Significant Medication Error: Improper Timing of Rapid-Acting Insulin Administration
Penalty
No penalty information released
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Summary
A registered nurse administered 5 units of rapid-acting insulin lispro to a resident in the morning after giving oral medications with water, but did not provide a snack or meal at the time of injection. Facility policy states that rapid-acting insulin should be injected immediately prior to a meal or concurrent with food. Observation showed that breakfast was not served until over an hour after the insulin was given. The nurse confirmed that the insulin was administered without a snack and acknowledged that rapid-acting insulin should be given within 30 minutes of meals.