Mixing Insulin & Subcutaneous Injection

Question 1

Steps 1-7

Answer 1

1. Hand hygiene entering room
2. Intro and ID pt
3. Verify med order
4. Checked BG, dietary intake, and s/s r/t hypogly
5. Verify allergies on MAR to wristband
6. Hands, leaving room
7. MAR 1+rights

Question 2

Steps 8-14

Answer 2

8. Expired?
9. Mix NPH
10. Clean vials
11. Syringe
12. Inject air in NPH
13. Inject air in clear, keep it there
14. Draw clear insulin first, with 2nd RN

Question 3

Steps 15-21

Answer 3

15. Draw NPH second, with 2nd RN
16. MAR check 2+rights, 2nd RN too
17. Label syringe: pt, med, route
18. HANDS
19. return to bedside
20. scan client
21. verify allergies on MAR

Question 4

Steps 22-28

Answer 4

22. MAR check #3+rights
23. HANDS
24. GLOVES
25. ID landmarks (arm, leg, abdomen)
26. Clean skin
27. Inject @45-90
28. Maintain syringe stability

Question 5

Steps 29-32

Answer 5

29. Count to 5 while injecting
30. Withdraw and dispose/safety lock
31. Hold pressure for 5 secs, don’t rub
32. VErbalize documentation of site and 6 rights, as well as pt response