To improve safety with insulin use, the following policy has been approved by the P&T Committee:

1. Allow pharmacists to automatically implement the ADULT Hypoglycemia Orders, if not previously ordered, for adult patients receiving the following:
1. Scheduled insulin
2. PRN insulin
2. The pharmacist would enter the ADULT Hypoglycemia Orders into iCare, using the Per Protocol order mode, under the name of the provider who ordered the insulin.

Approved to round DOWN to nearest whole unit if calculations result in dose in fractions.

Insulin glulisine is automatically interchanged unit for unit to insulin lispro.

Patients with orders for the hospital’s adult sliding scale insulin order set have orders to implement the hospital’s hypoglycemia orders. However, some patients have orders for scheduled or PRN insulin without use of the sliding scale insulin order set. These patients may not have PRN orders for treatment of hypoglycemia.

• Micromedex
• UpToDate
• Lippincott Advisor