Instructions for Pauses in Protocol—Intervention When SHINE intervention treatment is temporarily interrupted for any reason (e.g. patient needing to go off the care unit), the IV insulin drip should be stopped and all study treatments should be held during this time. To Document the Pause: In GlucoStabilizer, click Enter previous glucose Change Administered Insulin Glucose”. value. Re-enter glucose Infusion rate to Enter initials. “Enter “0”. value and click In Comment field, document pause “Done”. and that glucose value entered is from the previous check. Select OK. A pop up box will appear Select A pop up box will appear asking “Stop/Hold asking administered System” in you like to Stop/Hold “the “would insulin infusion rate is GlucoStabilizer System?” Click OK. The main different from the ordered screen of GlucoStabilizer will rate. Would you like to display. continue?” Click OK. Upon Return to the Unit: If paused for < 3 hours, follow the instructions to ‘Resume’. In GlucoStabilizer, on Put the cursor in the row for the The home screen will study patient and choose display the current “Resume” Confirm the SHINE ongoing countdown OR “Select”. subject ID and select the will be sounding “Save”. Select for changing for next check. “No” advanced set up. Follow GlucoStabilizer instructions to repeat glucose checks and infusion adjustments per protocol. If paused for > 3 hours, follow the instructions to New Drip’. ‘Start Check POC glucose upon In GlucoStabilizer, select Select on Review “Save” return to the unit. New Drip”. Enter Drip Setup screen– Do NOT SHINE subject ID. enter any information or change any pre-populated items on this screen. Select for to change to “No” advanced set up. Select Glucose”. and re-enter the POC The infusion rate “Enter glucose and click recommendation will display. “Done”.
Instructions for Pauses in Protocol—Intervention When SHINE intervention treatment is temporarily interrupted for any reason (e.g. patient needing to go off the care unit), the IV insulin drip should be stopped and all study treatments should be held during this time. To Document the Pause: In GlucoStabilizer, click “Enter Glucose”. Enter previous glucose value. Re-enter glucose value and click “Done”. Change Administered Insulin Infusion rate to “0”. Enter initials. In Comment field, document pause and that glucose value entered is from the previous check. Select OK. A pop up box will appear asking “the administered insulin infusion rate is different from the ordered rate. Would you like to continue?” Click OK. Select “Stop/Hold System” in GlucoStabilizer A pop up box will appear asking “would you like to Stop/Hold System?” Click OK. The main screen of GlucoStabilizer will display. Upon Return to the Unit: If paused for < 3 hours, follow the instructions to ‘Resume’. In GlucoStabilizer, on “Resume” Put the cursor in the row for the study patient and choose “Select”. Confirm the SHINE subject ID and select “Save”. Select “No” for changing advanced set up. The home screen will display the current ongoing countdown OR the will be sounding for next check. Follow GlucoStabilizer instructions to repeat glucose checks and infusion adjustments per protocol. If paused for > 3 hours, follow the instructions to ‘Start New Drip’. Check POC glucose upon return to the unit. In GlucoStabilizer, select New Drip”. Enter SHINE subject ID. Select “Save” on Review Drip Setup screen– Do NOT enter any information or change any pre-populated items on this screen. Select “No” for to change to advanced set up. Select “Enter Glucose”. and re-enter the POC glucose and click “Done”. The infusion rate recommendation will display.