Figure 3.

Epic workflow for insulin management. This workflow is shown for only one insulin type (basal insulin), but the same workflow would apply to nutritional insulin. Orange boxes indicate best practice approach (recommended) in which clinicians complete the SQ insulin decision support tool prior to entering insulin doses. Blue boxes indicate alternative approach which bypasses the SQ insulin decision support tool. Disch, discharge; FYI, for your information; MAR, Medication Administration Record; POCT, point of care testing; SQ, subcutaneous; TPN, total parenteral nutrition. *If SQ decision support tool not completed, this section remains blank in the order “summary report” (see Figure 5).