INSULIN DRIPS - page 2

I'm sort of taking a survey! Can anyone tell me what department (ICU, SDU, Med/Surg) you handle your insulin drips, and what is your patient ratio in that department? Also, any other related comments would be helpful! Thanks!!... Read More

  1. 0
    MedICU - DKA or anything that requires hourly checks (2:1)
    DOU - only if the MD's order is with titration (3:1)
    TELE - No titration need for patient and with specific run time (4:1)

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  2. 0
    Most of them end up in the MICU with a 2:1 ratio. If its short term they can be on the floor for 8 hours.
  3. 0
    ICU and 2:1

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  4. 0
    Any floor ratio of anywhere between 1:1-1:10.

    Hourly finger pricks with sliding scale.
  5. 0
    (Peds hospital)

    PICU only, 2:1 nurse : patient ratio MAX.
    If 1:1 - no admits for that RN, but can take over another nurse's patient to allow admits.
    Last edit by meanmaryjean on Aug 2, '13 : Reason: WP inserted a 'licking your lips' smilie - random!
  6. 0
    Med surg. We usually try not to have insulin drips on the floor because they are heavy workload when our ratios are 1:4 or 1:5.

    We have a pre-printed protocol, which starts with an insulin bolus based on blood glucose reading, followed by hourly-adjusted drip rate based on the bolus and bg readings. The required monitoring is stated right on the protocol/order sheet and we keep a copy on our (still paper) MAR to reference.

    We do try to send insulin drips to ICU for the workload rationale, but it isn't always possible when we only have 5 ICU beds.
  7. 0
    Medsurg, up to 5 pts with hourly blood sugar checks and titration at times... Blah!
  8. 0
    I work in Pennsylvania and on med-surg floor 1:5 or 1:6. High mark of Pennsylvania gives money to hospitals and insulin drips, crazy insulin coverages are all too common. I think it's unsafe and risky!
  9. 0
    ICU 1-2 BS checks per protocol anywhere from q15-q2h.

    Other medical floors and Step Downs have insulin gtts, but they have to be less than x units/hr and their blood sugars need to be relatively stable.


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