We use an Insulin Pump Self-Management agreement. A provider has to deem the pt is fully capable of self-management...we determine this with various questions and we expect the pt to show us his/her basal settings, tell us how many units:grams of CHO they bolus, what is their correction factor, etc.
They sign the form that states Nursing will check CBGs on our machine, the pt will inform the RN how many units will be bolused based on the CBG and anticipated PO intake. That is scanned into the chart.
There is a section in our EMR (under therapeutic monitoring) where the bolused are charted by RN.
The basal pump settings are documented under home meds, then that is carried over to curren meds so this is in the EMR. We change this if we adjust the rates while in hospital so the correct doses/rates carry over at discharge.
We have a Diabetes Mgmt Team (NPs/PAs) who see most of the pts with pumps which means not everyone has to be familiar with them. We are available to RNs (even overnight call) when they have problems, don't know where to document, etc., so they can contact us.