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35 thoughts on “Insulin Administration – Registered Nurse Training

  1. 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!!

  2. 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 !

  3. 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?

  4. 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 🙂

  5. 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

  6. 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.

  7. 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.

  8. so when pulling up
    regular(clear) first then Nph (cloudy)= RN (just a quick way to remember what gets pulled up first)

  9. 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.

  10. 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.

  11. 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 .

  12. 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.

  13. 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.

  14. 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.

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