Insulin Administration – Registered Nurse Training December 29, 2019 36 By Kailee Schamberger CategoryArticles BlogTagsinject injection Instruction insulin learn learning medication nurse nursing Train training wcc whatcom 36 Comments james stevenson says: November 12, 2012 at 3:34 pm Presenter injected 30 units of air into the cloudy vial first = good. didn't infect 10 units of air into the clear = bad. didn't draw ten units of air into the empty syringe = bad didn't draw ten units of insulin into the viall didn't draw 30 units of cloudy into the syringe There should be a total of 10 + 30 units = 40 units of insulin in that syringe, and the video doesn't depict this. Poorly done!! Reply neilsings says: December 3, 2012 at 3:42 am they did that james. Reply Tiffany Leiter says: February 22, 2013 at 3:40 am Very helpful! Thank you. Reply Andrew Graham says: February 26, 2013 at 6:05 am Great job on the doing the patient identification . However I did notice when you pricked the patient , you did not wipe the first blood sample. Wiping the first blood sample is more effective and more accurate. Great. Job. Though ! Reply Ivy Naa Amu says: July 25, 2013 at 10:03 pm i like to help someone someday, AMEN. Reply Lammy says: July 28, 2013 at 12:54 pm your suppose to wipe the first drop of blood. Reply Hiep Hong Đinh says: August 4, 2013 at 4:21 am it's great i agree with Neilsing. Reply Hiep Hong Đinh says: August 4, 2013 at 4:32 am hi, every body.. My name is Hiep.dinh, I am 25 years old I was born in Vietnam, Now i am a Last year students (medical & phamarcy university) i am a nurse, I want learn masters nurse at american, after university graduation in vietnam can you help me? Reply phil rand says: September 19, 2013 at 4:44 am Good video, although you do not swab the skin with an alcowipe 🙂 As the alcohol can give misleading results in concerns to the BGL reading. (This is well defined in research, have a look) Swab with warm water instead 🙂 Reply ManTexDal says: October 2, 2013 at 3:26 am I have T1 Diabetes, and I have to say if I have to go to a hospital as a in patient I hope I get a nurse who's as competent and kind as she is Reply Shiane Bailey says: July 1, 2014 at 10:15 am I'm 15 and I have to do all of this to my diabetic aunt Reply hr rr says: September 1, 2014 at 12:24 pm fantastic video Reply do the right thing P says: September 28, 2014 at 3:30 am When disinfecting the vial, you should start from the center to edge by circles, not back and forth which is not aseptic technique. When operating the syringe, hands can't touch inside plunger. Or you contaminate the drug with its surface when pushing and pulling against the outer barrel. Remember the clean gloves don't mean sterile gloves; they protect you not patient.) Sterile field has also been contaminated when you put your hands above the sterile field. That might be the most of the reason of nosocomial infect. I saw many times nurses do this way which shocked me, but I am not an authority but an alien. Although I am nursing student in American, I will follow Chinese way. Reply Anh Trần says: June 21, 2015 at 11:44 pm rất hay Reply Anna Stacey says: August 31, 2015 at 11:59 pm As an RN. it is well known the patient washes hands before finger pricking and does not use alcohol wipes. If you are going to check ID at least check it matches your medication chart, not once did she look at this to compare she had the right chart to patient. UR numbers are far more accurate than birth dates, it is not unknown to have patient with same birth date and name.Sharp was not put in sharps receptacle either. She should have also used an new alcohol wipe for each vial when cleaning. No alcohol wipe should be used to wipe injection site, just needs to be clean. Alcohol dries and hardens skin which effect future use of that site. The arm is not the first choice for insulin, but the abdomen. The body sites eg arm, leg , abdomen are not rotatable as have different absorption rates, eg all similar insulin given at similar time she be given in the one area , in slightly different patch of skin. if you lift an arm like that it tenses muscles and potentially causes pain, much better to have arm relaxed eg down. If she is used to giving own insulin, the patient should be offered this option. Reply bayissa mulat says: January 26, 2016 at 12:55 pm How to give insulin via IV Reply chantal murray says: May 24, 2016 at 1:20 am so when pulling upregular(clear) first then Nph (cloudy)= RN (just a quick way to remember what gets pulled up first) Reply Amzil Abderrahmane says: August 15, 2016 at 6:23 pm merci pour ces lecons Reply Issac Garcia says: October 20, 2016 at 4:16 am i could have sworn they did not show that you need to have another licensed staff to check and confirm the drawn up insulin is correct. Reply Rekha Devi says: January 16, 2017 at 8:33 am net for plse satish Reply Rekha Devi says: January 16, 2017 at 8:34 am net for plse satish Reply sumesh kumar says: March 4, 2017 at 4:53 pm very helpful! thank you Reply Shanique Downer says: July 23, 2017 at 9:42 pm thought subcutaneous injunction is 45 degrees Reply Leno Fast says: September 18, 2017 at 6:57 am In my hospital always i get no battery charge what can i do. So i have to take twice Reply DardEnoor says: October 14, 2017 at 1:34 pm https://www.youtube.com/watch?v=L_rszbwLNFcon TYPE 1D Reply Michael's ML&ATG says: November 6, 2017 at 4:40 am I hope that we come up with a better process. I believe the health care industry should not subject patients to such a painfull form of treatment. I am not a fan of needle injections or finger prickings. We should have empathy & compassion & do our best to minimize or eliminate the pain for the patient. In my opinion, daily needles & finger pricking are not good therapy. God, please help us to do your will. Reply Beata Wojcik says: February 20, 2018 at 4:39 am wrong, she forgot to wipe the first blood Reply Senada Pasic says: April 5, 2018 at 12:07 pm In Toronto, a nurse used one needle for thirty different patients . A red alert has gone out . Even if there were thirty different nurses ,they know to change the needle . Any idiot knows nevermind a nurse . She's on drugs or deranged. Lots of nurses abuse with needles but they are immune somehow from any consequences . I had one burse and wind up, literally, and jab me so hard they could her me down the block . And another turned the needle to the side (very painful)when I asked her to be gentle . Both played dumb. Both were white . I don't know if it was racism though. But thirty patients ? Put the cuffs on her . Reply Lavender a says: April 9, 2018 at 9:56 pm 🤓👍 the same like my mum..my Allah recovering all the patients🙏 Reply The GovNer says: April 18, 2018 at 10:45 pm This needs to be refined to about 1 minute or less for a hospital. Reply zadose says: June 25, 2018 at 2:54 am There's gotta be a safer way to do this… too many horror stories I've heard of patients going fuckshit insane and jerking and causing the nurse to get a needle stick… SOMETIMES… getting hep c or hiv. Reply piricote93 says: January 14, 2019 at 9:00 am @5:01 what was that for ?? Gauze? Was that topas dry the area before the injection? Reply Rose Morrison says: June 30, 2019 at 4:39 pm Exploring 4DiabetesFreeForLife.blogspot.com will assist you to recover from diabetic issues and get a healthy way of life. My has been following this program consistently for more than Forty-five days. It has been five years since he has been using insulin shots. He`s got been a type 2 diabetes patient for six years. His eating routine get positively changed since he has been a passionate reader and follower of this plan. Reply Life is simple says: October 11, 2019 at 2:18 pm i never see the nurse do those procedure when they inject me, some of them do a horrible job too Reply Shawn 91111 says: November 19, 2019 at 1:09 am I see some of the confusion when watching this. The physician's orders have NPH at 12 units in the AM and 8 units in the PM, I am assuming this is AM because she drew up 12 units of air and injected it into the NPH vial, and then did 2 units of Regular insulin based on the BS level of 154 and the sliding scale. She then took out 2 units of Regular and then 12 units of NPH per orders. The confusing part is the voice over, saying 30 units for NPH and 10 units for regular, which if you look at the order's does not say that. Reply Lemonz1989 says: November 26, 2019 at 3:46 am Very thorough, but sloppy rolling technique for the NPH. You could still see residue on the bottom of the vial. You turn the vials and pens on the opposite site where the residue is on. If the residue is on the bottom of the vial, like here, you turn the vial on its side and roll. Reply Leave a Reply Cancel replyYour email address will not be published. Required fields are marked *Comment Name * Email * Save my name, email, and website in this browser for the next time I comment.