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Glucagon Administration Checklist Employee Name: School: Instructor: Date of Initial Training×Demo Date of Review: Direction: 1. Put on Gloves 2. Remove the flip off seal from the bottle of glucagon.
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How to fill out glucagon administration checklist

How to fill out glucagon administration checklist:
01
Before starting, gather all necessary supplies such as the glucagon kit, alcohol swabs, and any additional medications or equipment required for administration.
02
Begin by reviewing the patient's medical history and any previous episodes of severe hypoglycemia that may necessitate the use of glucagon.
03
Verify the expiration date of the glucagon kit to ensure its effectiveness.
04
Open the glucagon kit and inspect the contents, making sure that the vial of glucagon powder and the syringe or auto-injector are present and in good condition.
05
If using a syringe to reconstitute the glucagon powder, follow the instructions provided with the kit to add the appropriate amount of sterile water and gently swirl the vial to mix the solution. If using an auto-injector, no reconstitution is required.
06
Once the glucagon is ready for administration, check the dosage instructions based on the patient's weight and age. Ensure that the correct dose is determined and documented on the checklist.
07
Prior to administering glucagon, assess the patient's blood glucose level using a glucometer. Document the current blood glucose reading on the checklist.
08
Cleanse the injection site with an alcohol swab and allow it to air dry.
09
Administer the glucagon injection according to the identified route (subcutaneous or intramuscular), following the manufacturer's instructions.
10
After administration, carefully monitor the patient for any adverse reactions, such as nausea or vomiting.
11
Record the time of glucagon administration on the checklist and document any observations or additional actions taken during the process.
12
Finally, ensure that the completed checklist is signed and dated by the healthcare professional responsible for administering the glucagon.
Who needs glucagon administration checklist?
01
Individuals with type 1 diabetes who are prone to severe hypoglycemic episodes.
02
Patients with diabetes who are at risk of hypoglycemia due to medication side effects or other factors.
03
Caregivers or family members who may need to administer glucagon in emergency situations where the person with diabetes is unable to self-administer.
Please note that the glucagon administration checklist and its usage may vary depending on healthcare facility protocols and individual patient needs. It is essential to consult with a healthcare professional or refer to specific guidelines for accurate and appropriate administration.
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What is glucagon administration checklist?
The glucagon administration checklist is a form used to document the administration of glucagon in case of emergency situations for individuals with diabetes.
Who is required to file glucagon administration checklist?
School staff, caregivers, or healthcare professionals who administer glucagon to individuals with diabetes are required to file the glucagon administration checklist.
How to fill out glucagon administration checklist?
The glucagon administration checklist should be filled out with the date and time of administration, dosage given, person administering the glucagon, and any relevant notes about the situation.
What is the purpose of glucagon administration checklist?
The purpose of the glucagon administration checklist is to ensure that proper documentation is kept regarding the administration of glucagon in emergency situations for individuals with diabetes.
What information must be reported on glucagon administration checklist?
The glucagon administration checklist should include the date and time of administration, dosage given, person administering the glucagon, and any relevant notes about the situation.
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