<p> Instructions for Pauses in SHINE Protocol—Intervention </p><p>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.</p><p>To Document the Pause: 1. In GlucoStabilizer, click 2. Enter previous glucose 3. Change Administered Insulin “Enter Glucose”. value. Re-enter glucose Infusion rate to “0”. Enter initials. In value and click “Done”. Comment field, document pause and that glucose value entered is from the previous check. Select OK.</p><p>4. A pop up box will 5. Select “Stop/Hold 6. A pop up box will appear asking appear asking “the System” in GlucoStabilizer “would you like to Stop/Hold administered insulin System?” Click OK. The main screen infusion rate is different of GlucoStabilizer will display. from the ordered rate. Would you like to continue?” Click OK.</p><p>Upon Return to the Unit: If paused for < 3 hours, follow the instructions to ‘Resume’. 1. In GlucoStabilizer, click on 2. Put the cursor in the row for 3. The home screen will “Resume” the study patient and choose display the current ongoing “Select”. Confirm the SHINE countdown OR the alarm subject ID and select “Save”. will be sounding for next Select “No” for changing check. advanced set up. Follow GlucoStabilizer instructions to repeat glucose checks and infusion adjustments per protocol.</p><p>SHINE Study Hotline: 800-915-7320 If paused for > 3 hours, follow the instructions to ‘Start New Drip’. 1. Check POC glucose upon 2. In GlucoStabilizer, select 3. Select “Save” on Review return to the unit. “Start New Drip”. Enter SHINE Drip Setup screen– Do NOT subject ID. enter any information or change any pre-populated items on this screen. </p><p>Select “No” for to change to advanced set up. 4. Select “Enter Glucose”. 5. Enter and re-enter the 6. The infusion rate POC glucose and click “Done”. recommendation will display. Enter initials to confirm the infusion rate, and click “OK”. </p><p>SHINE Study Hotline: 800-915-7320</p>