| Date | Site of audit | Number of entries submitted | Plan to use insulin sliding scale clearly… | Sliding scale prescribed on correct dedicated… | Patient identifiers present on the form? | Ward documented on the form? | Intermediate or biphasic insulin dose correctly… | Scale for short-acting insulin correctly selected… | Is it recorded if patient is on oral anti-diabetic… | All selected insulin prescriptions signed? | Prescriber identifiable? | Blood glucose readings documented four times a day… | Each documented blood glucose reading signed? | Anything else observed? |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 23/10/2025 | Frere Wards | 10 | Yes:10 No:0 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:9 No:1 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:0 No:10 |
Yes:7 No:3 |
Yes:0 No:10 |
Yes:5 No:5 |
Yes:8 No:2 |
Signature and prescriber number used for signing insulin prescription, New page of sliding scale not signed by Dr |
| 21/02/2024 | Frere Wards | 10 | Yes:6 No:4 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:8 No:2 |
Yes:3 No:7 |
Yes:7 No:3 |
Yes:7 No:3 |
Yes:9 No:1 |
Yes:8 No:2 |
Selected the insulin and did not date . |
| 06/12/2023 | Frere Wards | 10 | Yes:3 No:7 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:6 No:4 |
Yes:6 No:4 |
Yes:7 No:3 |
Yes:1 No:9 |
Yes:8 No:2 |
Yes:3 No:7 |
Yes:7 No:3 |
Yes:10 No:0 |
Pt was only on sliding scale, no longer acting insulin. Many days where was not recorded 4 times in a day, No date on initial glucose readings, Everything done on first form, but nothing filled on continuation although insulin still administered |
| 29/06/2023 | Frere Wards | 10 | Yes:1 No:9 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:7 No:3 |
Yes:7 No:3 |
Yes:10 No:0 |
Yes:1 No:9 |
Yes:6 No:4 |
Yes:2 No:8 |
Yes:8 No:2 |
Yes:10 No:0 |
|
| 27/04/2023 | Frere Wards | 10 | Yes:10 No:0 |
Yes:10 No:0 |
Yes:10 No:0 |
Yes:9 No:1 |
Yes:6 No:4 |
Yes:9 No:1 |
Yes:1 No:9 |
Yes:10 No:0 |
Yes:4 No:6 |
Yes:10 No:0 |
Yes:10 No:0 |
only on short acting insulin, form not signed, form not signed, only on short acting insulin, Form not signed, Patient only on short acting insulin |
