Insulin self-administration flowchart introduced by Southampton
Southampton General Hospital has used a local insulin safety campaign to launch a new assessment tool for the self administration of the drug.
University Hospital Southampton NHS Foundation Trust is running an Insulin Safety Week from Monday, November 13, to Friday, November, 17.
The form is attached to each drug trolley and an initial assessment on newly-admitted patients is carried out by the pharmacy team.
The ward pharmacist then checks clinical suitability for patients to self administer their insulin. The information is fed into the electronic prescribing system and each time a nurse does their drug round, a reminder pops up so that they can check the patient is still at the assessed level.
The pilot showed that the process saves nursing time and money through reduced pen wastage as well as improving insulin timing and patient satisfaction levels.
Diabetes specialist nurse Paula Johnston said: “The patients are the experts when it comes to their insulin and we wanted to make sure that we did not lock away their insulin. Insulin pens will be stored in plastic containers that wards can order from stores, Level 0 and Level 1 patients have these stored in their POD lockers and Level 2 patients store these in their bedside locker with a sharps container.”
The diabetes team has also been holding education sessions in one of the hospital’s restaurants throughout the Insulin Safety Week, covering insulin pumps, self administration, pens and devices, injection techniques and prescribing.
Meanwhile, link nurses have been asked to encourage colleagues to make pledges on how to improve insulin safety, which have been pinned to a board. Additionally, an advert calendar will help the hospital count down the days till Christmas with daily facts about insulin.
In April, East Sussex Healthcare NHS Trust ran an Insulin Safety Week and Leicester University Hospitals NHS Trust also ran its own local version of the themed week in June.