home insulin pump

Insulin Pump Integration in MAR

Laura Coffey's picture

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We are evaluating our policies around use of home insulin pump for insulin delivery in the hospital.

One current struggle is the integration/visibility of the insulin pump in the MAR. Currently we have an order set that includes an insulin pump continuous order and an insulin pump bolus order. Nurses are required to document on the continuous basal order Q8 hour and bolus dose as needed. With pumps evolving, it is harder for nurses to document continuous basal rate as it can be either hard to find in the pump interface or change continually based on blood glucose levels.

Insulin pump workflow questions

Laura Frantz's picture

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Hello,
We are in the process of overhauling our personal insulin pump policy, order set, and process. We are interested in learning about how insulin pumps are handled within your institution/health system. If you are able, would love to see any clinical guidance, order set, or policy examples that you can share. Can you please answer the questions below:
1) Do you allow use of personal insulin pumps during acute admissions?
2) Exclusion criteria for personal insulin pump use (other than AMS or acuity
limiting ability to safely self-manage)?

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