Sliding Scale Insulin

How to Enter a Sliding Scale Insulin Order

1. Click on "Select Resident" under the "Resident" tab.

2. Select a resident.
3. Click on "Medications" in the "Medications" dropdown.

4. Click the "New Entry" button.
5. Fill out the form.
   • Note that it is important to understand how to enter a medication before entering in a sliding scale insulin order. See the "How to Enter a Medication" help topic for more information.
   • If you can't find certain information in any of the dropdowns on this form, check the "Setup: Medication System" form on the Community Record to see if the information is activated or not.
   • Make sure the "Vital signs must be taken with this medication" button is selected, and that the "Glucose Blood Sugar" button is also selected.
   
   • Click the "Use Sliding Scale" button.
     • Each of the segments correspond with a number field below.
     
     • If a number field isn't needed, click the X button on the top right of the field.
     • If an additional number field is needed, click anywhere on the sliding scale bar.
     
     • Click and drag a slider to move it, or click on a slider and use the keyboard arrow keys to move it.
     
     • For each segment, specify the unit number needed.
     
     • For instructions greater than or less than the sliding scale provides, use the text boxes below to specify those instructions.
     
   • The "MAR Scheduling" section of the form shows all the information entered into the sliding scale. The information is presented in an organized, easy-to-understand way.
   • Other MAR settings can be made here as well.
   
   • Make sure to enter the person who prescribed the medication.
   • If the prescriber's name isn't in the dropdown, it can be added by clicking on the "Add New Prescriber" button.
   
6. Click the "Save" button to finish.

Staff View of a Sliding Scale Insulin Order

1. Click on "Charting" under the "Charting" tab.

2. Click on the "Scheduled MARs" tab.

3. Select a resident.
4. Fill out the form.
   • For sliding scale insulin orders, an icon and Glucocheck text field will appear.
   
   • The sliding scale insulin instructions are clearly listed, ensuring the staff member understands them correctly.
   
   • When the glucose level has been entered, a "Sliding Scale Calculation" field will appear, prompting the staff member with the correct unit according to the sliding scale instructions.
   
   • If the glucose level is higher than the scale, a warning alert will pop up, giving the staff member instructions on how to proceed.
   
   • The quantity administered is entered in the "Qty Admin" field. Note that even if the quantity administered doesn't match the calculation, it should still be entered here.
   
   • Click on the "Options" link to enter in any notes, exceptions, or administration times.
   
   • Select the "Staff Signature" button.
5. Click the "Save" button to finish.

View Past/Completed MARs Per Resident

1. Click on "Select Resident" under the "Resident" tab.

2. Select a resident.
3. Click on "MAR" under the "Medications" dropdown.

• Click on the edit pencil to view the MAR information.

• Use the search bar at the top of the page to filter by date.

View All the Past/Completed MARs For the Community

1. Click on "Medication Reports" under the "Reports" tab.

2. Click on the "MAR (Search)" link.

• Use the search bar to pinpoint specific MARs.

• Click on the "Select" link of a MAR to view the MAR information.