Utilization of a Nurse Directed Insulin Drip Protocol for Tight Glucose Control in the Icu

Improvement of enteral nutrition in intensive care unit patients by a nurse‐driven feeding protocol

“…Delegation of certain tasks in intensive care treatment to ICU nursing staff has been performed successfully, e.g. in insulin therapy (Golden et al , ), sedation (Brook et al , ), daytime medical ICU care (Gershengorn et al , ) or out‐of‐ICU emergency care with rapid response teams (Berkenbosch and Campbell, ). It was also demonstrated that nursing leadership can improve hygiene (Goeschel, ).…”

“…In different settings ICU nurses have demonstrated their competency in partly taking over physician's tasks (Brook et al , ; Golden et al , ; Berkenbosch and Campbell, ; Gershengorn et al , ), such as ordering insulin or sedatives. Brook et al () showed a clear benefit with the nurse‐based approach.…”