INSULIN DRIPS

Specialties Critical

Published

  • by mombuxx
    Specializes in Med/Surg and Critical Care Stepdown.

You are reading page 2 of INSULIN DRIPS

tazz_rn

9 Posts

Specializes in Dialysis, ICU, PCU.

ICU and 2:1

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Bringonthenight

310 Posts

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

Hourly finger pricks with sliding scale.

Specializes in NICU, ICU, PICU, Academia.

(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.

SaoirseRN

650 Posts

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.

bostonrnbsn

14 Posts

Medsurg, up to 5 pts with hourly blood sugar checks and titration at times... Blah!

Specializes in Pain, critical care, administration, med.

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!

SwansonRN

465 Posts

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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