Diabetes Education. Shelley Conner, RN, BSN, CDE April 26, 2012
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1 Diabetes Education Shelley Conner, RN, BSN, CDE April 26, 2012
2 Rex Healthcare Key Facts Locations in Wake County North Carolina Raleigh, Cary, Wakefield, Apex, Garner, Knightdale, Holly Springs Panther Creek Facilities: Acute care hospital Wellness centers (4) and one to be open in FY12 Skilled nursing facilities (2) Comprehensive health campuses (2) Limited scope sites 665 Beds 433 general acute care beds 6 NICU beds 226 skilled nursing More than 5,000 employees - one of the largest employers in Wake County Medical Staff 1,100 and growing Volunteers: 1,200 - contributing more than 140,000 hours per year
3 What is Diabetes Education? AADE7 Self Care Behaviors Healthy Eating Being Active Monitoring Taking Medication Problem Solving Reducing Risks Healthy Coping AADE Position Statement AADE 7 Self-Care Behaviors
4 What is Diabetes Education? American Diabetes Association (ADA)-National Standards for Diabetes Self Management Education American Association of Diabetes Educators (AADE)
5 What is Diabetes Education? Role of the Inpatient Diabetes Educator Interdisciplinary Teams Comprehensive Staff Diabetes Education Hypoglycemia Screening & Monitoring Protocols Hyperglycemia Insulin Protocols Transition from Hospital to Home AADE Position Statement Diabetes Inpatient Management
6 What is Diabetes Education? Inpatient Diabetes Education Perform learning needs assessment Evaluate/Update prior knowledge Survival Skills: What the patient must be able to do safely before discharge Meal Planning Safe medication administration Blood glucose monitoring Hypoglycemia Treatment AADE Position Statement Diabetes Inpatient Management
7 What is Diabetes Education? Outpatient Diabetes Education Best Outcomes for Retention Individual Appointments Group Class Sessions Support Groups Community Programs
8 Who performs Diabetes Education? Healthcare Professionals Registered Nurses Registered Dietitians Registered Pharmacists Physicians Mental Health Professionals Exercise Physiologists Others
9 Who performs Diabetes Education? Core body of knowledge and skills Communication and counseling Education, Study, Mentorship Certifications Certified Diabetes Educator (CDE) Board Certified-Advanced Diabetes Management Certification (BC-ADM)
10 Program Certification National Accreditation Programs: ADA Education Recognition Program (ERP) AADE Diabetes Education Accreditation Program (DEAP) DSME_Final.pdf Both operate on a 4 year renewal cycle, with annual reports that must be filed
11 Program Certification National Standards set by the ADA 1. Organizational Structure 2. Advisory Group 3. Target Population & Resources 4. Leadership: Designated Coordinator 5. Experienced Educators: must have at least an RN, RD or RPh
12 Program Certification National Standards set by the ADA 6. Curriculum/Framework 7. Assessment & Education Plan 8. Ongoing Support/Follow-up 9. Data Collection: Patient Goals & Outcomes 10.Continuous Quality Improvement
13 Rex Diabetes Education Inpatient Diabetes Education Patients who are admitted throughout the hospital or in the Emergency Department Patients who may have a need while being seen for Same Day Surgery or Outpatient procedures 2011 Stats: 950 patients 1300 hours direct education Survival Skills
14 Rex Diabetes Education Diabetes Education Center (DEC) Program Accreditation since 2001 Outpatient referrals from Physician Practices from Wake County and outlying areas Individual appointments Group class when insurance covers
15 Rex Diabetes Education Diabetes Education Center (DEC) Educator appointments in Raleigh, Cary, Wakefield and Knightdale Monthly Group classes in Raleigh Support Group meetings/programs Community Programs/Screenings
16 Questions
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