NURS 275-11 Skills Check Off #1 Insulin Mixing

Step 1

- Verify Physicians Order

- Identify Current Glucose Value

- Select Insulin Syringe with small gauge needle (25-27)

Step 2

- Identifies correct prescribed insulin types: Regular and NPH.

- Verifies Expiration Date on Med Vial

Step 3

- Roll Cloudy vial in hands to mix solution (NPH)

Step 4

- Performs hand hygiene

- Swabs the top of both insulin bottles with alcohol wipe.

- Allow injection stoppers to dry

Step 5

- Injects Volume of air equal to prescribed dose (2mL) in FIRST vial NPH, and then (3mL) into second vial Regular without letting the needle touch the solutions.

Step 6

- Withdraws correct dose of Regular insulin; then with needle still inside vial, verifies amount with second nurse.

- Withdraws Needle from Vial

Step 7

- With the Same Syringe withdraws precsribed amount from NPH (cloudy) vial.

- With needle remaining in vial, verifies amount with second nurse.

- Withdraws needle from vial.

- Uses scoop method to recap needle.

Step 8

- Verbalizes maximum delay from mixing to administration (5 minutes: regular insulin binds with modified (NPH) insulin, thus reducing the action of regular insulin).

Step 9

- Preps skin with alcohol wipe, moving from the inner area to the outer in a circular motion.

- Allows area to dry

- Performs Subcutaneous Injection Technique.