Patient Safety Alerts are shared rapidly with healthcare providers via the Central Alerting System (CAS).
About this alert
Patient safety concerns have been identified where healthcare professionals use an insulin syringe and needle to withdraw medication directly from a patient’s insulin pen device. This practice should not happen as the strength of insulin in pen devices varies, creating a risk of overdose if the strength is not taken into consideration when determining the volume required.
Reports suggest this practice has occurred where staff have not had access to equipment for safely disposing of needles attached to pen devices, and/or lack training in the use of insulin pens.
The alert asks providers to ensure staff have access to appropriate equipment and training for administering insulin using a pen device.