We recently had a request to add mL in addition to units for compounding software in IV room. This is concerning with markings on the syringe (not insulin syringe) as well as 100x dosing errors.
We found publications from ISMP canada stating: The preparation of insulin injections using a tuberculin syringe instead of an insulin syringe is another significant cause of error.6 All insulin products marketed in Canada intended for human use provide 100 units insulin per mL.7 The tuberculin syringe barrel is marked in 0.1 mL increments, without leading zeros. The insulin syringe is marked in insulin unit gradations.
What syringe do you use to compound neonatal insulin preparations in the IV room? Is this based on ISMP guidance
What syringe do you use to compound insulin infusions in the IV room (when necessary)? Is this based on ISMP guidance?
Thank you in advance, looking for safest practice