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2. Basal Insulin, Meal, and Standard Screen will change and display units based on weight

1. Diabetes Type- - Gestational & Not Diabetic added - HgbA1C ordered if none in 90 days Dosing Level Defaults to Moderate Dose Trauma and SICU parameters will calculate sliding scale for nurse. Adult Insulin Subcutaneous Advisor. 1.

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2. Basal Insulin, Meal, and Standard Screen will change and display units based on weight

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  1. 1. Diabetes Type- • - Gestational & Not Diabetic added • - HgbA1C ordered if none in 90 days • Dosing Level • Defaults to Moderate Dose • Trauma and SICU parameters will calculate sliding scale for nurse Adult Insulin Subcutaneous Advisor 1 Changing selections on screen will update dose calculations 2 • 2. Basal Insulin, Meal, and Standard • Screen will change and display units based on weight • Glargine rounds to nearest 5 units for dose greater than 20 units • Custom dosing option • Default start date/time; “Now Dose” & custom start date options available • 3. Meal Insulin • Tube Feeding q6H and q8h options • Custom & Carb- Ratio option • 4. Sliding Scale • Calculated Scale • Hypoglycemia options for • IV D50W OR chewable tablets 3 4

  2. Adult Insulin Subcutaneous Advisor 5 • 5. Changes to “when to treat” parameters requires re-calculation of sliding scale • 6. Orders • A1c lab order • basal, meal, and scale doses • hypoglycemia options: • D50W • OR • Chewable tablets replaces oral gel 6 7 • 7. Updating Insulin Orders • - active orders will be discontinued when checked • -Continue to Subcutaneous Insulin Advisor to place updated orders

  3. Adult Insulin Subcutaneous Advisor 8 • 8. Prescreening form • Providers will receive latest lab information and meds that are relative to insulin ordering before modifying orders in advisor • 9. To proceed to the insulin advisor click “Continue” 9 For assistance: Call the HelpDesk at 34(3) HELP OR place an online HelpDesk ticket via the HelpDesk icon on a clinical workstation. lm

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