Nancy Moline – Improving Diabetes Management: Tools for the Nurse

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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

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.


Salepage: https://catalog.pesi.com//item/improving-diabetes-management-tools-nurse-20633
Archive: https://archive.ph/wip/XJgfC

Improving Diabetes Management: Tools for the Nurse|Nancy Moline|Nancy Moline – Improving Diabetes Management: Tools for the Nurse


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