I also need this I need a how to paper on proper insulin combining and what insulins cannot be mixed with each other?
I've witness nurses incorrectly drawing cloudy before clear, and mixing Regular with lantus. I know you pull up the clear before cloudy as to not contaminate the Regular with long acting, but oters do not. I need to get this info out to the staff, because if I witness two I know there is more doing it. We use lots of agency and I do not know what they are doing. Not to knock agency or anything, this was our own facility nurses I witness doing it incorrectly.
BUT I'm now scratching my head now thinking after all of this reading..and after all the insulin injections I have administered in my Nursing days to others, I've never injected air first into an NPH (or cloudy) then I just inject in clear.
I've always done what all the others do as well and it is what I have learned, simply put Clear (Reg.) to Cloudy injecting the air into the clear first then go onto NPH (or cloudy)...with no air.
I would think after seeing the posts and even peeking at the BD demonstration link, that by injection air into the NPH (or cloudy) insulin first then air into clear regular - although the cloudy is not being "mixed" the needle is still in the bottle and may have a tad bit of NPH on the needle to put back into clear.
I think I AM thinking way too much now over a basic procedure.. but like input.
Have a super weekend everyone,
Mimi
I learned this in LPN school and I went to James Rumsey which had the most hideous old nun like type nurses except for one and they were strict. It is in Potter and Perry. You should have air in the NPH to pull it up correctly. I know it will work without but the correct procedure is with air. State will get you if they see otherwise.
I learned this in LPN school and I went to James Rumsey which had the most hideous old nun like type nurses except for one and they were strict. It is in Potter and Perry. You should have air in the NPH to pull it up correctly. I know it will work without but the correct procedure is with air. State will get you if they see otherwise.
Darcy
everyone I know LPN's to BSN's have been doing this, not putting air into cloudy first then going right back to your clear. Ty though.
And getting back to my question, does anyone know if this contaminates the clear a bit putting the air in cloudy then going into your clear?
I'm thinking it does touch the inner rubber stopper.
I'm ocd'ing on this topic now--not good LOL.
PS: I can only imagine the nuns or nun you had to deal with -sorry!
I understand was abused by them in grade school many were way abck when lol..but some nurses I've met come pretty darn close to acting like those old nuns.
I was tought clear to cloudy!! Lantus is never to be mixed and cafeful what is mixed not all insulins can be.
PS does lantus have to be in the fridge after it is opened?
Hi, just wanted to answer your question that lantus doesn't have to be refridgerated(????spelling(; I only fridgerate my insulins until I first open them. They are supposedly only good for 30 days after opening. Ofcourse I will still use them as long as my reg. is still clear, and doesn't have any junk floating in it. But if it looks like it has anything in it at any point of my 30 days of use I will trash it. Ofcourse I do it strictly by the book at work on pts. You have to remember injecting cold insulin is very painful, so I would not suggest it.
everyone I know LPN's to BSN's have been doing this, not putting air into cloudy first then going right back to your clear. Ty though.
And getting back to my question, does anyone know if this contaminates the clear a bit putting the air in cloudy then going into your clear?
I'm thinking it does touch the inner rubber stopper.
I'm ocd'ing on this topic now--not good LOL.
PS: I can only imagine the nuns or nun you had to deal with -sorry!
I understand was abused by them in grade school many were way abck when lol..but some nurses I've met come pretty darn close to acting like those old nuns.
Mimi
I do not know about LPN to BSN I did my LPN completed 1 tear , 2 for my RN then got my BS in Health a 4 year.
Anyway, your suppose to do it with the bottle sitting on a table. The book tells you to be careful not to get any on your syringe and if it gets into the solution you probably would be wise to discard that needle and start again. You can pluck you syringe to get the residual off the needle if it did get on. That how I do it. I think there is always potential if someone doesn't follow proper procedure.
Hi, just wanted to answer your question that lantus doesn't have to be refridgerated(????spelling(; I only fridgerate my insulins until I first open them. They are supposedly only good for 30 days after opening. Ofcourse I will still use them as long as my reg. is still clear, and doesn't have any junk floating in it. But if it looks like it has anything in it at any point of my 30 days of use I will trash it. Ofcourse I do it strictly by the book at work on pts. You have to remember injecting cold insulin is very painful, so I would not suggest it.
I was told if you refridgerate a insulin then you need to keep it in there. It shortens the experation date if you leave it out after refridgerating. I see a lot nurses break this rule. Our facility goes by the American Diabetics ASS. we discard after 28 days. Looking at all insulin is a requirement of any good nurse because it can be bad after two days of opening.
everyone I know LPN's to BSN's have been doing this, not putting air into cloudy first then going right back to your clear. Ty though.
And getting back to my question, does anyone know if this contaminates the clear a bit putting the air in cloudy then going into your clear?
I'm thinking it does touch the inner rubber stopper.
I'm ocd'ing on this topic now--not good LOL.
PS: I can only imagine the nuns or nun you had to deal with -sorry!
I understand was abused by them in grade school many were way abck when lol..but some nurses I've met come pretty darn close to acting like those old nuns.
Mimi
Here is a demostration showing with the person holding it in the hand. We sit it on the table and inject the air after we roll it. This is how it shown in PP.
Looking at all insulin is a requirement of any good nurse because it can be bad after two days of opening.I agree, that is why I stated in my post that I would throw out insulin at any point of the month that it looks funky.
In my nursing classes and my clinicals right now we are told to mix clear then cloudy. We also MUST double check with another nurse.
We used to have to double check and sign off with another nurse on drawing up insulin at a hospital that I worked at years ago, but haven't seen that policy since. I think it is a great one, on the other hand who has time to be chasing other nurses down, find what room they are in, etc.
In my nursing classes and my clinicals right now we are told to mix clear then cloudy. We also MUST double check with another nurse.
Hi
Ideally this is correct to have another nurse check the insulin, but they need to also verify what in the syringe and to get another nurse to come and do this takes a lot of time. However, in some of the smaller facilities all you have is one nurse, so realistically you need to be competent in this skill since you may be the only one there and you know you just cannot hold the insulin because you do not have another nurse to verify with you. That could jeopardize the health of the client as well.
Hi, just wanted to answer your question that lantus doesn't have to be refridgerated(????spelling(; I only fridgerate my insulins until I first open them. They are supposedly only good for 30 days after opening. Ofcourse I will still use them as long as my reg. is still clear, and doesn't have any junk floating in it. But if it looks like it has anything in it at any point of my 30 days of use I will trash it. Ofcourse I do it strictly by the book at work on pts. You have to remember injecting cold insulin is very painful, so I would not suggest it.
That is what I thought with the Lantus. It is our policy at the LTC facility I work at to keep lantus in the fridge, even after it is opened. When a diabetic nurse from the agency came to our facility and saw that she said that cold insulin stings. I dont know what to do, I dont want to sting people but I cant exactly go against policy.
That is what I thought with the Lantus. It is our policy at the LTC facility I work at to keep lantus in the fridge, even after it is opened. When a diabetic nurse from the agency came to our facility and saw that she said that cold insulin stings. I dont know what to do, I dont want to sting people but I cant exactly go against policy.
we keep ours refrigerated too- i would suggest that drawing it uip while it's still cold is not a terrible thing, but waiting a short time before injection- or rolling the syringe in your fingers to warm it manually- might help. i've personally never heard a patient complain of stinging, i didnt realize it was an issue until i read this message board.
Hi, just wanted to answer your question that lantus doesn't have to be refridgerated(????spelling(; I only fridgerate my insulins until I first open them. They are supposedly only good for 30 days after opening. Ofcourse I will still use them as long as my reg. is still clear, and doesn't have any junk floating in it. But if it looks like it has anything in it at any point of my 30 days of use I will trash it. Ofcourse I do it strictly by the book at work on pts. You have to remember injecting cold insulin is very painful, so I would not suggest it.
danursern
122 Posts
I learned this in LPN school and I went to James Rumsey which had the most hideous old nun like type nurses except for one and they were strict. It is in Potter and Perry. You should have air in the NPH to pull it up correctly. I know it will work without but the correct procedure is with air. State will get you if they see otherwise.
Darcy