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What should be done with the pump if a person on CSII is admitted to hospital and cannot self-manage?

If a person on CSII is admitted to hospital and cannot self-manage, the pump should be removed and insulin should be given by an alternative method, such as intravenously or via a pen device, until the person’s condition and ability to self-manage return. The pump should be stored in a safe place or sent home with a relative until needed.

When a CSII user is in hospital and self-management is not possible, the safest approach is to discontinue pump use. Remove the pump, then deliver insulin by an alternative route, either intravenously or by a pen device, for as long as the person remains unable to manage the pump themselves. The pump itself should be kept safely, either stored in a secure place in the hospital or sent home with a relative, until the person has recovered and can resume self-management.

Key points

  • Remove the pump if the person cannot self-manage.
  • Provide insulin intravenously or via a pen device as an alternative.
  • Store the pump in a safe place or send it home with a relative.
  • Resume pump use once the person can self-manage again.
Source:Oxford Handbook of Diabetes Nursing· Continuous subcutaneous insulin infusion· p. 114–121

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