Double Checking subQ Insulin Requirement

  1. 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
  2. Visit KTakami25 profile page

    About KTakami25

    Joined: Mar '17; Posts: 14; Likes: 2

    20 Comments

  3. by   AJJKRN
    Illinois. Level I Trauma, teaching hospital, Magnet certified...etc etc
  4. by   KTakami25
    Thank you for your input, AJJKRN! Thanks for including that you're Magnet.
  5. by   NurseCard
    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?
  6. by   KTakami25
    Quote from NurseCard
    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
  7. by   Oh'Ello
    Not required to double check insulin here. Level 1 Trauma, Teaching, Magnet, Pennsylvania.
  8. by   KTakami25
    Quote from Oh'Ello
    Not required to double check insulin here. Level 1 Trauma, Teaching, Magnet, Pennsylvania.
    Thank you for your input, Oh'Ello!
  9. by   kataraang
    Not required to check here.
    Working in large urban hospital in central Maryland, teaching hospital on a step-down unit.
  10. by   Glycerine82
    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.
  11. by   Glycerine82
    The local hospitals also don't have this policy from what I witnessed during clinical and when I worked as a CNA.
  12. by   KTakami25
    Quote from kataraang
    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!
  13. by   KTakami25
    Quote from Glycerine82
    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!
  14. by   kalycat
    ~760 bed urban trauma center, Magnet, - no double check.

    ~ critical access hospital 1, no double check.

    ~ critical access hospital 2, requires a double check (did some training there)

    Washington State.

close