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Discussion

double checking insulin

hello everyone, i am a new graduate LPN and recently started a job in home healthcare..my question is... we have an order on a client for 10 units Humulin NPH at 8:00 am and sliding scale Novolin R coverage as needed per blood sugar checks 4x daily.. .i saw logged that a nurse gave 10 units Novolin (or documented wrong) rather than Humulin.. i reported it to supervision..but follow-up at this agency seems lacking to say the least..checked drug book and internet...if she really gave 10 units of Novolin rather then Humulin would the patient have shown abnormal symptoms during the day?? thanks for any input..i have such new nurse nerves!!

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and a blood glucose level of 156 is really not a big deal...

when its over 400 or under 50... thats when you need to sweat it....

:cool:

True. But still they can't just skip a scheduled med. As much as I would like to save my patients a poke when I have to inject one measly unit, I must follow the protocols.

  • Experts

Just wanted to add to the OP: remember to document the details of the call you made to your agency regarding the incident and keep a copy of this for your own records. Any time you report a discrepancy, you need to document it for yourself as well as the agency. Also document any follow-up. When the agency gets the original copy of your documentation, then they will know that you are not just talking to them to hear yourself talk. What action they do or do not take is not your responsibility. But at least you will have a copy of the paper that states that you informed your supervisors. This is for your own protection, should anyone question your actions in the future.

yup yup nancy.. they should NEVER skip a scheduled med...

i never said that they should...that would be wrong...

:cool:

oh... and nancy is right... lovenox should NEVER be administered IM... that order was written wrong..... lovenox is a form of heparin... very good at dvt prevention....

its not TPA... its not a clot buster.... but... it does *thin* the blood...

listen to nancy... she knows what she is talking about....

:cool:

yup yup nancy.. they should NEVER skip a scheduled med...

i never said that they should...that would be wrong...

:cool:

I know, didn't think you were advocating skipping meds. Just wanted to clarify.

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