Insulin Pump Management Checklist
Comprehensive insulin pump management for hospitalized patients including pump verification, settings review, site assessment, and glucose monitoring.
- Industry: Healthcare
- Frequency: Per shift / As needed
- Estimated Time: 10-15 minutes
- Role: Nurse/Diabetes Educator
- Total Items: 25
- Compliance: ADA Standards of Care, ISMP Insulin Safety, Hospital Insulin Pump Policy
Pump Verification
Verify pump and settings
- Pump is patient's own device?
- Patient competent to manage pump?
- Physician order for pump use?
- Pump functioning properly?
- Battery level adequate?
Settings Review
Verify pump settings
- Basal rates documented?
- Bolus settings documented?
- Insulin type documented?
- Settings match physician orders?
Infusion Site Assessment
Site evaluation
- Site location documented?
- Site intact with no leaking?
- No redness, swelling, or infection?
- Site rotation appropriate?
Glucose Monitoring
Blood glucose management
- BG monitoring frequency documented?
- Blood glucose in target range?
- Hypo/hyperglycemia episodes documented?
- Ketone monitoring if indicated?
Supplies Verification
Adequate supplies
- Adequate insulin supply?
- Spare infusion sets available?
- Backup insulin plan if pump fails?
Safety & Emergency Checks
Verify emergency protocols for insulin pump management
- Backup insulin and supplies available?
- Hypoglycemia treatment protocol accessible?
- Emergency contact information current?
- Clinician Signature
- Clinical Notes
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Why Use This Insulin Pump Management Checklist?
This insulin pump management checklist helps healthcare teams maintain compliance and operational excellence. Designed for nurse/diabetes educator professionals, this checklist covers 25 critical inspection points across 6 sections. Recommended frequency: per shift / as needed.
Ensures compliance with ADA Standards of Care, ISMP Insulin Safety, Hospital Insulin Pump Policy. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Insulin Pump Management Checklist cover?
This checklist covers 25 inspection items across 6 sections: Pump Verification, Settings Review, Infusion Site Assessment, Glucose Monitoring, Supplies Verification, Safety & Emergency Checks. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per shift / as needed. Each completion takes approximately 10-15 minutes.
Who should use this Insulin Pump Management Checklist?
This checklist is designed for Nurse/Diabetes Educator professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.