Configuration Notice: Historical PCC workflows support supplementary documentation associated with medication administration. Exact blood-glucose, dose, calculation, and documentation fields vary by facility configuration.
1. The Sliding Scale Workflow
Obtain the ordered blood glucose measurement, review the resident's active insulin order/scale, determine and verify the ordered dose, administer according to the order and facility policy, and document using the fields available in that PCC configuration.
2. The Three-Lane Insulin Administration Model
🖥️ IN PCC (HISTORICAL UI)
- Open the scheduled sliding scale order in eMAR.
- Document the ordered blood glucose measurement and administered dose using available fields.
- Complete supplementary documentation and save/sign according to facility configuration.
🩺 AT THE BEDSIDE
- Obtain the ordered blood glucose measurement prior to administration.
- Coordinate insulin administration with meal timing according to the specific insulin order and facility policy.
- Perform independent verification when required by facility high-alert medication policy.
📝 DOCUMENTATION
- Document the obtained blood glucose reading and administered dose.
- Follow facility protocol when blood glucose values fall outside ordered parameters.
⚠️ Meal Timing
Coordinate insulin administration with meal timing according to the specific insulin order and facility policy.
NurseEXP Surveyor-Proof Documentation Check
- Blood glucose measurement is documented according to the active order.
- Administered dose matches the active physician order/scale.
- Orders are documented and resolved per facility eMAR workflow.
🧠 Knowledge Check
⚠️ Fictional NurseEXP training order — not a universal insulin protocol
Question: An active sliding scale order specifies 0 units for blood glucose under 150 mg/dL. Pre-meal fingerstick is 138 mg/dL. How should you proceed?
A) Leave the tile unchartered without documenting the glucose check.
❌ Leaving the tile unresolved leaves the clinical record incomplete.
B) Enter the blood glucose reading and document the administration outcome per the order and facility eMAR workflow.
✓ Correct! Recording the obtained glucose value and completing documentation according to facility workflow ensures an accurate clinical record.
Sources & Evidence Citations:
• Clear Choice / PointClickCare 2020 - Documenting Sliding Scale Orders in eMAR (Historical PCC UI)
• CMS State Operations Manual Appendix PP — High-Alert Medications & Insulin Safety
• Clear Choice / PointClickCare 2020 - Documenting Sliding Scale Orders in eMAR (Historical PCC UI)
• CMS State Operations Manual Appendix PP — High-Alert Medications & Insulin Safety
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