Add a Sliding Scale to an Insulin Order

Toggle the sliding scale option when adding a medication

1. Open the Resident Medication List

   • Navigate to the EMAR medication list to begin adding the insulin order.

2. Add a New Medication

   • Click on "Add Medication."
   • Type the first few letters of the medication name (e.g., Glargine).
   • Select the correct medication from the list.

3. Enter Medication Details

   • Choose the correct administration route (e.g., subcutaneous).
   • Input the drug strength (e.g., 100 units/mL).
   • Set the medication type to "Injection Solution."

4. Set the Sliding Scale

   • Click on the "Sliding Scale" option.
   • Define the dosage based on blood glucose levels:
     • If less than 100, give 0 units.
     • If between 101-150, give 1 unit.
     • If between 151-200, give 2 units.
     • Continue adding ranges until reaching the highest level.
     • If greater than 501, give 9 units and call the MD.

5. Confirm Frequency and Instructions

   • Select the frequency as per the order (e.g., three times daily).
   • Input any specific instructions for administering the insulin.

6. Save the Order

   • Click "Save" to finalize the sliding scale setup.

7. Administer Insulin in Med Pass

   • During med pass, check the blood glucose level.
   • Based on the result, the system will indicate the appropriate insulin dosage.
   • Administer the insulin and document the injection site.

8. Pharmacy Orders and Sliding Scale

   • Pharmacy orders will not include a sliding scale automatically.
   • If you receive a pharmacy order, manually enter the sliding scale following the same process.

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