How do you do double check insulin in an isolation room and scanning?

Nurses General Nursing

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If you have bedside medication barcode scanning, how do you do your insulin?

This is our process: We get the insulin out of the pyxis, take into room, scan patient and scan meds. Draw up insulin and Vocera a co-signer to come in and double check and co-sign.The vile is then wiped down and placed back into the pyxis.

I get the idea of taking a vial into an isolation room..but how to fix.

Managements idea: Draw up insulin in pyxis room that is checked against the computer in that room with a co-worker. The co-worker would then sign right there the insulin is drawn up correctly. Nurses are having a fit, because to make sure it's the right patient, that particular nurse will have to then follow the person in the room and double check again..

Management says there is no need to check the patient with the injecting/primary nurse.

Uhh hello! I'm not going to co-sign in a pyxis room and then let some nurse go waltzing down the hallway to inject God knows who, so yes, I would have to follow them.

So..what do you do?

Specializes in Certified Med/Surg tele, and other stuff.

Keep the ideas coming everyone. The ones that might work for us, I'm taking to the next meeting.

Specializes in ER, progressive care.

Where I work, we are not supposed to take the vial out of the Pyxis to bring to the patient's room. We have insulin labels that we use to label our syringes so that is what we scan with. Insulin needs a witness and will need a cosigner...we witness the dose in the med room, scan our meds including the insulin and then we cosign.

If you bring the vial in and out of patient's rooms (including isolation rooms) that is an infection risk, especially since they are multi-dose vials....

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