O. Insulin Administration by Injection

Steps

1. Wash hands and check 5 rights
2. Gather supplies and medication outlined in the medication administration record(MAR)
3. Put on gloves
4. Check insulin for discoloration, lumps or crystals (demonstrate understanding that if this is observed, to stop and communicate with the nurse. If cloudy, roll in between your hands 20 times
5. Review on the MAR where the last injection was given and choose an alternate site with the student. Check the rights again.
6. Wipe the top of the vial with an alcohol pad.
7. Gently remove the cap off of the insulin syringe
8. Pull the plunger out slowly to the number of units to be administered
9. Push the needle into the vial that is sitting on a flat surface and plunge the air into the space in the bottle.
10. Keeping the needle in the bottle, turn the bottle upside down, ensure the tip of the needle is in the insulin in the bottle and withdraw slowly the units of insulin needed and provided by the healthcare provider or within parameters the healthcare provider has given parents to adjust
11. Tap syringe gently to remove any air bubble
12. Check the number of units to be administered from the MAR for a third time and check what is drawn up in the syringe
13. Clean the injection site with an alcohol wipe and wait for it to dry
14. Pinch up skin gently with free hand and insert the needle at a 90-degree angle
15. Release pinch and push plunger in slowly
16. Pull the needle straight out
17. Wipe any bleeding away (if any) with an alcohol wipe
18. Delegatee states they understand to never recap the needle
19. Remove gloves and watch hands
20. Ensure school personnel complete the 6th right: documentation