The first step in getting to where you want to go is knowing where you are.
*Is there a nurse driven standardized algorithm to guide clinical management of asymptomatic newborns at-risk for hypoglycemia at your facility?
*Current approach to management of the asymptomatic at-risk hypoglycemic newborn aligns with:
Pediatric Endocrine Society guidelines
Locally derived management protocol
*Is there an IV weaning protocol in your unit for infants who receive continuous IV therapy solely for the treatment of hypoglycemia?
These questions and more are serving as the basis for an intensive review of the current 'state' of care for hypoglycemia. Comparing that state with identified best practices is part of the baseline work teams are undertaking to identify possible areas of improvement and prepare for the work ahead.