s-q insulin question - please help - page 2
At my hospital, we are considering dropping the second nurse to check a sub-q insulin administration. If you work at a hospital that does not require you to have a second nurse check the sub-q... Read More
Apr 22, '08Occupation: Registered Nurse Specialty: 3 year(s) of experience in Float ; Joined: Apr '05; Posts: 651; Likes: 62We don't do double checks. But if I'm drawing a large amount I always draw up at bedside so to confirm with the patient. Ie. drawing up 50 units Lantus. I'm terrified of being in a hurry and drawing up 50 units regular by accident. So I do it very slowly and carefully and explain to the patient what I'm drawing up for them.
Apr 28, '08Joined: Apr '08; Posts: 5; Likes: 3I agree tweety. We have to get over ourselves. The double check is not about whether or not our co-workers trust us or our nursing skills. It is about patient safety. If your policy is to double check then do it right.
We do not double check insulin. If I am giving an exceptionally large dose I always request that another RN check my orders/calculations etc.
As a side note, during my directed study in nursing school, the hospital I was at stopped doing the two person check on insulin because insulin related med errors actually increased with the double check system.