med admin validation

7 rights

pt, med, dose, route, time, documentation, indication

regular insulin onset

30-60 mins

regular insulin peak

0.5-2.5 hrs

regular insulin duration

8 hrs

regular insulin indication

15-30 mins before meal (alone or w/ longer acting insulin)

NPH Insulin onset

1-1.5 hrs

NPH Insulin Peak

4-12 hrs

NPH Insulin Duration

up to 24 hrs

NPH Insulin Indication

food should be taken around onset and peak time

SubQ injection sites/landmarks

ARM- upper back of arm

ABDOMEN- 2 inches diameter outside umbilicus (fastest absorption rate)
THIGH/BUTTOCKS- outer

SubQ ARM landmarks

upper back of arm

SubQ ABDOMEN landmarks

2 inches diameter ourside umbilicus (fastest absorption rate)

SubQ THIGH/BUTTONCKS landmarks

outer

Intramuscular (IM) injection sites/landmarks

deltoid: 3 fingers below acromion process

vastus lateralis: greater trochanter (top), lateral femoral condyle (bottom), lateral thigh

ventro gluteal: palm on greater trochanter, pointer finger on anterosuperior iliac spine, middle finger on posterior iliac crest, injection site between middle and pointer finger

Intramuscular (IM) DELTOID

3 fingers below acromion process

Intramuscular (IM) VASTUS LATERALIS

greater trochanter (top), lateral femoral condyle (bottom), lateral thigh

Intramuscular (IM) VENTRO GLUTEAL

palm on greater trochanter

pointer finger on anterosuperior iliac spine

middle finger on posterior iliac crest

injection site between middle and pointer finger

AIDET & PT SAFETY VALIDATION

• aidet

• identify/verify pt (arm band)

• pt allergies

• pt allergy rxn