2 Nurses needed???

  1. 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 it's "old school" and not done any more while others think it is still a standard of care. We do not have a specific written policy although are working on one. What do you think? What is the policy at your hospital? Any comments would be much appreciated.
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  2. 104 Comments

  3. by   ShandyLynnRN
    I actually am not sure if it is policy at our hospital, but I always call a second nurse to verify insulin. I actually didn'ty know that heparin required two nurses, but I rarely give it, so I always double check with another nurse, just to make sure I have calculated right.

    I also do this for any med given to a neonate or child.
  4. by   MPHkatie
    It is a very very strict policy at our hospital (850 bed level one trauma etc).
    It is a bit old school, as we don't have to verify other, just as dangerous medications, but we definitely sign off on both. perhaps we are a bit paranoid, but we also sign off on bizarre medications such as protamine sulfate, which are only given once in a blue moon.
  5. by   sunnygirl272
    strict policy at the hospital at which my mom works...
  6. by   FullMoonMadness
    Very strictly enforced at my hospital. I think it is a good practice as I have seen several near misses averted due to the second pair of eyes.
  7. by   ayemmeff
    Originally posted by FullMoonMadness
    Very strictly enforced at my hospital. I think it is a good practice as I have seen several near misses averted due to the second pair of eyes.
    Ditto!
  8. by   Sarah, RNBScN
    Insulin, heparin and paed(S) narcotics are double checked in our facility (ER/hospital policy).

    Nothing wrong with safety....
  9. by   jayne109
    Some of the nurses don't like getting verified but we all do it with insulin. We don't with heparin, though at our hospital. I like getting verified because our syringes are hard for everybody to read anyway so it is good to get a second set of eyes to see if I am seeing what I need to see.
  10. 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.
  11. by   MishlB
    Not old school. just smart! It's not about knowing how to give drugs, but possibly making a mistake in drawing up an amount, especially with insulin syringes...those tiny lines are SO hard to see when you are tired!! A simple check from another nurse can save lots of trouble later. CougRN...you might want to check your facility policy, just in case, and it's not about being an inept nurse.
  12. by   ayemmeff
    Originally posted by MishlB
    it's not about being an inept nurse.
    No,it's about being a smart one,Mish. Well said!

    Ever heard the saying "Pride comes before a fall." Coug??
  13. by   cbs3143
    There are reasons for these policies. Part of being a "good and competent" nurse is not being afraid to ask a co-worker to double check you, especially with medication doses. If a hospital has a policy that a nurse doesn't feel is worth following, and something bad happens, they'd better hold onto their a$$ because it's going to get rough.

    My facility used to require a double check of Heparin doses, and still does require double-checking of insulin doses. We often ask another nurse to double check other drug calculations. It is not a sign of being incompetent, it is a sign of caring, making sure you get the correct dose for your patients. I have double checked other nurses when they've had a question or felt uncomfortable with a dose calculation, and they have double checked me. It's just good nursing care.


    Chuck
  14. by   nightingale
    It is done at some of the hospitals I work Agency in. I am all for a second set of eyes and an extra signature. A lot of nursing is documenting and CYA.

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