Q. Insulin Pump Skills

Table of Contents

Steps

  1. Washes their hands and checks the five rights
  2. Gathers supplies and the medication administration record and/or other documentation records required to provide delegated care
  3. The school nurse reviews the student’s individual device with the school personnel and provides training on the device
  4. The school personnel demonstrates competency in the review of the settings used on the student’s device as determined by the school nurse’s decision to delegate specific tasks and the student’s needs
  5. The school nurse reviews the EAP with the school personnel
  6. Completes an insulin to carb counting ratio training and demonstrate competency with the school nurse (carb counting training is available in the module)
  7. Completes training and demonstrates competency with the school nurse on how to check the student’s blood sugar using the device provided by the parent and how to address highs and lows (e.g. blood glucose monitors or continuous glucose monitor)
  8. Completes training and demonstrates competency on how to utilize the specific settings permitted through delegation on the student’s pump device in accordance with manufacturer instructions
  9. Completes training and demonstrates competency with checking the 5 rights again before making any insulin adjustment to scheduled or episodic blood sugar checks following the steps in either the Medication Administration Records (MAR) or school documentation forms as provided to you by the school nurse
  10. Is able to successfully explain and demonstrate specific settings and uses of the pump to the school nurse and what the student’s pump is preprogrammed for per the child’s healthcare provider orders
  11. Demonstrates competency with the school nurse on how to troubleshoot the pump per the manufacturer, how to change the infusion tubing if required or the site as directed
  12. Demonstrates competency to the school nurse in understanding the importance of checking the 5 rights prior to administering medication or performing a delegated nursing task, or making any adjustment
  13. Demonstrates competency on the protocol for communication with the school nurse
  14. Ensure the delegatee has demonstrated competency with the school nurse on the 6th right of delegation with all delegated care: documentation