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Pre-Pump Checklist

Question:

We would like to develop a pre-pump checklist to identify all components that should be completed prior to pump start. This would include not just technical pump training but other important details like carb counting/awareness, getting supplies (pharmacy/DME), school management, follow up for advanced skills, who to call for help, etc. Do any centers currently use a tool like this to help make the transition to pump smoother?

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Name: Amanda Perkins, MSN, MPH, CPNP, CDCES
Clinic: Children’s National
Adult or Pediatric Population: Peds
Date: 10/4/24
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This Post Has 2 Comments

  1. Having redesigned out pump process a few times, I would caution against having a complex pre-pump checklist, as it will invariably create barriers for your more vulnerable patients if you use it as a hoop to jump through before scheduling class. Consider making these topics part of the pump training process. Even if they can’t carb count well, they won’t do worse on a pump than on shots. On the whole, our patients are never going to be as good at carb counting as we’d like. They ultimately AID systems that obviate the need for good or any carb counting.

    Your list above is great material for actual pump training. Include updated school plans, prescribing insulin vials, being sure they know how to run a sick day on a pump, what to do when the pump fails, etc. A great tool would be to create a personalized 1 page plan that is stored electronically and the patient only needs to be trained on how to access it (rather than memorizing it all or keeping up with papers).

  2. I agree with Todd completely We ask them to come learn about the different pumps and help them make a decision but find whether they can carb count or not they better on the AID systems Plus now we have Islet that does not require carb counting. Tandem also does pretty well with the non carb counters.
    I also agree with Todd about the material for pump training and pump start follow up education.

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