Hello!
My site is updating our hyperkalemia order set to help reduce hypoglycemia rates with IV insulin (regular). Our current order set doesn't have accuchecks built in, but it is recommended to monitor glucose every hour up to 6 hours. However, this is a sticking point with our ED nurses.

Does anyone monitor glucose Q1H for 4-6 hours, especially in the ED? How has it impacted workflow and throughput for admissions?

Thank you!
-Annie

We are experiencing a cardinal IV luer lock insulin syringe disruption. There is no equivalent substitution on the market. What is your hospital doing to give IV push insulin?
Options we are exploring include
- using a slip tip syringe with the friction fit technique
- pharmacy dispensing all IV insulin doses
- pharmacy making IV insulin "kits" with instructions for dilution and administration using a syringe in mL

I appreciate any insights into other institutions.
Thank you!
Emily