Publish date: 21 April 2023

Insulin is very commonly administered throughout the Trust in a range of settings. The majority of these administrations are managed safely and effectively. There have been some occasions however, where errors have occurred which have compromised patient safety.

Staff administering insulin must always remember to:

  • check the patient’s ID, even if you know them
  • check you have the correct insulin – more than one form may exist
  • check you have the correct device – this may be a pen or vial
  • check you have the correct time
  • check the correct dose – double check any calculation
  • check the correct route.

In addition:

  • If insulin is prescribed in writing, always use units, not abbreviations (not U or IU)
  • Never use a needle, pen device or other for more than one patient
  • Never carry more than one insulin device on your person at a time.

If you suspect insulin may have been administered incorrectly, you must escalate for medical review immediately.

Please discuss this with line managers, or for further information, contact: Dr John Crosby, Medicines and Safety Lead John.crosby@merseycare.nhs.uk or Fiona Boyd, Deputy Chief Pharmacist (Clinical Quality and Governance) Fiona.boyd@merseycare.nhs.uk.