Insulin Pen Injection Skills

Table of Contents

Steps

  1. Wash hands and check 5 rights
  2. Gather supplies needed, including the medication as outlined in the student’s medication administration record (MAR)
  3. Review where the last injection was given and choose an alternate site with the student (if applicable)
  4. Check the 5 rights again and put on gloves
  5. Pull the pen cap slowly and remove the cap from the pen
  6. Visually inspect and for cloudy insulin, roll the pen back and forth until evenly mixed
  7. Wipe pen end rubber seal with an alcohol pad
  8. Screw new capped needle straight onto the pen tip until tight (sizes of the needle will vary depending on what the healthcare provider indicates is best for the student)
  9. Hold the pen pointing up and remove the outer shield (keep to use for needle removal). Remove the inner shield
  10. Prime the pen per the manufacturer’s instruction
  11. Dial the desired dose of insulin
  12. Check the number of units dialed on the pen a third time against the MAR
  13. Choose a new injection site with the student (if applicable)
  14. Pinch the skin with the free hand and hold the pen against the site held with the other hand at a 90-degree angle and press the injection button, wait 5-10 seconds per instruction
  15. Release pinch and release the injection button
  16. Remove the needle straight out and wipe any blood away with an alcohol wipe (if any)
  17. Check the pen and make sure that the full dose was administered
  18. Carefully replace the outer needle shield
  19. Remove the capped needle turning counterclockwise
  20. Discard used needle (and pen if disposable) in the sharp’s container
  21. Replace the pen cap
  22. Remove the gloves and wash hands
  23. Ensure school personnel complete the 6th right: documentation
  24. Store as instructed per the manufacturer’s instruction