DNC Inpatient Services:
- Diabetes Clinical Nurse Specialist provides quality assurance, blood glucose data collection, policy & procedure review, SCIP measure monitoring, and education for staff and patients
- Certified Diabetes Educators (CDE) provide basic education and glycemic control assistance for SJH and SJE
- To order inpatient services, 1 to 2 days prior to discharge, write something like: "Consult Diabetes Center for teaching" OR "Consult Diabetes Center for glycemic control assessment" OR "Consult Diabetes Center for insulin administration teaching"
- BG TARGET is less than 180mg/dL overall - use of sliding scale (correction) insulin alone is NOT recommended; nurses will contact physician if BG's remain >180mg/dL
- Quality data is collected monthly and reported to quality committees, hospitalists, nursing management as well as physicians.
- Evidenced based practice is followed as recommended by the ADA (American Diabetes Association) and the AACE (American Association of Clinical Endocrinologists
- Inpatient standing orders include:
- Blood Glucose Control protocol (this just allows for fingerstick blood glucose's(FSBG), A1c, other lab work as needed)
- Basal Bolus Insulin Initiation Protocol
- Non-Critical Care IV insulin infusion Protocol
- Critical Care IV insulin infusion Protocol
- Hypoglycemia - Severe Protocol
- DKA/HHS Protocol
- Insulin Pump Protocol (for use in the hospital)
- Perioperative Blood Glucose Control Protocol for insulin and non insulin diabetes patients (this is only used thru the outpatient surgery unit)
DNC Outpatient Services: (good for follow up needs after discharge from the hospital)
- Certified Diabetes Educators (RD and RN) provide a series of 3 classes after an initial assessment session
- Documentation regarding patient attendance is faxed back to the patient's primary physician
- To order outpatient services, complete the referral form and fax to 859.313.4390 (central scheduling); if questions please call 859.313.2393
- Individual sessions and group classes include:
- Most insurance companies, Medicare, and Medicaid provide coverage for diabetes education. Since coverage varies, patients are encouraged to check their insurance company for benefits.
- See outpatient referral forms for specific education need: Diabetes Education Referral Form,
Gestational Referral Form, Nutrition Education Referral Form.