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Nancy Moline – Improving Diabetes Management: Tools for the Nurse course with special price just for you: $219.99 $41
- Faculty:
- Nancy Moline
- Duration:
- Full Day
- Format:
- Audio and Video
- Copyright:
- May 19, 2017
Description
Handouts
| Manual ZNM077340 (6.01 MB) | 63 Pages | Available after Purchase |
Outline
Glycemic Targets for Hospitalized Patients
- Clear interpretation of AACE & ADA guidelines
- Adjusting limits for the critically ill patient
- Non-critical patients: How high is too high
Recognizing Symptoms of Hypoglycemia
- Hypoglycemic unawareness: How are we missing this?
- Interventions that change outcomes
- 15/15 Rule
- Timing and Dose: The good, the bad, the ugly
- IV dextrose
- Glucagon
Reducing Incidence of Hypoglycemia
- Finger sticks & technique – it does matter!
- Critical timing for pre-meal & correction insulin
- The nurse’s role in ensuring carbohydrate-consistent meals
Symptoms & Critical Interventions for Hyperglycemia
- The differences of DKA & HHNK
- Diabetic Ketoacidosis
- A complex metabolic process
- Identifying the patient at risk
- Managing fluid replacement to avoid complications
- Insulin drips
- Critical labs & acute management
- Nursing Management of HHNK
- Identifying the symptoms
- Don’t forget your ABCs
- Common laboratory pitfalls
- Restoring electrolyte balance
Consequences of Acute Hyperglycemia
- Addressing & managing new wound infections
- The dangers of:
- Platelet abnormalities
- Inflammatory cytokine response
- The patient & the facility at risk:
- Poor patient outcomes
- Readmissions
- Increased length of stay
- Insulin resistance
Treating Special Populations Using a Simple Formula
- The patient newly prescribed steroids
- Adjusting for tube feedings
- TPN: Understanding the effects for the diabetic patient
- Considerations for patients on R-U-500 insulin
Insulin for Improved Glucose Control
- Type 1 vs. Type 2 guidelines
- Action times of insulins
- Calculating Basal/ Bolus Insulin
- Miami 4/12 Rule
- Correction scales based on insulin sensitivity
Oral Agents in the Hospital Setting
- NPO vs eating status
- Precautions for Metformin
Safety Issues with Managing Insulin Pumps
- Patient exclusion criteria
- Recognizing pump problems
- When to remove pumps
System Improvements Positively Impacting Patient Outcomes
- Standardized correction scales based on insulin sensitivity
- Standard protocols for treating hypoglycemia
- Physician order sets for insulin initiation
- Carbohydrate labels on meal trays/snacks
Putting It All Together
- Case Studies: What went right and what went wrong
- Solving problems using the glucose accordion flowsheet report
Faculty
Nancy Moline, RN, M.Ed., CDE Related seminars and products: 2
Nancy Moline, RN, M.Ed., CDE, has more than 25 years of experience in diabetes management. As a diabetes nurse consultant, she recognized the need for hospital nurses to increase their knowledge and confidence in managing issues related to insulin and glucose control. Nancy designed a program for bedside nurses that resulted in decreased incidences of hypoglycemia and insulin errors. Additionally, she designed and coordinated the implementation of a diabetes chronic conditions management program for a large HMO, training nurses to become diabetes care managers.
Nancy is a published author whose work includes the article “Diabetes Management in a Health Maintenance Organization: Efficacy of Care Management using group Cluster visits” in the Diabetes Care Journal. She is also a past winner of the research award from Kaiser Permanente, Northern California for the Diabetes Cooperative Care Clinic. Nancy presents on the national level and is a regular presenter for the UCSF program “Becoming a Diabetes Educator.”
Disclosures:
Financial: Nancy Moline has an employment relationship with Alta Bates Hospital. She receives an honorarium from Alameda County Health System; King Hooper Diabetes Education, Inc.; and University of California San Francisco Board of Nursing. Ms. Moline receives a speaking honorarium from PESI, Inc.
Nonfinancial: Nancy Moline is a member of the American Association of Diabetes Educators.
Improving Diabetes Management: Tools for the Nurse|Nancy Moline|Nancy Moline – Improving Diabetes Management: Tools for the Nurse
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