Hello all,

I just wanted to reach out to those institutions that have HIET protocols and use a more concentrated insulin infusion concentration (e.g., 10 units/mL) for those patients, and ask what safety measures do you have in place to help minimize the opportunity for errors with regards to the standard 1 unit/mL concentration in your hospitals.

Looking forward to any feedback.

Thanks
Jameika Stuckey
Univ of Mississippi Med Ctr

Does anyone have experience using the higher concentration of 5 units/ml IV bag for managing patients with CCB or BB overdose? What processes have you put in place to prevent errors with administration via the pump?
Do you have facilities that do not have 24 hour pharmacy coverage and do you allow nursing to mix this when pharmacy is closed?
Do you allow this therapy to be initiated at stand alone EDs?