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 Storage & Handling
- Controlled Substance Count
- Medication Reconciliation
- IV Admixture Preparation
- Healthcare Worker Exposure Follow-Up Checklist
- Sepsis Screening Protocol Checklist
- Medication Storage Unit Inspection Checklist
- Nursing Competency Verification Checklist