Clinical DIMENSIONAchieving Tight Glycemic Control With New Technology The Role of the Advanced Practice NurseHowell, Soo J. BS, ACNP-BCAuthor Information Soo J. Howell, BS, ACNP-BC, is an acute care nurse practitioner for the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital, Chicago, Illinois. The author has more than 7 years’ telemetry and cardiothoracic intensive care experience. The author has disclosed that she has no significant relationships with, or financial interest in any commercial companies pertaining to this article. Address correspondence and reprint requests to: Soo J. Howell, BS, ACNP-BC, 4621 River Dr, Lisle, IL 60532 ([email protected]). Dimensions of Critical Care Nursing: November/December 2012 - Volume 31 - Issue 6 - p 322-329 doi: 10.1097/DCC.0b013e31826bc6c1 Buy Metrics AbstractIn Brief Cardiac surgery remains one of the most commonly performed surgeries in the world. Intensive insulin therapy has shown to reduce infection in patients undergoing open-heart surgery and is considered standard of care. New technologies are available to achieve and maintain recommended blood glucose goals. These include computer-driven intensive insulin protocols (vs paper-based algorithms) and continuous blood glucose monitors. Managing tight glucose control in cardiac surgery patients has been shown to decrease costs in terms of measurable outcomes including infection, mortality, and length of stay. The advanced practice nurse is uniquely qualified to implement new technologies and can be instrumental in increasing compliance with clinical practice guidelines while decreasing hospital costs. Managing tight glucose control in cardiac surgery patients has been shown to decrease costs in terms of measurable outcomes. This article discusses how an advanced practice nurse can help determine the best methods to manage tight glycemic control. © 2012 Lippincott Williams & Wilkins, Inc.