Insulin preparation, administration faster with pen devices vs vial and syringe
Nurses who utilize the pen device take less time preparing and administering insulin compared with those who use the vial and syringe method, reports a recent study.
In total, 137 nurses participated in the study. The time taken by nurses to prepare and administer insulin was shorter with the pen device relative to vial and syringe (79±18 seconds vs 88±20 seconds; p<0.001). The pen device registered a 90±7-percent overall average completion rate of steps compared with 88±7 percent with the vial and syringe method.
“Furthermore, areas were identified for potential nursing education to enhance safe and appropriate use of insulin with both delivery methods,” the authors said.
A previous study comparing nurses’ perceptions and satisfaction with the use of insulin pen devices vs vial and syringes for insulin delivery in an inpatient setting found that nurses felt more comfortable and confident with pen devices compared with vial and syringes. In addition, they perceived pens to be a safer alternative for both patients and themselves. [Diabetes Technol Ther 2014;16:742-746]
The present observational and exploratory study utilized a time–motion analysis of nurses’ administration of insulin using pen vs vial and syringe delivery methods. The authors observed, video-recorded and timed nurses during insulin preparation and administration using each delivery method. The steps performed by nurses were observed against recommended processes for insulin preparation and administration. The authors also noted the percentage of nurses completing each step.