GO LIVE march 1, 2023
Summary
To improve patient safety, two new Powerplans have been created for admitted patients who will continue using their own insulin pumps. These orders are called Continue Insulin Pump and Discontinue Insulin Pump.
New workflow
1. Patient presents for admission with their own pump. The nurse will document this in their head-to-toe assessment under medical devices. This will fire a task for them to complete the Admission Insulin Pump Assessment.
2. Within the Admission Insulin Pump Assessment, nurses will complete the Patient Competency Check Powerform, ensuring they meet the criteria to continue using their insulin pump. Second, nurses will complete the Patient Insulin Pump Assessment Powerform. The patient must also complete three documents regarding their continued insulin pump use.
3. If the patient meets all necessary criteria, the provider places the Continue Insulin Pump Powerplan.
4. The nurse will complete the Patient Insulin Pump Assessment Powerform once per shift during the patient's stay.
5. If the patient needs to be taken off of their pump for any reason, the provider will discontinue the Continue Insulin Pump Powerplan and place the Discontinue Insulin Pump Powerplan.
New PowerPlans
Patient unable to use insulin Pump inpatient:
Patient is in DKA, SI, or an Altered Mental State
If the patient meets any criteria deeming them unable to manage their own pump
*The PowerPlans will automatically be taken off for any traumas or if the patient is not conscious on arrival*
