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AVRN87

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  1. Thanks for your response, Sassy RN! I did look at my hospital policy but there was not an actual "time frame" from when you take the blood sugar to administering the insulin. I agree with your facility that administration SHOULD be right after you take the blood glucose value. It is widely accepted at my hospital that the noc RN takes a blood sugar & gives the regular insulin SS (even if it's given at 0600) and, fine, I can be *slightly* ok with that... But aspart?! To me, that is compromising patient care!
  2. I work night shift and in my facility, the noc RN takes a blood sugar for sliding scale aspart insulin but the day RN administers it. How long can you take after checking a blood glucose level to administer aspart insulin? I always thought administration of insulin (in general - across the board) should be immediate or at least within an hour of taking the blood sugar. My dilemma: Sometimes the night RN takes the blood glucose at 0600 (I've seen nurses even take it at 0530) - mostly because they pass meds at that time and also it allows them time to finish their charting to start report at 0700. I have seen that the day shift RN is administering the aspart insulin around 0830 - 0930 while using the value taken at 0600. Is this safe?!!

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