Adult SQ Insulin Advisor. Be on the look-out for VUMC’s new subcutaneous adult insulin advisor Orderable in WIZ/HEO. Physician Driven, unlike the Insulin Infusion Protocol, which is nurse driven. Currently being piloted on cardiology service.
Currently being piloted on cardiology service.
Implementation for Medicine service schedule for Nov. 3rd.
Adult insulin advisor is an orderable item in WIZ/HEO that is done by the provider.
If a weight has not been entered into WIZ/HEO, the provider will receive a pop-up requiring them to enter one before proceeding.
Insulin requirement based on diabetes type, weight, and insulin requirement at home.
The advisor makes recommendations for basal and meal insulin amounts.
After completing steps 1, 2, and 3, the advisor makes recommendations for basal and meal insulin amounts.
Sliding scale automatically entered based on dosing level of insulin. **NEW CORRECTIVE SCALE IS ≤70 INSTEAD OF ≤60!
Only bedside testing, sliding scale, and IV D50 ordered automatically before using the advisor.
Only sliding scale dose and D50 are ordered. If provider wants to add a mealtime or basal dose, this must be done separately
Notice patient now has basal, mealtime, and sliding scale dose all ordered at once. Also, D50 and oral glucose gel automatically ordered.