2 Nurses needed??? - page 7

We are having a "dispute" of sorts at our small hospital. For the longest time, we have not had a policy that 2 nurses had to verify amount/type of drawn up Insulin and Heparin. Many people think... Read More

  1. by   GPatty
    Oh my goodness....we have never had anyone double check (although I think it woud be a wise idea).
    Heck! I can't even get the nurse going off duty to count narcs with me!!!!
  2. by   healingtouchRN
    safety first, I know how tired I get & it keeps me safe!
  3. by   Texagain
    We verify too. Not just the syringe, but the order in the chart, the MAR and the bottle(s) for insulin with the syringe in it. It's better than making a mistake.
  4. by   celestlyn
    In my small hospital, we had that policy until about 6-8 months ago. The rest of the floors in the hospital had changed and were no longer requiring 2 nurses to verify doses on insulin. Our floor was the last to change.
  5. by   canada
    At my facility, a LTC with 300 beds. We do not check any drug with another nurse unless its a narcotic. We use insulin pens for all insulin doses. RPNs give the majority of insulins and heparin is given by RNs. If you can find another RN to verify a dose you would be indeed lucky.
  6. by   ucavalpn
    I work in HH . I often pre-fill insulin syringes for my pt's. 1-2 weeks at a time. When I was working on the units I did often ask another nurse to double check .
  7. by   Rustyhammer
    I think the practice began when there was U-80 and U-100 insulins and the double check was to confirm the dosage of that.
    I haven't seen anyone double check insulin with another nurse since I don't know when.
    It is unecessary I think.
    -Russell
  8. by   purplemania
    Used to be practice, not policy, until a new nurse gave insulin in a TB syringe. Don't have a policy on 2 nurses regarding SQ heparin though.
  9. by   cathy949
    Strict policy in our hospital that all medications are double checked.
  10. by   kmrmom42
    Originally posted by CougRN
    Do you all mean like in nursing school when your instructor looked at your syringe to insure you were giving the right drug and right amount? If so, wow, no this is not done where i work. Hopefully by the time you are a RN you can learn to give drugs without help.
    Even in nursing school it was made clear to me that this was not something being done just because I was a student. I was taught that this was appropriate in all situations due to the small dose and syringe. In our facility we do this and we also double-check other things like all neonatal meds, IV meds we mix ourselves and some rarely used meds.
    I don't know how old you are but I am tempted to say "Wait until you are in your late forties like me and see how silly you think this is! The eyesight begins to fail!!"
  11. by   caregiver11
    This issue has been brought to light due to JCAHO recommendation on medication safety. Check out the JCAHO website.
  12. by   WhiteCaps
    We co-sign insulins & heparin tho it seems very "old school" to me also.
    I double check dosages but we don't go to the bedside to be sure it's given to the right pt! Gosh! I hadn't thought before of the legal responsibility there!

    Who's there when I'm setting up a PCA, Nitro or Natracor drips??
    Shhhhhhhh! Don't anyone tell JCAHO what other meds we pass!

    Hey, if they are REALLY concerned about reducing med errors, why don't they regulate staffing better so we're not so over-worked that mistakes are made?
  13. by   sbic56
    I get so tired of hearing about JCAHO certification and how great it is. IMHO it doesn't improve patient care and only increases our workload with it's requirements, making our jobs even more stressful and difficult. Just a worthless status symbol and bunk to me. Adequate staffing is the only answer.

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