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Judy Gilman
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After an enjoyable 13 years working as a registered nurse in positions ranging from staff nurse to director of nursing services, I returned to school and received my family nurse practitioner credentials.


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Continuous Subcutaneous Insulin Infusion in Long Term Care (CSII)

An online continuing education course for nurses, medical health care professionals, and other interested individuals.

Since the introduction of insulin pumps several decades ago, Continuous Subcutaneous Insulin Infusion (CSII) therapy has become the preferred method of treatment for everyone with Type 1 Diabetes. For patients using CSII, it replaces multiple daily injections (MDI) of insulin. CSII is also used for some people with Type 2 Diabetes who, as a result of the progression of their diabetes, require MDI of insulin a day, similar to a person who has Type 1 Diabetes. This means that the number of patients with diabetes being admitted to Long Term Care (LTC) who utilize CSII has increased and will continue to do so. Patients are being admitted for LTC at younger ages than previously, often due injuries and illnesses that require them to have assistance during an extended recovery. Many of the patients admitted to LTC are mentally alert but need of physical care during an extended recovery or rehabilitation time. The dilemma in the LTC setting, when a patient is admitted who has been on CSII, is whether to continue the CSII or revert back to MDI of insulin. In this course, we will explore when it is appropriate to leave the patient on CSII, when to consider reverting to multiple injections and how to manage an insulin pump in LTC when it is determined to be the preferred method of treatment. Videos, pictures and links to pertinent web sites are included to enhance the learning experience.


Upon completion of this course, the participant will be able to:

  1. Discuss the advantages and the disadvantages of continuing CSII in a LTC facility.
  2. Identify the most important resource needed to continue CSII in a LTC facility.
  3. Name the urgent interventions required to problem solve hyper and hypoglycemia for a patient on CSII.
  4. Specify the type of insulin most commonly used in CSII.
  5. List the options for in-person or on-line pump training to advance nursing skills for CSII.


Chapter 1
Introduction to CSII

  • Types of Diabetes
  • History of Insulin Pumps
  • Advantages of CSII
  • Disadvantages of CSII
Chapter 2
Insulin Used in CSII
  • Types of Insulin
  • CSII Terminology

Chapter 3
Insulin Pump Companies and Equipment

  • Pumps Currently on the Market in U.S.
  • Web Sites for Insulin Pump Companies
  • Insulin Pump Equipment

Chapter 4
Mechanics of Operating Insulin Pumps

  • Animas One Touch Ping
  • MedtronicDiabetes Paradigm
  • Omnipod
  • Accu Chek Spirit
Chapter 5
Acute Illness and/or Unexplained Hyperglycemia
  • General Rules for Sick Day Management
  • Timing of Boluses During Illness
  • Unexplained hyperglycemia

Chapter 6

  • Assessment
  • Treatment

Chapter 7
Routine Assessment and Documentation

  • Assessment
  • Documentation

Chapter 8

  • Patient
  • Family
  • Facility Dietitian
  • Local or Area Diabetes Center
  • Endocrinologist/Diabetologist
  • Pump Company Websites
  • Pump Company Representatives

Course Snapshot

Cost: $ 25.00
Contact Hours: 2.5


After successful completion the licensed nurse: RN, LPN/LVN will receive 2.5 contact hours. Provider approved by the California Board of Registered Nursing, Provider # CEP 15467 and by the Florida Board of Nursing, CE Broker Tracking # is 20-363179

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