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RN Alana: OK. It's 210. That's a little high. Let's check the doctor's order to see how much insulin you will need before lunch (RN Alana reads the medication administration record for the insulin order. RN Alana: You will need 6 units of regular insulin before lunch according to the sliding scale that the doctor ordered. The lunch trays are coming to the floor. Let's get ready for the shot. I'll bring the syringe and insulin for you and let you do the shot, OK? Mr moore (RN Alana leaves the room, and then comes back with the supplies.) RN Alana: Get the syringe, Mr. Moore. I'll let you draw 6 units of insulin from the bottle Mr. Moore holds the syringe. RN Alana: Use the alcohol wipe to clean the top of the bottle first. Draw 6 units of air into the syringe. Yes. OK, inject the air into the bottle. Now, draw up 6 units of insulin into the syringe. Check if it is exactly 6 units. Let me see it. Hold on, I will have another licensed staff check the dose for you. Two licensed nurses must check the dose before administering insuli RN Alana: Yes. But when you are at home, you don t usually have others to check the amount for you. You need to be very careful to draw the correct amount, OK? Mr Moore (RN Sandra is asked to come in to check the insulin) RN Sandra: Hi Mr Moore: Hi RN Alana: Yes. 6 units regularRN Alana: OK. It’s 210. That’s a little high. Let’s check the doctor’s order to see how much insulin you will need before lunch. (RN Alana reads the medication administration record for the insulin order.) RN Alana: You will need 6 units of regular insulin before lunch according to the sliding scale that the doctor ordered. The lunch trays are coming to the floor. Let’s get ready for the shot. I’ll bring the syringe and insulin for you and let you do the shot, OK? Mr. Moore: (RN Alana leaves the room, and then comes back with the supplies.) RN Alana: Get the syringe, Mr. Moore. I’ll let you draw 6 units of insulin from the bottle. (Mr. Moore holds the syringe.) RN Alana: Use the alcohol wipe to clean the top of the bottle first. Draw 6 units of air into the syringe. Yes. OK, inject the air into the bottle. Now, draw up 6 units of insulin into the syringe. Check if it is exactly 6 units. Let me see it. Hold on, I will have another licensed staff check the dose for you. Two licensed nurses must check the dose before administering insulin. Mr. Moore: RN Alana: Yes. But when you are at home, you don’t usually have others to check the amount for you. You need to be very careful to draw the correct amount, OK? Mr. Moore: . (RN Sandra is asked to come in to check the insulin.) RN Sandra: Hi. Mr. Moore: Hi. RN Sandra: 6 units? RN Alana: Yes, 6 units, regular
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