Hypoglycaemia bundle.
| Hypoglycaemia bundle—interventions to improve treatment of HGE | |
| 1 | Standardisation of treatment (glucose gel, intravenous dextrose or intramuscular glucagon) |
| 2 | Dextrose administration by nursing staff without requirement for physician orders and Pyxis MedStation alert to check follow-up FS after treatment |
| 3 | EMR order set for insulin regimen: basal and bolus correction and automated hypoglycaemia order set |
| 4 | Automated physician notification immediately after HGE to reassess risks |
| 5 | After two HGEs, automated best practice advisor on EMR with recommendation for endocrine consultation |
| 6 | Standardised hypoglycaemia management protocol: laminated card attached to staff ID badge |
| 7 | Education of nursing staff and inpatient medical teams |
EMR, electronic medical record; FS, finger stick; HGE, hypoglycaemic event.