A critique of sliding-scale insulinĪnother long-held tradition is use of the sliding scale for glycemic control in hospitalized patients, with insulin doses based on the patient’s blood glucose (BG) level. Only after scientific evidence was introduced were these traditions challenged and ultimately discarded. Keeping patients immobile in bed for many days after surgery led to increased postoperative complications. The tradition of nurses wearing caps was misguided the caps were bacterial breeding grounds. Another tradition worth keeping is the end-of-shift report, which promotes continuity of care.īut not all traditions benefit patients. These traditions have given us the foundational knowledge that the patient must be the focus of care and successful outcomes are essential to patient care. Health care and nursing are rich in traditions.
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