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My facility (Med/Surg in a medium sized facility) uses shared vials that you use to pull from in the med room. We keep 1-2 vials of each type of insulin that everyone on the floor pulls from. We draw up in the med room, have another nurse co-sign and then put them back in their respective tray. I've never seen it done any other way, and I'm curious what other facilities do.
My facility (Med/Surg in a medium sized facility) uses shared vials that you use to pull from in the med room. We keep 1-2 vials of each type of insulin that everyone on the floor pulls from. We draw up in the med room, have another nurse co-sign and then put them back in their respective tray. I've never seen it done any other way, and I'm curious what other facilities do.
We do it this way also.
Wow OP, this must be expensive and wasteful for the pt and hospital.
We have multi dose vials in the Pyxis everyone pulls their insulin from. They tried to switch to single use pens, one per patient, the another hospital in the area had a problem with multiple patients getting injections from the same pen, which is a cross exposure, so they ditched that plan.
My facility (Med/Surg in a medium sized facility) uses shared vials that you use to pull from in the med room. We keep 1-2 vials of each type of insulin that everyone on the floor pulls from. We draw up in the med room, have another nurse co-sign and then put them back in their respective tray. I've never seen it done any other way, and I'm curious what other facilities do.
Our facility does this as well.
Sunshine716
13 Posts
So, I'm working at this new facility and I've been a nurse for 12 years agency, ICU, PACU, etc. The new charge nurse I'm working with today looked at me like I was crazy when I asked her if we pull the regular insulin out of a shared vial in the pharmacy and return it (not bringing it into the patient's room, etc)- like I've done at many places.
She said, "oh no, no one has 'shared' vials of insulin anymore for the past ten years". That's ancient. Everyone is given their own vial of insulin (this is for outpatient surgeries in preop- patients that will literally be at the facility for no more than 3 hrs).
I know many places I had worked at we would only pull the 2 units in the pharmacy (or out of the pyxis), have it cosigned, and not waste an entire bottle for a couple units. Am I crazy? Everyone was backing her up and I felt like I was on another planet!
How does your facility do it? Is it a big hospital, outpatient, etc? Where can I find new protocols for multi-dose vials?
Thanks everyone!