Hello all,

I hope you are well. I am writing to ask about insulin administration are your respective institutions. We have some rapid and short acting admin times in our EMR (EPIC) that default and they are consistent. What is not consistent is who administers - night shift nurse prior to leaving or day nurse immediately upon arrival.

The floors that have night shift do this say it is because they have been with the patient all night and are aware of how they are doing. They also want to ensure day nurse has ability to perform their own assessment prior to medication administration.

The floors that have day shift do it say they want to be sure morning blood glucoses are completed and they trays have been received prior to administering morning supplemental insulin.

Any standardized things you have at your institutions around this? Any information would be greatly appreciated. :-)

Jameika Stuckey, Pharm.D.
Medication Safety Manager
Univ of Mississippi Medical Center