96521 Refilling and maintenance of portable pump

Name of the Procedure:

Refilling and Maintenance of Portable Pump
(Also known as insulin pump maintenance)

Summary

Refilling and maintenance of a portable pump involves replenishing the medication reservoir and ensuring the device is functioning properly. This procedure is essential for patients with conditions like diabetes where continuous medication delivery is required.

Purpose

This procedure is critical for managing chronic conditions by ensuring a continuous and accurate supply of medication, thereby maintaining stable blood glucose levels or other critical physiological parameters.

Indications

• Patients with diabetes using an insulin pump.
• Individuals requiring continuous administration of medication for chronic conditions.
• Malfunctioning or depleted portable pump.

Preparation

• Fast for at least two hours before the procedure if instructed by your healthcare provider.
• Bring a list of current medications to the appointment.
• Have recent blood glucose levels available for review.
• Ensure the pump and corresponding supplies are ready and accessible.

Procedure Description

1. Setup: Gather all necessary supplies: medication reservoir, infusion set, adhesive, alcohol swabs.
2. Inspection: Check the pump for any signs of wear or damage.
3. Refill the Reservoir: Using a syringe, draw up the prescribed medication and fill the pump’s reservoir.
4. Prime the Pump: Eliminate air bubbles by priming the pump.
5. Replace Infusion Set: Attach a new infusion set to the pump and insert it under the skin.
6. Testing: Confirm that the pump is delivering medication correctly by running a test dose.
7. Final Check: Ensure the pump settings match the prescribed dosage.

Duration

The procedure typically takes 20-30 minutes.

Setting

Performed in a doctor’s office, outpatient clinic, or at home if the patient is trained and comfortable with the process.

Personnel

• Endocrinologist or primary care physician
• Diabetes educator or nurse
• Patient or caregiver (if done at home)

Risks and Complications

• Infection at the infusion site
• Blockage or leakage in the infusion set
• Incorrect dosing due to malfunctions
• Skin irritation from adhesive

Benefits

• Continuous and accurate medication delivery
• Improved management of chronic conditions
• Enhanced quality of life and symptom control

Recovery

• Monitor blood glucose levels more frequently for the first 24 hours.
• Keep the infusion site clean and dry.
• Follow up with your healthcare provider as recommended.

Alternatives

• Multiple daily injections (MDI)
  • Pros: No device required.
  • Cons: Less precise control of medication delivery.
• Oral medications (if applicable)
  • Pros: Easier to administer.
  • Cons: May not provide the same level of control.

Patient Experience

• Mild discomfort during infusion set insertion.
• Occasional skin irritation.
• Peace of mind with continuous medication delivery.
• Regular monitoring and adjustments as necessary.