1. 0 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!!
  2. 18 Comments

  3. Visit  kelly sweeney profile page
    #1 0
    Slidding scale
  4. Visit  limaRN profile page
    #2 0
    ICU, up to 2 pts. We do hourly blood sugars on insulin gtts sometimes as often as every 1/2 hr if they're low. I do believe that our step down unit takes them as well.
  5. Visit  KBICU profile page
    #3 0
    Any unit (except the rehab floor) and depends on the unit ratio... 2:1 for ICU, 3-4:1 for ICU step down...varies for medsurg floors
  6. Visit  turnforthenurse profile page
    #4 0
    ICU, 2 patients, rarely 3 if they are short staffed. Blood sugars are done Q30min-Q1H. We *have* had patients on insulin drips come to my floor (PCU) with a max of 4 patients, with blood sugars still Q30min-Q1H but that is very rare.
  7. Visit  Jackie-RN profile page
    #5 0
    ICU - like the others, blood sugars Q1hr at a min.
  8. Visit  Sun0408 profile page
    #6 0
    For gtts, I have only seen them in the ICU where the ratio is 2:1 unless the pt is really unstable. We have had to check q15min up to q1h.
  9. Visit  ParvulusPuella profile page
    #7 0
    Progressive Care Unit, 1:4, q1h capsticks per insulin gtt protocol
  10. Visit  Lesley Cook profile page
    #8 0
    I cover med/surg, paeds,mid, onc, and ED. I have monitored patients on insulin infusions on most of these wards except paeds and onc. Normally we monitor patients hrly, and have a patient load of at least 4.
  11. Visit  DeLanaHarvickWannabe profile page
    #9 0
    I am medsurg and we can have insulin drips for up to eight hours but cannot titrate. This means hourly accuchecks and calling the doctor to change the rate. Our ratio is 1:5-6. This happens rarely for us because admitted true DKAs go to the ICU and rarely does an admitted patient develop DKA before having other issues that would warrant transfer to a higher level of care.
  12. Visit  Nurse_ profile page
    #10 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)
  13. Visit  Klaf profile page
    #11 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.
  14. Visit  tazz_rn profile page
    #12 0
    ICU and 2:1

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