We recently had an event at my hospital in which nutritional insulin for tube feeds was incorrectly given when tube feeds were interrupted resulting in a hypoglycemic event. Currently our workflow relies on a manual process involving the changing of a colored placard on the patient IV pole when tube feeds are held. We would like to make this workflow more resilient possibly utilizing our EMR system, we have EPIC. I would greatly appreciate hearing how other institutions handle this. Thank you!
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