Image of Improving Diabetes Management: Tools for the Nurse
Digital Seminar

Improving Diabetes Management: Tools for the Nurse


Faculty:
Nancy Moline
Duration:
Full Day
Format:
Audio and Video
Copyright :
May 19, 2017
Product Code:
POS077340
Media Type:
Digital Seminar


Description

  • Strategies to Reduce the Incidence of Hypo & Hyperglycemia in the Acute Patient
  • Critical Interventions for the Patient in Crisis
  • Treating Special Populations: Easy to Use Formulas
  • The Importance of Dosing & Timing
  • Tips & Tools You Can Put into Practice the Next Day

Until recently, glucose control in the hospital setting was largely ignored even in patients with a diagnosis of diabetes. We didn’t realize 1 out of every 3 patients we were caring for was potentially suffering the consequences of uncontrolled hyperglycemia and, worse, these unknown patients were experiencing higher mortality rates after discharge. Bottom line, we MUST do better and you, the bedside nurse, play a critical role in identifying and managing your hypo and hyperglycemic patients.

This seminar will address issues you face in the hospital and give answers to questions you won’t find in any textbook. Imagine being able to look at a single flowsheet and understand exactly why your patient continues to experience hypoglycemia, or persistent hyperglycemia. Expert, Nancy Moline, RN, M.Ed., CDE, will share with you the management techniques and tips she has developed through her extensive experience and increase your understanding of the complexities of diabetes. You will leave this seminar with new tools and formulas to improve the outcomes of your patients with and without diabetes diagnosis.

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

OBJECTIVES

  1. Breakdown glycemic targets for the hospitalized patient
  2. Detect symptoms of hypo/hyperglycemia
  3. Communicate metabolic consequences of acute hyperglycemia
  4. Utilize a standardized approach to managing glucose in patients on steroids, tube feedings and TPN
  5. Calculate basal/ bolus (prandial) insulin dosing to achieve optimal glucose control
  6. Formulate 2 ways the bedside nurse can reduce the incidence of hypoglycemia in the hospital
  7. Analyze the use of oral agents in the hospital setting
  8. Assess safety issues with using insulin pumps in the acute care setting
  9. Communicate 2 system improvements that positively impact patient outcomes

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Certified Diabetes Educators

The National Certification Board for Diabetes Educators recognizes courses sponsored by a CDR approved provider. This self-study course qualifies for 6.0 continuing education hours.


Pharmacology Nurse Practitioners

This self-study program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement. 


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a  provider of continuing nursing education by the American Nurses Credentialing Center’s  Commission on Accreditation.

Nurses completing these self-study materials will earn 6.3 contact hours. Expires: 05/19/2020.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Nancy Moline Related seminars and products: 2

RN, M.Ed., CDE


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.


Additional Info

Program Information

Additional Resources

To order the book, Wound Care Pocket Guide: Clinical Reference, please visit our product store.

To order the book, Laboratory Tests Made Easy: A Plain English Approach, Second Edition, please visit our product store.


CD/DVD

Click here to purchase the DVD or CD recording from our product store.


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Certified Diabetes Educators, Registered Dietitians & Dietetic Technicians, Nurses, Physician Assistants, and other Healthcare Professionals

Reviews

5
4
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2
1

Overall:      4.5

Total Reviews: 143

Comments

Martin P

"An excellent course. "

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