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>> Shari Lynn: Hi, my name is Shari Lynn. Welcome to foundations of nursing practice and today we're going to review insulin administration. Check date on medication order and verify its accuracy by checking it against the doctor's order and check for the six rights. Right name. Right drug. Right dose. Right time for administration. Right route of administration. And right documentation. Check patient's record for any drug allergies, gather equipment. Wash hands. Check label on medication three times before administering it. When taking container from shelf, when preparing med, before returning container or before discarding wrapper. Select appropriate size insulin syringe. Select ordered insulins. Rotate the vial of NPH between your hands until mixed well. Use an alcohol wipe to cleanse both vial tops. Keep vials on counter surface. Draw air for the appropriate amount of NPH and inject this air into the NPH vial. Withdraw needle from vial. Draw up air for the appropriate amount of regular insulin and inject this air into the regular insulin vial. Invert bottle. Draw up appropriate amount of regular insulin. Withdraw needle from vial. Have a nurse check dosage. Nurse should check units, vial, and order. Reinsert needle into NPH vial. Invert bottle and draw back appropriate amount of NPH. Withdraw the needle and recap. Have a nurse check new dosage checking units, vial, and order. Administer using subcutaneous procedure. Pinch skin after alcoholing site. Inject needle at 90 degrees. Slowly inject medication. Remove needle. Release site. Place needle in sharps container. Wash hands and document. Insulin can be administered in the abdomen and posterior upper arm and lateral thigh. If necessary between scapula and above buttocks.