Product Detail

Improving Diabetes Management:
DVD Video
$199.99 USD
Now Available For Preorder
Product Details
Format:
DVD Video - 4+ hours
Details:
Multi-disc video recording with electronic manual and instructions
Author:
NANCY MOLINE, RN, MED, CDE
Publisher:
PESI HealthCare
Copyright:
5/19/2017 - Available Now for Pre-Order
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
RNV077340
Objectives
  • Review glycemic targets for the hospitalized patient
  • Recognize symptoms of hypo/hyperglycemia
  • Describe metabolic consequences of acute hyperglycemia
  • Utilize a standardized approach to managing glucose in patients on steroids, tube feedings and TPN
  • Calculate basal/ bolus (prandial) insulin dosing to achieve optimal glucose control
  • Explain 2 ways the bedside nurse can reduce the incidence of hypoglycemia in the hospital
  • Analyze the use of oral agents in the hospital setting
  • Address safety issues with using insulin pumps in the acute care setting
  • Describe 2 system improvements that positively impact patient outcomes
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
Author

NANCY MOLINE, RN, MED, CDE

Nancy Moline 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."

Speaker 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.
Continuing Education Credits
For U.S. and Canadian customers, a CE test is available for $19.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this 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.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Information obtained in this course should be used within your scope of practice.

CE Credit is not available for this product.
Audience
Certified Diabetes Educators, Registered Dietitians & Dietetic Technicians, Nurses, Physician Assistants, and other Healthcare Professionals