Omni-Pod Caregiver Guide

Omni-Pod Caregiver Guide
RYA N OMN I P OD W EA R ER
Insulet Corporation
9 Oak Park Drive
Bedford, MA 01730 USA
800 591 3455 / 781 457 5098
WITH THE OMNIPOD
MyOmniPod.com
15569-AW R1 12/12
2
Caregiver Guide
3
Get to know the OmiPod.
> The Pod. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
> The PDM (Personal Diabetes Manager). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
> How to check blood glucose and deliver a bolus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
> How to change the Pod. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Pod Placement Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Activate a New Pod. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Step 1: Fill the Pod. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Step 2: Apply the Pod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Step 3: Press Start. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
> How to enter a temporary basal rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
> How to suspend insulin delivery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
>Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
With the OmniPod,
you can help make managing
diabetes easier.
As a caregiver for a child with diabetes, you want to know you’re doing the right thing and
providing proper care. With the OmniPod, you can.
The OmniPod is an easy-to-use, two-part insulin delivery system designed to help simplify
diabetes management. With a small, tubing-free Pod that’s worn directly on the body, and
a wireless Personal Diabetes Manager (PDM), you can help make managing and living
with diabetes easier for the child in your care. You can also feel confident knowing that
the OmniPod is trusted by tens of thousands of wearers worldwide, along with caregivers
like you. And, you can count on us to be there for you whenever you need us with 24/7
comprehensive customer support.
Whether you’re a school nurse, daycare provider, parent, grandparent, or other secondary
caregiver for a child using the OmniPod, this guide will lead you through some of the key
functions that you may need to perform.
This guide is intended to be used in conjunction with the child’s Diabetes
Management Plan, input from the parents and/or healthcare provider and the
OmniPod Insulin Management System User Guide. PDM imagery is for illustrative
purposes only and should not be considered suggestions for user settings.
Refer to the OmniPod System User Guide for complete information on how
to use the System, and for all related warnings and cautions. The User Guide is
available online at MyOmniPod.com or by calling Customer Care.
This symbol will remind you to refer to the User Guide.
This guide is for PDM model UST400. The PDM model number is written on the
back cover of each PDM.
4
In an emergency you should call the child's healthcare provider
as well as the parent or emergency contact.
Healthcare provider name
Healthcare provider number
Parent name
Parent number
Emergency contact name
Emergency contact number
Customer Care: 800.591.3455
From outside the US: 781.457.5098
MyOmniPod.com
1
The Pod
The PDM
A small, lightweight Pod that’s easy to apply and wear daily.
A wireless Personal Diabetes Manager (PDM) that’s easy to use.
USB Port
TOP
•
Color LCD Screen
Viewing Window
Soft key labels
Soft keys
Home/power
User info/support
Up/down controller
Test strip port with light
B OTTO M
•
Fill port
MAI N MENU I TEMS
Adhesive Backing
Bolus: Deliver bolus doses to cover carbohydrates
Settings:
or correct high blood glucose (BG) levels.
>> Enter, edit and name basal programs
More actions:
Needle Cap
>> Change the Pod
>> Add BG readings
>> Assign/Edit BG tags
Temp basal: Adjust insulin delivery for exercise or
illness according to the child’s Diabetes Management Plan. This menu item is present only if the Temp
basal option is turned on.
>> Program temp basal, carbohydrate and bolus
presets
>> Customize system settings
Food library: Display reference library with carbohydrate, fiber, fat, protein and calorie counts for over
1,000 common food items.
BG history: View blood glucose history screens.
Suspend: Temporarily suspend insulin delivery.
My records: Review insulin delivery, blood glucose
history, alarm history, carbohydrate history, and
personal user information.
2
3
How to check blood glucose and
deliver a bolus.
2.
3:00p 2/11
Apply a blood sample to
the strip.
>> Wash the finger with soap and water or an alcohol
wipe and dry it completely.
>> Prick finger with the lancing device.
A bolus is an extra dose of insulin that helps manage the rapid natural rise in blood
glucose (also known as blood sugar) that results when you eat carbohydrates (sugar or
starch). Follow the steps below to check the child’s blood glucose level, determine the
appropriate bolus and deliver the bolus. These steps assume that the suggested bolus
calculator has been turned on as part of the child’s Diabetes Management Plan.
Because children’s food intake is often unpredictable, consult the child’s Diabetes
Management Plan or healthcare provider to determine the appropriate timing of insulin
delivery.
>> Press Light to illuminate the test strip in low-light
situations.
>> Apply blood sample to test strip.
Calibration code: 16
Light
3.
3:00p 2/11
150
>> When blood glucose reading appears,
press Next to continue.
mg/dL
1.
Calibration code: 16
Done
Tag
Next
>> Insert FreeStyle® test strip into strip port.
>> Check that the code on the vial of test strips
matches the code on the PDM screen.
>> If the codes do not match, use the Up/down
controller button to match the code on the PDM
4.
3:00p 2/11
Are you going to eat
now?
to the code on the vial.
>> If eating now, press Yes.
OR
>> If not eating, press No.
Cancel
4
OmniPod Caregiver Guide
No
Yes
5
How to check blood glucose and deliver a bolus
5.
3:00p 2/11
>> If eating, press the Up/down controller button
Enter carbs.
to enter the correct number of carbs, then press
8.
Enter.
3:00p 2/11
Suggested bolus: 5.00U
Carbs: 60 g
BG: 150 mg/dL
Insulin on board: 0.00U
5.00 U
0g
>> Press Enter to accept the suggested bolus.
OR
>> Press Extend and follow on-screen instructions
to deliver a portion/percentage of the bolus
immediately and the rest over a set period of time.
Only use the Extend option when required by the
child’s Diabetes Management Plan.
>> If extended boluses are not part of the child’s
Back
Enter
Back Extend Enter
Diabetes Management Plan, the Extend option
will not appear on the screen.
6.
Use these values for
bolus calculations?
>> Review the BG and carb values to make sure they
are correct, then press Confirm.
9.
3:00p 2/11
Start bolus?
Now:
BG: 150 mg/dL
Carbs: 18 g
Ext:
(0.0 hr)
Total:
5.00 U
Back Confirm
Back Confirm
7.
5.00 U
0.00 U
>> Press Confirm to start the bolus.
3:00p 2/11
Suggested bolus: 5.00U
Meal: (60/15)= 4.00U
3:00p 2/11
Correction:
Suggested bolus: 5.00U
(150-100)/50=
1.00U
Carbs: 60 g
BG: 150 mg/dL Insulin on board: -0.00U
Insulin on board: 0.00U
Total=
5.00U
>> Press the User info/support button to view how
the suggested bolus is calculated. Then press
Close.
10.
3:00p 2/11
>> The PDM screen will indicate when bolus delivery
Delivering bolus
5.00 U
has begun. If necessary, you may press Cancel to
stop a bolus while it is being delivered.
>> The child does not need to remain near the PDM
during delivery. Delivery time varies based on the
size of the bolus dose.
5.00 U
>> Once bolus delivery begins, you may press and
hold the Home/power button to turn off the PDM
Back Extend Enter
6
Close
OmniPod Caregiver Guide
Cancel
screen.
7
How to change the Pod.
You may need to change the Pod:
>> When the reservoir is low or empty, or the Pod is nearing expiration
3.
>> In response to an alarm
>> If the Pod has become dislodged
>> Gently remove the deactivated Pod by slowly
peeling back the adhesive. A commercial solvent
or baby oil can be used to soften the adhesive if
necessary.
3:00p 2/11
>> Turn on the PDM.
Bolus
More actions
Temp basal
My records
Settings
Food library
BG history
Suspend
>> Press the Home/power button,
then select More actions.
4.
3:00 p 2/11
Last BG
150 mg/dL
2:51p today
Last bolus 1.00 U
2:01p today
No active pod.
Would you like to
activate a pod now?
Select
No
>> Press Yes to activate a new Pod.
>> Follow the steps on pages 11 and 12 to fill a new Pod
with insulin. As you proceed, if the PDM screen
times out, press and hold the Home/power button
to turn it back on.
Yes
3:00p 2/11
Change Pod
Add BG reading
Assign/Edit BG tags
View food library
Back
8
>> Press Confirm to deactivate Pod.
Back Confirm
Status
2.
Press “Confirm” to
begin the pod change
process.
This will deactivate your
current pod.
>> If the child has a blood glucose reading of 250 mg/dL or more and has moderate to
large ketones
1.
3:00p 2/11
>> Select Change pod.
NOTES
Select
OmniPod Caregiver Guide
If the PDM screen times out during the process, press and hold the Home/power button to continue.
9
How to change the Pod
P O D P L AC E M EN T OP T I ON S
AC TIVATE A NEW P OD
The Pod may be placed over any subcutaneous tissue where one would deliver an insulin injection.
Please note the recommended positioning for each body area. The child’s Diabetes Management Plan
>> Assemble the following supplies:
or healthcare provider should indicate any preferred sites.
• Vial of insulin at room temperature
(U-100, rapid-acting). See User Guide for insulins
approved for use with the OmniPod System.
P O D P OS I TI O N I N G
• One sealed Pod
Arm and Leg:
• PDM
Position the Pod vertically or at a slight angle.
• Alcohol prep swab
>> Wash your hands.
arm
Back, Abdomen and Buttocks:
back
abdomen
buttocks
leg
Position the Pod horizontally or at a
slight angle.
leg
STEP 01: FILL THE P O D
1.1
>> Remove the Pod from its sterile packaging.
>> Use the alcohol prep swab to clean the top
of the insulin vial.
S I TE S E L ECTI ON
>> Assemble the fill syringe by twisting the needle
Change the site location each time you apply
onto the syringe.
a new Pod; improper site rotation can reduce
insulin absorption. The new site should be at
least 1 inch away from the previous site,
2 inches away from the navel, and not over a
F RO N T
B AC K
mole or scar.
OP TI M A L A D H E S I ON
1.2
>> Remove the protective cap.
Always clean the site thoroughly with an
alcohol swab to remove all body oils and
lotions, which may loosen the Pod’s adhesive.
CAUTION
Let the site air dry completely; do not blow on
CAUTION: Do not use any other type of needle
the site to dry it.
or filling device besides the syringe provided with
WARNING
TIP
10
OmniPod Caregiver Guide
CAUTION
WARNING
each
Pod.
TIP
If the PDM screen times out during the process, press and hold the Home/power button to continue.
NOTE:
NOTE:
11
N
How to change the Pod
1.3
>> Draw air into the fill syringe equal to the amount
of insulin indicated in the child’s Diabetes
1.5
Management Plan.
Fill a new pod with
insulin.
After filling pod, listen
for 2 beeps, then press
“Next.”
>> Depress air into the vial of insulin.
>> Turn the vial and syringe upside down.
NOTE: Do not remove
needle cap at this time.
>> Withdraw insulin from the vial and fill the syringe
with the amount of insulin indicated in the child’s
Cancel
line.
back on.
>> Press Next.
>> The PDM establishes a one-to-one relationship
with the Pod, which will not allow it to
communicate with any other Pod while this Pod
priming and safety checks, the PDM will beep.
>> Remove any air bubbles from the syringe.
1.4
>> Insert the needle straight down into the fill port on
the underside of the Pod. To ensure proper fill, do
not insert fill syringe at an angle into the fill port.
>> Completely empty the syringe into the Pod.
STEP 02 : APPLY THE P O D
2.1
>> The Pod will beep twice, indicating that the System
CAUTION
CAUTION
CAUTION
CAUTION
WARNING
WARNING
Discard
WARNING: NEVER inject air into the fill port.
Doing so may result in unintended or interrupted insulin delivery.
WARNING
TIP
Prepare infusion site.
Remove pod’s needle
cap.
If cannula sticks out as
shown below, press
“Discard.”
is ready to proceed.
TIP
press and hold the Home/power button to turn it
is active. Once the Pod successfully completes its
Diabetes Management Plan; fill at least to the MIN
WARNING
>> Return to the PDM. If the PDM screen times out,
WARNING: NEVER use a Pod if you hear a crackling noise or feel resistance
when you depress the plunger. These conditions can result in underdelivery
of insulin.
2.2
Remove pod’s adhesive
backing.
>> Select the infusion site,
If pod is wet or dirty, or
adhesive is folded, press
“Discard.”
If pod OK, apply to site.
being careful to avoid
areas where the Pod will be
affected by folds of skin.
Refer to the figures on
page 10 for recommended
sites and placement tips.
Back Discard
>> For optimal adhesion, always clean the site
thoroughly with an alcohol swab to remove all
body oils and lotions, which may loosen the Pod’s
adhesive. Let the site air dry completely; do not
blow on the site to dry it.
TIP
NOTE:
TIP
NOTE:
NOTE:
NOTE:
UNCOATED
12
OmniPod Caregiver Guide
COATED
UNCOATED
If the PDM screen times out during the process, press and hold the Home/power button to continue.
13
How to change the Pod
STEP 03: PRESS START
2.3
>> Remove the needle cap.
3.1
3:00p 2/11
>> Press Start. The Pod automatically inserts the
Press “Start” to insert
cannula and begin basal
delivery.
cannula and delivers a prime bolus to fill the
cannula with insulin. It takes a few seconds to
complete this process.
Start
2.4
>> Remove and discard the white paper
backing from the adhesive.
3.2
3:00p 2/11
>> Once complete, the PDM indicates that the Pod is
Pod is active.
“basal 1” has been
CAUTION
programmed.
Check infusion site and
cannula.
Is cannula properly
inserted?
WARNING
active and asks you to check the infusion site.
>> CAUTION
Look through the Pod’s viewing window to check
that the cannula is properly inserted, then press Yes.
WARNING
WARNING: NEVER inject insulin (or anything
Yes
No
else) into the fill port while the Pod is on the
TIP
CAUTION
2.5
>> Apply the Pod to the selected site.
>> Run your finger around the adhesive to secure it.
3.3
>> Press Next on the PDM.
Pod and make a wide pinch around the skin
if the insertion site does not have much fatty
WARNING
Always check BG after a
pod change.
>> To facilitate insertion, place one hand over the
surrounding the viewer window; this step is critical
NOTE:
Reminder:
CAUTION
tissue. Release the skin after the cannula inserts.
Check infusion site andTIP
CAUTION
ensure
cannula is
properly inserted.
NOTE:
WARNING
14
OmniPod Caregiver Guide
WARNING
child’s body. Doing so may result in unintended or
TIP
CAUTION
interrupted insulin delivery.
NOTE:
WARNING
WARNING: The PDM will generate an automatic
reminder to check the child’s blood glucose 1.5
hours after each Pod change. If the cannula is
TIP
UNCOATED
not properly inserted, hyperglycemia may result.
Verify there is no wetness or scent of insulin,
COATED
which may indicate the cannula has dislodged.
NOTE:
OK
If the PDM screen times out during the process, press and hold the Home/power button to continue.
UNCOATED
CAUTION
CAUTION
15
How to enter a temporary basal rate.
The basal rate refers to the steady dose of insulin the child receives at all times.
You may need to:
3.
Enter duration for temp
basal increase.
or insulin delivery has been interrupted.
0.5 hr
>> Temporarily decrease the basal rate prior to increased physical activity (physical education or
organized sports) or in response to low blood sugar that does not respond to oral carbohydrates
Time Period:
3:00p-3:30p
or other efforts.
The child’s Diabetes Management Plan or healthcare provider should provide the
appropriate temp basal rates.
1.
Status
2.
>> Press the Home/power button,
then select Temp basal.
Select
>> Choose Increase or
Enter temp basal
increase.
Decrease basal rate, then
press Next.
MORE
basal insulin
OmniPod Caregiver Guide
basal insulin will be delivered for 0.5 hours). The
Pod beeps to indicate that the temporary basal
rate is running.
Back
5.
50+U
3:00 p 2/11
Last BG
150 mg/dL
12:28p today
Last bolus 1.00 U
12:28p today
>> The Status screen indicates the temp basal rate
and the remaining delivery time.
>> Enter % change (or temp
basal rate), then press Enter
(Shown here is an example of
Enter
Temp basal
0.25 U/hr 0:30 remains
a temporary basal increase.
In this example, 25% MORE
16
shown on the screen (In this example, 25% more
Back Confirm
25%
Next
>> Press Confirm to start the temporary basal rate
0.5 hr
option will not appear on the screen.
Increase
Decrease
Start temp basal
increase?
MORE basal insulin
for
Diabetes Management Plan, the Temp basal
Would you like to
increase or decrease
your basic basal rate?
Enter
25%
>> If temporary basal rates are not part of the child’s
3:00p 2/11
Back
Back
4.
>> Turn on the PDM.
Bolus
More actions
Temp basal
My records
Settings
Food library
BG history
Suspend
be delivered (in half-hour increments), then press
Enter.
>> Temporarily increase the basal rate in response to high blood sugar, if, for instance, the child is ill
3:00p 2/11
>> Enter the length of time the temp basal should
insulin will be delivered).
Pod exp 6:28a 2/14
Home
17
How to suspend insulin delivery.
If the child has severe low blood sugar you may need to suspend
insulin delivery.
3.
3:00p 2/11
>> Press Confirm.
Suspend ALL delivery?
Set advisory for:
0.5 hr
1.
3:00p 2/11
Status
2.
>> Turn on the PDM.
Bolus
More actions
Temp basal
My records
Settings
Food library
BG history
Suspend
>> Press the Home/power button,
Back Confirm
then select Suspend.
4.
Select
Back
5.
Enter
65 mg/dL
2:45 p today
Last bolus 1.00 U
2:01p today
has been suspended.
Pod exp 1:48p 2/14
Home
press Enter.
0.5 hr
>> The Status screen indicates that insulin delivery
Last BG
>> Enter the length of time the suspension should last
(minimum 0.5 hour, maximum 2.0 hours), then
Enter duration:
3:00 p 2/11
INSULIN SUSPENDED
3:00p 2/11
Suspend insulin delivery.
50+U
3:30p 2/11
>> The Pod will beep every 15 minutes until the
End of insulin suspend.
end of the suspension period. At the end of the
Press “OK” to resume
basal rate delivery.
suspension period, a Pod advisory alarm will occur.
At this time, turn the PDM on and press OK to
resume the active basal program.
CAUTION
CAUTION: The Pod remains suspended and the
OK
Status screen shows INSULIN SUSPENDED until
WARNING
18
CAUTION
WARNING
you
press OK to resume insulin delivery.
19
OmniPod Caregiver Guide
TIP
TIP
Supplies
“ I can feel confident knowing we’re
taking better care of my son’s health for the long-term with the OmniPod. And I know he feels better about himself.”
—N AN C Y , mother of 12-year-old Ryan
>> You should have the following supplies on hand at all times.
>> Several new sealed Pods
>> Extra new PDM batteries (at least two AAA alkaline)
>> A vial of rapid-acting insulin
NOTES
>> Syringes or pens/needles for injecting insulin
>> Instructions from the child’s healthcare provider about how much
insulin to inject if delivery from the Pod is interrupted
>> Blood glucose test strips
>> Ketone test strips
>> Lancing device and lancets
>> Glucose tablets or another fast-acting source of carbohydrate
>> Alcohol prep swabs
>> If traveling, a copy of a letter from the child’s healthcare provider
for airline security
>> Phone numbers for the child’s parents, healthcare provider,
and emergency contact
>> Glucagon emergency kit and written instructions for giving an injection
20
21
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