Insulin Safety Verification Checklist
Comprehensive insulin safety verification including dose calculation, independent double-check, and blood glucose correlation.
- Industry: Healthcare
- Frequency: Every insulin administration
- Estimated Time: 5 minutes
- Role: Nurse
- Total Items: 29
- Compliance: ISMP Insulin Safety, Joint Commission NPSG, ADA Guidelines
Order Verification
Verify insulin order
- Insulin order verified?
- Correct insulin type?
- Dose appropriate?
- Timing correct (with meals, basal)?
Glucose Correlation
Blood glucose check
- Blood glucose checked?
- Blood glucose documented?
- Dose adjusted per sliding scale (if applicable)?
Independent Double-Check
Second nurse verification
- Second nurse independently verified?
- Insulin type verified?
- Dose verified?
- Patient identity verified?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Related Healthcare Checklists
- Medication Administration Safety Checklist
- Medication Storage & Handling
- Controlled Substance Count
- Medication Reconciliation
- Healthcare Worker Exposure Follow-Up Checklist
- Sepsis Screening Protocol Checklist
- Medication Storage Unit Inspection Checklist
- Nursing Competency Verification Checklist
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Why Use This Insulin Safety Verification Checklist?
This insulin safety verification checklist helps healthcare teams maintain compliance and operational excellence. Designed for nurse professionals, this checklist covers 29 critical inspection points across 7 sections. Recommended frequency: every insulin administration.
Ensures compliance with ISMP Insulin Safety, Joint Commission NPSG, ADA Guidelines. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Insulin Safety Verification Checklist cover?
This checklist covers 29 inspection items across 7 sections: Order Verification, Glucose Correlation, Independent Double-Check, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every insulin administration. Each completion takes approximately 5 minutes.
Who should use this Insulin Safety Verification Checklist?
This checklist is designed for Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.