Perioperative Insulin Management Order Set Enhancements

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
  • Insulin Order Set and Order Panel Enhancements
A prior post describes Connect Care order sets that promote Basal Bolus Insulin Therapy (BBIT) best practices, and a move away from legacy intravenous insulin orders. Three Order Sets were recommended:
  • "Pre-procedure Management of Patients with Diabetes Mellitus, Adult"
  • "Post-procedure Management of Patients with Diabetes Mellitus, Adult"
  • "Basal Bolus Insulin Therapy (BBIT), Adult"
These include all related interventions (e.g., appropriate glucose testing), express Alberta's clinical practice guidelines respecting subcutaneous and intravenous insulin administrations, and align with national and international clinical practice guidelines and provincial Glycemic Management Policy suite.

It is recognized that there may be some situations in which intravenous, rather than subcutaneous, insulin therapy is clinically indicated. Accordingly, the pre-procedure Order Set has been enhanced to include an optional panel (which can also be used independently) to facilitate safe ordering of intravenous insulin therapy.