We have seen a recent up-trend in hypoglycemic events for patients when subQ insulin was continued after tube feeds were held. Under our current practice we have note in the admin instructions for nursing to “hold subQ insulin if tube feeds are held” for these situations. We are hoping to add additional safety measure to encourage providers to hold insulin orders when tube feeds are held and/or draw nursing attention to this practice. I am looking for any other ideas or solutions that other institutions have implemented that may be helpful. Thank you in advance!

Kara Thornton - UVA Health
Medication Quality, Performance Improvement, and Safety Pharmacist
krp4h@uvahealth.org