What You’ll Uncover in Nancy Moline Improving Diabetes Management Tools for the Nurse
- School:
- Nancy Moline
- Length:
- Full Day
- Format:
- Audio and Video
- Copyright:
- Might 19, 2017
Description
- Methods to Scale back the Incidence of Hypo & Hyperglycemia in the Acute Affected person
- Essential Interventions for the Affected person in Disaster
- Treating Particular Populations: Straightforward to Use Formulation
- The Significance of Dosing & Timing
- Ideas & Tools You Can Put into Observe the Subsequent Day
Till not too long ago, glucose management in the hospital setting was largely ignored even in sufferers with a prognosis of diabetes. We didn’t understand 1 out of each 3 sufferers we have been caring for was doubtlessly struggling the penalties of uncontrolled hyperglycemia and, worse, these unknown sufferers have been experiencing increased mortality charges after discharge. Backside line, we MUST do higher and also you, the bedside nurse, play a essential function in figuring out and managing your hypo and hyperglycemic sufferers.
This seminar will handle points you face in the hospital and provides solutions to questions you received’t discover in any textbook. Think about having the ability to take a look at a single flowsheet and perceive precisely why your affected person continues to expertise hypoglycemia, or persistent hyperglycemia. Knowledgeable, Nancy Moline, RN, M.Ed., CDE, will share with you the administration strategies and ideas she has developed via her in depth expertise and improve your understanding of the complexities of diabetes. You’ll depart this seminar with new instruments and formulation to enhance the outcomes of your sufferers with and with out diabetes prognosis.
Handouts
| Guide ZNM077340 (6.01 MB) | 63 Pages | Obtainable after Buy |
Define
Glycemic Targets for Hospitalized Sufferers
- Clear interpretation of AACE & ADA tips
- Adjusting limits for the critically sick affected person
- Non-essential sufferers: How excessive is simply too excessive
Recognizing Signs of Hypoglycemia
- Hypoglycemic unawareness: How are we lacking this?
- Interventions that change outcomes
- 15/15 Rule
- Timing and Dose: The nice, the dangerous, the ugly
- IV dextrose
- Glucagon
Lowering Incidence of Hypoglycemia
- Finger sticks & approach – it does matter!
- Essential timing for pre-meal & correction insulin
- The nurse’s function in making certain carbohydrate-constant meals
Signs & Essential Interventions for Hyperglycemia
- The variations of DKA & HHNK
- Diabetic Ketoacidosis
- A posh metabolic course of
- Figuring out the affected person in danger
- Managing fluid substitute to keep away from problems
- Insulin drips
- Essential labs & acute administration
- Nursing Management of HHNK
- Figuring out the signs
- Don’t neglect your ABCs
- Frequent laboratory pitfalls
- Restoring electrolyte stability
Penalties of Acute Hyperglycemia
- Addressing & managing new wound infections
- The hazards of:
- Platelet abnormalities
- Inflammatory cytokine response
- The affected person & the facility in danger:
- Poor affected person outcomes
- Readmissions
- Elevated size of keep
- Insulin resistance
Treating Particular Populations Utilizing a Easy Method
- The affected person newly prescribed steroids
- Adjusting for tube feedings
- TPN: Understanding the results for the diabetic affected person
- Concerns for sufferers on R-U-500 insulin
Insulin for Improved Glucose Management
- Sort 1 vs. Sort 2 tips
- Motion instances of insulins
- Calculating Basal/ Bolus Insulin
- Miami 4/12 Rule
- Correction scales primarily based on insulin sensitivity
Oral Brokers in the Hospital Setting
- NPO vs consuming standing
- Precautions for Metformin
Security Points with Managing Insulin Pumps
- Affected person exclusion standards
- Recognizing pump issues
- When to take away pumps
System Enhancements Positively Impacting Affected person Outcomes
- Standardized correction scales primarily based on insulin sensitivity
- Customary protocols for treating hypoglycemia
- Doctor order units for insulin initiation
- Carbohydrate labels on meal trays/snacks
Placing It All Collectively
- Case Research: What went proper and what went unsuitable
- Fixing issues utilizing the glucose accordion flowsheet report
School
Nancy Moline, RN, M.Ed., CDE Associated seminars and merchandise: 2
Nancy Moline, RN, M.Ed., CDE, has greater than 25 years of expertise in diabetes administration. As a diabetes nurse advisor, she acknowledged the want for hospital nurses to extend their information and confidence in managing points associated to insulin and glucose management. Nancy designed a program for bedside nurses that resulted in decreased incidences of hypoglycemia and insulin errors. Moreover, she designed and coordinated the implementation of a diabetes persistent circumstances administration program for a big HMO, coaching nurses to grow to be diabetes care managers.
Nancy is a broadcast creator whose work consists of the article “Diabetes Management in a Health Maintenance Organization: Efficacy of Care Management using group Cluster visits” in the Diabetes Care Journal. She can also be a previous winner of the analysis award from Kaiser Permanente, Northern California for the Diabetes Cooperative Care Clinic. Nancy presents on the nationwide stage and is a daily presenter for the UCSF program “Becoming a Diabetes Educator.”
Disclosures:
Monetary: Nancy Moline has an employment relationship with Alta Bates Hospital. She receives an honorarium from Alameda County Well being System; King Hooper Diabetes Training, Inc.; and College of California San Francisco Board of Nursing. Ms. Moline receives a talking honorarium from PESI, Inc.
Nonfinancial: Nancy Moline is a member of the American Affiliation of Diabetes Educators.
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