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I’m trying to find out how many states have an online registry for nursing/license verification. If any of you live in a state that has that or know of one, would you mind sharing which state and what info they share? Thanks!

Thank you both! Some patients are given a separate bolus insulin with meals. The sliding scale usually just says "to be given with bolus insulin at meals" but not everyone has bolus insulin. Is it common to use humalog as a correction insulin without meals? I was always taught humalog is given when a tray is in front of the patient. edit for spelling errors...autocorrect 😤

Hi everyone, I'm hoping to find out what other tertiary care hospitals do for their sliding scale insulin. I've worked at the same hospital since becoming a nurse, so I want to see what other hospitals around the country do. At my hospital, if a pt is on QID sliding scale insulin, it's timed for 0730, 1130, 1630, 2230. It's up to the MD to decide what the coverage will be i.e. humalog vs humulin. My hang up with it is it seems like we don't really do it at meal times. For example, I was taught that we do finger sticks in the AM on night shift (so usually around 0500 or 0600) and provide insulin coverage if needed. This is regardless of if the pt is eating breakfast soon or not. However, this doesn't make sense to me, especially when giving humalog. If anyone could share their experience, I'd really appreciate it. Also, if anyone knows of any evidence based publications on the topic, I'd appreciate that as well. Thanks!