Hello everyone!

Question about your lantus VIAL procedures (not pens). For some background, our facility makes ALL lantus doses in the IV room, it is not floor stock (Lispro however IS floor stock, but not in pyxis). Timing the lantus dose correctly with a discontinued insulin drip has occasionally been an issue. And although many ICU RNs know to wait for the lantus to DC the drip, there are delays in getting the lantus to the floor and also if the drip gets DC'd while RN is still waiting, there's no entry in the MAR for the RN to document the drip while waiting.

For those of you who have lantus VIALS as floor stock, what steps do you take to mitigate mix ups with lispro?

Do you see errors often and what are those errors?

Any policy/procedure to share?

How do you store them?

How do you address the scanning portion? Are there stickers stored with the vials?

Have there been errors/dose mix ups if say there's a lantus & lispro dose due at the same time?

Any info would be greatly appreciated! Thank you! (we are an Epic based facility)