Sign up for our complimentary
weekly e-journal

Main Newsletter
Mastery Series
Therapy Series
 
Bookmark and Share | Print Article | Disasters Averted Previous | All Articles This Week | Next
This article originally posted 09 November, 2010 and appeared in  Safety and Error PreventionMedical DevicesDiabetes Clinical Mastery Series Issue 6Patient Errors

Diabetes Disaster Averted #6: Incorrect Injection Technique Caught in Time

I had the pleasure of working with an elderly gentleman who was living alone.  When he switched from insulin pens to....
Advertisement

a vial and syringe, his numbers started to increase into the 400’s and 500’s.  He was feeling weak and lethargic but fortunately was able to pull himself together to make it to his appointment.   I asked him to demonstrate his injection technique.  This patient was laying the insulin vial on its side and it was immediately obvious to me that he was getting high numbers because he was injecting air and no insulin.  In the end, he ended up going back to the insulin pens and now his numbers are stable and < 180.  He feels much better, and it was such a simple solution.    

LN, dietitian and CDE for 1 year
 
Bottom Line:

When there are changes in blood sugars, never take for granted what the patient tells you, always have the patient demonstrate their technique for insulin injections. - SF

Report Medication Errors to ISMP:

Diabetes in Control is partnered with the Institute for Safe Medication Practices (ISMP) to help ensure errors and near-miss events get reported and shared with millions of health care practitioners. The ISMP is a Patient Safety Organization obligated by law to maintain the anonymity of anyone involved, as well as omitting or changing contextual details for that purpose. Help save lives and protect patients and colleagues by confidentially reporting errors to the ISMP.

Report_Now

*****

And if you have a "Diabetes Disaster Averted" story, please also send it in separately to Diabetes In Control. If we use it you will receive a Visa Gift Card worth $50.00. Click here to let us know the details. (You can use your name or remain anonymous if you prefer.) Please note that ISMP is not associated with this Gift Card promotion.

For more Diabetes Disasters Averted, just follow this link.

Copyright © 2010 Diabetes In Control, Inc.

 

Advertisement


 

Bookmark and Share | Print | Category | Home

This article originally posted 09 November, 2010 and appeared in  Safety and Error PreventionMedical DevicesDiabetes Clinical Mastery Series Issue 6Patient Errors

Past five issues: Diabetes Clinical Mastery Series Issue 85 | Issue 626 | Special Edition - Getting Patients on Track | Diabetes Clinical Mastery Series Issue 84 | Issue 625 |

 
Diabetes In Control Advertisers
 
 
Cast Your Vote
Now that once-weekly GLP-1 is available, which product are you recommending for your type 2 patients?

Navigate Diabetes In Control
Announcement:
Search Articles On Diabetes In Control