All IV Push insulin orders will be automatically converted to IVPB at order entry/verification.
Refrigerator item
High Alert Drug: Insulin (IV)
• Two RNs independently verify type & dose prior to administration. • Administered via IV pump; Not to be given by IV push for any indication.
High Alert Drug: U-500 Insulin
• Pharmacist confirms home dose with patient. • Electronic order entries are double checked by another pharmacist or RN. • U-500 insulin is stored in the pharmacy. • Scheduled doses are drawn up by pharmacy and double checked by 2 pharmacists or pharmacist and RN prior to dispensing. • Documentation log is completed by pharmacist.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
insulin regular (HumuLIN R) IV Infusion (NOT IV Push)
Y
N
N
N
Y
N
N
N
insulin regular (HumuLIN R) IVPB for Hyperkalemia Key: Order set
Y
Y
Y
N
N
N
N
N
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
insulin regular, human (NovoLIN R)
insulin regular, human (HumuLIN R)
Per policy, these hazardous drugs have special waste requirements.
Refrigerator item
• Administered via IV pump; Not to be given by IV push for any indication.
• Electronic order entries are double checked by another pharmacist or RN.
• U-500 insulin is stored in the pharmacy.
• Scheduled doses are drawn up by pharmacy and double checked by 2 pharmacists or pharmacist and RN prior to dispensing.
• Documentation log is completed by pharmacist.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV Infusion (NOT IV Push)
IVPB for Hyperkalemia Key: Order set