Refrigerated Products Stored At Room Temperature (RT)
Medication
Allowable time at room temp
insulins
28 days
Adapted from Extended Stability for Parenteral Drugs, 7th Edition; 2023 & Lexi-Drugs. UpToDate LexiDrug. UpToDate Inc. https://online.lexi.com. Accessed September 2025.
High Alert Drug: Insulin
• Two RNs independently verify type & dose prior to administration.
High Alert Drug: Insulin (IV)
• Two RNs independently verify type & dose prior to administration. • Administered via IV pump; Not to be given by IV push for any indication.
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
insulin aspart (NovoLOG)
insulin lispro (Admelog)
Per policy, these hazardous drugs have special waste requirements.
Generic (Brand)
Waste Requirements
insulin aspart (NovoLOG)
Contains M-Cresol ⇒ BLACK BUCKET
2023 American Geriatrics Society Beers Criteria® for potentially inappropriate medication use in older adults.
Medication:
insulin aspart (NovoLOG)
Criteria 1: Potentially inappropriate medication use in older adults. (Table 2)
Drug(s)
insulin, sliding scale (insulin regimens containing only short- or rapid-acting insulin dosed according to current blood glucose levels without concurrent use of basal or long-acting insulin)
Rationale
Higher risk of hypoglycemia without improvement in hyperglycemia management regardless of care setting. Avoid insulin regimens that include only short- or rapid-acting insulin dosed according to current blood glucose levels without concurrent use of basal or long-acting insulin. This recommendation does not apply to regimens that contain basal insulin or long-acting insulin.
Recommendation
Avoid
Quality of evidence: Moderate, Strength of Recommendation: Strong
• Administered via IV pump; Not to be given by IV push for any indication.