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      Add a Blood Glucose Check or Insulin Order

      Creating a blood glucose (blood sugar) check order and creating an insulin medication order

      FAQ: I need to add blood sugar readings with a glucometer into MAR, I need to be able to track the results every time. Also need to track the insulin injection site

      Part 1: Creating a Custom Blood Glucose Check

      1. Navigate to the EMR Module

      • Go to EMR > Medication List.

      • Click Add Medication.

      2. Add a Custom Medication for Blood Glucose Check

      • If integrated with a pharmacy, you may see an entry like True Plus 33G Lancets — you can use this.

      • If not, manually create a custom entry:

        1. Click Add Medication.

        2. Enter Drug Name: Check blood glucose.

        3. Set Drug Route: Custom or Not Applicable.

        4. Set Dose: 1.

        5. Set Strength: Check.

          • Reason for This: Allows you to define an action instead of a measurable dosage.

        6. Set Drug Form: Custom.

        7. Add Instructions: Write clear instructions like Check blood glucose using fingerstick before breakfast.

          • Reason for This: The system's auto-generated text like "Take one custom QD one time daily custom" is nonsensical and must be customized for clarity.

        8. Set Reason for Use: Diabetes or Glucose check.

      3. Set Frequency and Health Monitoring

      • Set Frequency: e.g., One time daily (match the provider's order).

      • Scroll down to Restrictions.

        • Check Health Monitoring.

        • Select Blood Glucose.

        • Do not check “Hold order” — this entry is for monitoring only.

      4. Save and Verify in MedPass

      • After saving, go to MedPass.

      • You’ll see the Check Blood Glucose entry.

      • Select the Blood Glucose vital.

      • Enter a value and click Save.

      • Click Given, then Save again.

      • Optionally, enter location details (e.g., Left hand).

      Part 2: Adding an Insulin Order

      1. Navigate to Medication List and Search for Insulin

      • In EMR > Medication List, click Add Medication.

      • Search for and select Insulin.

      2. Complete Medication Details

      1. Drug Route: Subcutaneous.

      2. Strength: 100 units/mL.

      3. Drug Form: Injection, solution.

      4. Frequency: One time daily.

      5. Start Date: Select Today.

      6. Time of Administration: e.g., 10:00 AM.

      7. Dose: e.g., 0.20 mL for 20 units.

      8. Reason for Use: Diabetes.

      3. Configure Health Monitoring and Hold Conditions

      • Under Restrictions, enable Health Monitoring.

      • Select Blood Glucose.

      • Configure hold conditions (e.g., Hold if glucose <100 mg/dL).

      4. Save and Document Administration

      • Save the order.

      • Go to MedPass.

      • Record current blood glucose level if needed.

      • If values justify insulin, click Given.

      • Enter injection site (e.g., Left abdomen around 40 area).

      Notes and Best Practices

      • Instructions Field: Always revise the default text. The autogenerated instructions often do not make clinical sense and must be rewritten for accuracy.

      • Health Monitoring Link: Tying a medication or order to a health monitoring vital ensures the value is recorded at administration, improving documentation and oversight.

      • Site Documentation: Entering where the injection or fingerstick was performed improves tracking and complies with nursing best practices.


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