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.
Related questions
Oxford Handbook of Diabetes Nursing
etc.
Second Edition · Oxford University Press