Continuous Glucose Monitoring Integration With Electronic Medical Record

Continuous Glucose Monitoring Integrationwith Electronic Medical Records By Florencia Alvarado & Gregory Baez

To reduce morbidityand mortality among the critically ill especially postoperative cardiovascular patients (Breithaupt, 2010).

Tight glycemic control for post cardiac surgery has been linked to a reduction in deep sternal wound infections (Kramer et al., 2008).

Monitoring and charting can significantly add to the time the nurse is devoting to one task while inadvertently neglecting others (Westbrook, Duffield, Li, & Creswick, 2011)

• Bluetooth wireless data transfer to higher intervals.

• FDA approval in 2006

• 1 high alarm and 2 low alarms

• Glucose numbers displayed every 5 min.

• 20 feet range

• Can be utilized with any glucose monitor

• Dexcom studio computer software

• Glucose data review: Last 24 hours

• High and Low Alarms with unique sounds

• 7 day sensor life

• FDA Approval 2013

• Start-up initialization time: 2 hours

• Display glucose numbers every 5 minutes

• 6 feet range

• Software: Medtronic CareLink Online

Additional purchase required: Software to upload information

• High and low alarms

• Wireless capability

• 7 day sensor longevity

• E.M.R. Interoperability

180mg/Dl

Glucose level for critcally ill patients (Finfer et al., 2009).

• 7 day sensor life

• 24 hour data review of data

2

For the roll out of this equipment there will be no testing for critically ill patients. Research has shown that CGMS are equally as safe and effective as point of care glucose measurements for critically ill patients while also reducing nursing workload and daily cost (Boom et al., 2014).

ICU Nurse

Surgical/

Critical Patients

Surgeons

Sensor failure is the biggest risk associated with the implementation of CGM. Sensor failure can occur and in this case the monitor will prompt the patient to remove the sensor and havea new one installed.

1

3

6

4

CGMS have been shown to be more effective in detecting early hypoglycemia in critically ill patients compared to point of care accu-check(Westhoff et al., 2010)

Integration

45 - 180

days

5

Precise blood glucosemanagement ofcritically ill /surgical patientsis of theutmost importance