2. Subcutaneous Insulin Order Set arawn@gbhs.on.ca

3. Order Sets and Pathways Grey Bruce Health Network (GBHN) is a collaboration of 3 corporations, CCAC and Public Health Grey Bruce Health Services – 6 sites Hanover and District Hospital – 1 site South Bruce Grey Health Centre – 4 sites Evidence Based Care Program has 10 pathways and almost 120 order sets and protocols Order Sets are “owned” by the physician Pathways/Doc in Plan “owned” by the nurses

4. Order Sets are a TOOL for the physician and can only be implemented by the physician Orders not required can be stroked out, while other orders can be added Pathways/Doc in Plans are TOOLS for the nurses Nurses can implement these without a physician order and critique the care based on the individual patient Both are based on best practice, practice guidelines, and are evidence based where evidence is available

5. Change How can we change what we do to effectively have a direct impact on patient outcomes? Is it possible to change habits?

6. http://www.youtube.com/watch?v =2lXh2n0aPyw

12. Hypoglycemia Clinical Protocol

17. Andrea Rawn EBC Program Co Ordinator Education Co Ordinator Evidence Based Care Program arawn@gbhs.on.ca