1 hr blood sugars.
  2. by   angelique777
    Please explain what is a vamp again
  3. by   RoxanRN
    Quote from angelique777
    Please explain what is a vamp again
    The system we use has a syringe-like apparatus in-line. It can be attached to an art-line or CVL (even PICC/PILL if needed). When blood is needed for lab or whatever, you fill the syringe with the 'waste,' get your blood sample from the port and then return the 'waste' to the patient. The system is never open so it works for the JW patients and other bloodless therapy patients as well. It eliminates the need to waste 10ish ml of blood with each line draw. In patients with frequent labs, that adds up quickly and they are more apt to require blood products.

  4. by   ThumbzRN
    Our hospital uses the intesive insulin protocol 80-110 for post OHS patients and we also have VAMPS attached to our A-lines. We just use insulin needles to get a little blood for our accuchecks.