Regardless of whether a student uses a pre-filled or a reusable pen design, the techniques for dose preparation and insulin delivery are generally similar.

Instructions: 

1. Get supplies:

• insulin
• syringe and needle 
• alcohol wipe
• gloves
• sharps container

2.  Wash hands and apply gloves. 

• Have student select injection site 
• Clean the injection site and wait to dry
• Screw the pen needle onto the pen device

3. Have student select injection site 

4. Clean the injection site and wait to dry

5. Screw the pen needle onto the pen device

6.  Dial number of units to be administered (2,4,5)

7. Holding the pen upright, needle end up, press the plunger at the bottom of the pen to remove air until a few drops of insulin come out  the end of the needle

8. Check the insulin dose. Reverify 5 Rights

9. Pinch up the skin

10. Push the needle into the skin at 90 degree angle

11. Release pinch

12.  Push down on the plunger at the base or bottom of the pen

13.  Remove and dispose of pen needle

14.  Document time, dosage, site, and blood glucose value

Note:  A brand new pen will need to be “primed” with 4-6 units until a few drops of insulin come out of the needle.  The purpose of priming is to clear any air out of the syringe that could affect dosing. Priming should be done into the air and not at the student.

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