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Insulin Pump Failure

Questions:
  1. How/when do you discuss insulin pump failure preparation with your patients? What specific topics do you cover?
  2. What resources do you use to educate patients/families on this? (handouts, presentations, videos etc..)
  3. Do you have anything built into your EMR to help facilitate this?(dot phrases, smart texts, after visit summary notes, flowsheet rows etc..)
Name: Olivia Docter, BSN, RN, CDCES
Clinic: Barbara Davis Center
Adult or Pediatric Population: Both
Date: 12/9/2022
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This Post Has 2 Comments

  1. We discuss insulin pump failure several times – at Pre-pump education session, during pump initiation, and as part of routine clinic visits when discussing ketones/sick day plan. We typically cover information about what a pump failure might look like and what action to take. One of our providers does include specific guidance in her AVS along with a long-acting dose in case of failure. The AVS is a dot phrase she built.
    We discussed having a discrete field for entering the long-acting dose in case of pump failure, but for many reasons that didn’t work in our current workflow.

    We also have a Handout for pump troubleshooting linked with our sick day plan. That document is here: https://patient.uwhealth.org/healthfacts/6979. This is a handout used for peds and adult patients at our facility.

  2. Hi Olivia,
    We also aim to discuss pump failure at pump initiation and with each clinical encounter. We aim provide a “Pump Action Plan” that includes information on back-up plan for injections including long-acting insulin dose. This was initiated by our Education Care Process Team and is delivered by CDCES in clinic encounters. I believe I shared the docment with you, but if not I woould be happy to!
    Warm regards,
    Dan (TCH)

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