Double Checking subQ Insulin Requirement

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Hello fellow nurses!

I work at a step-down unit in a Southern California acute care hospital, where an RN has to seek another RN to double check a subcutaneous insulin dose (standard U-100 concentration) before he or she can administer the dose to an adult patient.

Do any of you work at a U.S. hospital or facility where nurses are NOT required to double check a subcutaneous insulin dose (standard U-100 concentration) before he or she can administer the dose to an adult patient? If so, if you don't mind, can you disclose roughly what region you work at?

Thank you very much for your help!

KT

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Specializes in Medical-Surgical/Float Pool/Stepdown.

Illinois. Level I Trauma, teaching hospital, Magnet certified...etc etc

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Thank you for your input, AJJKRN! Thanks for including that you're Magnet.

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Specializes in Med/Surge, Psych, LTC, Home Health.

Soooo.... you planning on moving across country just so that you don't

have to have another nurse double check insulin with you?

Or were you just curious? Making chit-chat?

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Soooo.... you planning on moving across country just so that you don't

have to have another nurse double check insulin with you?

Or were you just curious? Making chit-chat?

Hi NurseCard,

I ask because I need it in writing my thesis paper, my EBP project proposal to my hospital, and my application to my school's IRB. I'm aware of only a few hospitals in Southern CA that does not require double-checking before giving sQ insulin in adults. I was hoping I could hear from other RNs from all over the nation what their standard of practice is at their region.

So do you happen to have worked/work at such a hospital where it's not required? And if so, if you don't mind, can you describe roughly what region the hospital is at?

Thank you,

KT

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Specializes in Heme Onc.

Not required to double check insulin here. Level 1 Trauma, Teaching, Magnet, Pennsylvania.

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Not required to double check insulin here. Level 1 Trauma Teaching, Magnet, Pennsylvania.[/quote']

Thank you for your input, Oh'Ello! :)

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Specializes in critical care ICU.

Not required to check here.

Working in large urban hospital in central Maryland, teaching hospital on a step-down unit.

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Specializes in Short Term/Skilled.

I'm not required to do this in SC, and there truly wouldn't be time to flag down another nurse even if I were.

I'm on a sub acute rehab floor with 54 beds and 3 nurses.

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Specializes in Short Term/Skilled.

The local hospitals also don't have this policy from what I witnessed during clinical and when I worked as a CNA.

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Not required to check here.

Working in large urban hospital in central Maryland, teaching hospital on a step-down unit.

Thank you for your helpful input, kataraang! :)

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I'm not required to do this in SC, and there truly wouldn't be time to flag down another nurse even if I were.

I'm on a sub acute rehab floor with 54 beds and 3 nurses.

Hi Glycerine82,

Thank you for your help! It definitely sounds like a busy floor you're at that there wouldn't be time to flag down another nurse.Thanks!

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