Gave short acting insulin instead of long acting


So today I gave my patient her normal dosage but wrong insulin. She is supposed to get Lantus but I gave her a clear short acting insulin by mistake. I watched her for any signs of hypoglycemia but she had none. She had a snack and I watched her for 4 hours, she seemed fine. I reported the error to my head nurse. I am just so nervous that I hurt her or could have bottemed her out :crying2:

Jules A, MSN

8,863 Posts

Specializes in Family Nurse Practitioner.

It happens. :( Try to take it as a learning experience. Hugs, Jules

Specializes in LTC Rehab Med/Surg. Has 16 years experience.

I did it too. Immediately called the doc and threw myself on his mercy. It was a large dose of R instead of the 70/30 the pt had ordered. I had to start IV fld. It's the worst nursing memory I have. I could have killed this pt as the dose was given in the am just before I left. If I had not recognized my mistake I would have left and the day nurse may not have recognized s/s of hypoglycemia. It was a skilled facility and the pt was very confused. I always have another nurse check my insulin now.


28 Posts

Do you have a routine when giving meds?

I check the "5 Rs" - right medication, right patient, right route, right time, right dose... it is a good way to just double check and it becomes an instinctive part of giving meds.


394 Posts

Specializes in Cardiac.

good for you for admitting your mistake. It happens. You did all the right things, monitored for complications, gave her a snack, called the doc. Take it as a learning experience, but I'm sure you'll never make that mistake again!