Required Forms

• In-Hospital Orders for Self Management of Insulin Pump
• Insulin Pump Information Sheet
• Insulin Pump Therapy Patient Bedside Logbook
• Patient Agreement to Self-Manage Insulin Pump In-Hospital

Guidelines

• Guidelines for the Safe Management of Insulin Pump Therapy in Hospital

Can my patient safely pump in hospital? (Assessing self-management)

• Algorithm for assessing self-management of insulin pump in hospital
• Criteria for self-management of insulin pump
• Self-management terms for and expectations of patients

Yes, they can continue to pump safely!

• Refer to Required Forms

No, they do not meet criteria to safely pump in hospital. Now what?

• Switching to and from SC/IV insulin and pump

What to do in certain circumstances during a hospital stay/visit:

• Management for pregnant women
• Radiological procedures
• Surgical procedures

Insulin Pump Emergencies

• Abscesses
• Diabetic Ketoacidosis (DKA)
• Severe Hypoglycemia

(Guidelines for Management of Insulin Pump Therapy Emergencies)
(Safer Practice Notice - Safe Insulin Pump Therapy in Acute Care)

My patient is planning for a procedure:

• Algorithm for procedures and surgery
• Insulin Pump Information Sheet (to be completed by the patient)
• Radiological procedures
• Refer patient to www.ipumpit.ca patient pages
• Self-management agreement (to be signed at the time patient meets criteria to pump safely)
• Self-management expectations of the patient

What is an Insulin Pump?

• Terminology