Insulin Administration Using an Insulin Pen. Created by Rachel Gallagher Former School Nursing Consultant.
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Created by Rachel Gallagher
Former School Nursing Consultant
This unit covers basic procedures for administering insulin by insulin pen. There are different kinds of insulin pens and variations in directions for different students. Demonstration, skills observation, consultation, and ongoing supervision by the school nurse will be important for correct medication administration.
Competency checklists are available at: http://dpi.wi.gov/sspw_schlnurse.html
For more information regarding delegation and consultation, please see the DPI question and answer documents available at: http://dpi.wi.gov/sspw/pdf/snpracticeact.pdf
Products used were for demonstration purposes and are not an endorsement of the products.
Insulin cartridge – stores the insulin
3. Determine type of pen that is used
4. Wash hands and apply gloves.
5. Recheck the five rights.
6. Check expiration date for insulin pen cartridge or disposable insulin pen.
7. Attach pen needle by twisting the needle on end of insulin pen. (Wipe top of insulin pen with alcohol wipe if instructed to do so by nurse.)
8. Pull off and remove outer pen needle protective cap and cover (Do Not Touch Needle).
9. Prime pen by dialing 2 units.
10. Push the end of pen (plunger) to push out the 2 units. A small drop of insulin should be visible. (This checks insulin flow and is called an “air shot”).
If insulin does not appear,
repeat steps 9 and 10.
12. Choose a subcutaneous (tissue between the skin and muscle mass) injection site with the assistance of the student as appropriate. Insulin is absorbed more effectively by the body when the
Subcutaneous Injection Sites
13. Cleanse injection site with alcohol swab (optional) and allow skin to dry. Never fan or blow on area cleansed with swab.
14. Gently pinch skin of chosen injection site and insert pen needle at a 45-90 degree angle into skin.
15. Push button (plunger) down at end of pen completely to give insulin.
16. Wait 10 seconds while keeping insulin pen and pen needle in place, to ensure all insulin is given. (This is due to the fact that all insulin pens drip.)
17. Pull the insulin pen and needle out from the injection site to remove needle.
18. Do not replace the protective needle cap; carefully unscrew pen needle to remove from pen.
19. Dispose of needle in an approved sharps disposal container.
20. Remove gloves and wash hands.
21. Document insulin administration.
Suggestions on future school nursing topics?
WI Dept. of Public Instruction
School Nursing Consultant