Specialties Critical


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!!

Specializes in Intensive Care.

ICU and 2:1

Sent from my iPhone using

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.

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.

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!

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.

+ Add a Comment