Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 5-9

Administering Continuous Subcutaneous Infusion:

Applying an Insulin Pump (Continued)

Comments

15. Identify the patient. Usually, the patient should be identified
    using two methods. Compare information with the CMAR/
    MAR.
    a. Check the name and identification number on the
    patient’s identification band.
    b. Ask the patient to state his or her name and birth date,
    based on facility policy.
    c. If the patient cannot identify him- or herself, verify the
    patient’s identification with a staff member who knows
    the patient.


16. Close the door to the room or pull the bedside curtain.


17. Complete necessary assessments before administering med-
    ications. Check the patient’s allergy bracelet or ask the
    patient about allergies. Explain the purpose and action of
    the medication to the patient.


18. Scan the patient’s bar code on the identification band, if
    required.


19. Perform hand hygiene. Put on gloves.


20. Remove the cap from the syringe or insulin cartridge.
    Attach sterile tubing to syringe or insulin cartridge. Open
    the pump and place the syringe or cartridge in compartment
    according to manufacturer’s directions. Close the pump.


21. Initiate priming of the tubing, according to manufacturer’s
    directions. Program the pump according to manufacturer’s
    recommendations following primary care provider’s orders.
    Check for any bubbles in the tubing.


22. Activate the delivery device. Place the needle between
    prongs of the insertion device with the sharp edge facing
    out. Push insertion set down until a click is heard.


23. Select an appropriate administration site.


24. Assist the patient to the appropriate position for the site
    chosen. Drape, as needed, to expose only area of site to
    be used.


25. Identify the appropriate landmarks for the site chosen.


26. Cleanse area around injection site with antimicrobial
    swab. Use a firm, circular motion while moving outward
    from insertion site. Allow antiseptic to dry.


27. Remove paper from adhesive backing. Remove the needle
    guard. Pinch skin at insertion site, press insertion device on
    site, and press release button to insert needle. Remove trig-
    gering device.

ExcellentSatisfactoryNeeds Practice