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The interprofessional team must maintain strong communication during the transition of care so that all involved in managing the patient's health problems are aware that the patient is on insulin pump therapy. The patient or a certified pump specialist should make adjustments to the pump settings, including but not limited to insulin boluses, temporary basal settings, and other changes to basal rates. Persistent hyperglycemia, problems with infusion sites, or removal of the device should be rapidly communicated with the physician. In most hospitals, there is a system where the patients can continue to use their insulin pumps as inpatients.[28] Still, the patients should be able to consent to and be willing and able to manage their insulin pump on their own as the hospital personnel is usually not trained in managing insulin pumps, so ultimately it would be the patient's responsibility to handle all pump's changes for optimal blood glucose control. In all settings, the healthcare staff has the right to suspend the pump and start the patient on a conventional regimen if they consider this to be in the best interest of the patient, such as in situations of anesthesia, any critical change in patient's mental and health status and when the patient is not fully awake to be able to manage the insulin pump independently.

The nursing staff must maintain a log of the blood glucose levels and basal rates on the insulin pump. That usually happens with the help of the patient reporting all glucose levels, especially if the patient is on CGM.[29] The individual requirements may vary from hospital to hospital. Still, most of the time, there is a need to maintain some paperwork showing that the patient consented and can manage the pump independently.[30]