We are trying to develop a policy and work instruction for how to handle patient's own insulin pumps in a perioperative setting and also for patients that are admitted acutely ill and on an insulin pump at home. I would appreciate any information and/or resources that anyone could provide. Do you have standard instructions for when to adjust or turn pump off prior to surgery/procedures? How and when to transition to intermittent sq insulin for inpatient use? Do you allow the use of patient's home continuous glucose monitoring systems? etc. Thanks in advance!

Heather Queen
Clinical Staff Pharmacist Medication Safety