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Safe practices when supporting service users

olliepong

Newbie
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Hi

I am embarking upon a career as a team leader in a care home and have been given some research to do.
I need to find out what the safe practices are when I have to support a service user to administer insulin.
Can anyone help??
 
You don't say what type of care home you work in? Residental or Nursing based

If nursing home, then any injection or medication should only be dealt with by the elected duty nurse.

In a residental setting, where the home is based around the provision of personal care and not nursing care from employed staff...

In general, for a service user who is unable to proform the necessary procedure to carry out there injection..

If the injections is either syringe based, or the service user is unable to to inject with a insulin pen, it is the norm for to arrange for a district nurse to come and carry out the injection..

If the service user is using a insulin pen and is able to inject themselves (and be aware of the dose required) but can not draw up or change the needle, then dailing up the correct dose and changing the needle can be done, in general under these circumstances the service user would have disposable insulin pens to avoid the need of changing cartidges.. Bu the service user carries out the injecting side of the procedure...

It is possible for non quailified nursing staff to be trained to carry out insulin injections, but most companies and employees themselves very rarerly take this option due the complications of liabilites leading to either an individual, employer or both being sued if something went wrong...

when I worked in the elderly care field my employeer asked on several occassion if I would carry out the necessary training to implement a ability to inject insulin dependant, but even though I've been diabetic for many years and injected myself, I declined the offer due to the complexities of how would be liable if something went wrong...
 
Each resident has to be assessed on their understanding of their condition,and medication, before they are deemed competent to self medicate.This assessment is done on several occasions over the period of a week and is documented every time so that qualified staff can check for understanding and dexterity in the procedure.
For instance,a resident may be perfectly capable first thing in the morning but may not be later in the day due to tiredness,medication or confusion.
 
Hi

Thanks for your replies. It is a residential home where we have the opportunity to train to do the injections if we wish but also have the right to decline to do so.

I understand about the assessment procedure before any resident is deemed capable of self medicating.

The question is worded thus: List the principles of safe practice when supporting service users to administer insulin.

Obviously they would have to be assessed and we would encourage them to make sure their hands were clean and the site was clean etc etc but this seems too obvious as an answer.

Any further help would be greatly appreciated
 
What about the conditions and storage of the insulin? Is it kept with the resident or in a separate area.Under what conditions is it kept? Does the resident have a proper place to dispose of used pens/Lances/needles etc? These are some other questions you could be asking.
 
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