Hypoglycemia management in hospital is challenging for health professionals. Diabetes educators observed that our 2004 hypoglycaemia treatment protocol was not being followed, with insulin omission post hypoglycaemic events often occurring. We hypothesised that introducing an updated policy and an extensive education program could improve care. Aims: To evaluate current nursing management of in-patients with hypoglycemic episodes, and assess whether an educational intervention would improve nursing management. Methods: A retrospective audit of hypoglycaemia treatment from 01/09/2010 to 28/02/2011, and availability of appropriate hypoglycaemia treatment. Thence, introduction of revised protocol with educational interventions for all nursing staff: ward education and at orientation on hypoglycaemia management and treatment, laminated flow chart on hypoglycaemia treatment (2011 policy) on all hospital bed charts(433), an email linking to the hypoglycaemia protocol. Evaluation: feedback form for nursing staff regarding their experience using the latest hypoglycaemia protocol, and periodic review of progress notes at three and twelve months post implementation of education interventions. Results: The retrospective audit confirmed that ward staff rarely adhered to policy. Hypoglycaemia kits were not available to all staff, hence new kits introduced to all units. 230 nurses attended education sessions. Forty feedback forms were received with no-one reporting any problems following the new policy. On 7 occasions doctor’s instructions did not follow policy. The Table shows results of the initial and 3-month post implementation audits.

Conclusions: Ongoing education for all health professionals in a hospital setting is essential for better adherence to policy. Some three month review audit findings are disappointing.