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RUNNING A DIABETIC CLINIC IN A LARGE GROUP PRACTICE SUSAN NEAL NURSE PRACTITIONER. DIABETICS AT NSMC 12,500 patients Register of 403 (3.2%) Type 1 = 40 (10%) Type 2 = 357(90%) Approx 40 Type 2 are Insulin dependant. WORKLOAD 344 patients attending DC - PowerPoint PPT Presentation
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DIABETICS AT NSMC
• 12,500 patients
• Register of 403 (3.2%)
• Type 1 = 40 (10%)
• Type 2 = 357(90%)
• Approx 40 Type 2 are Insulin dependant
WORKLOAD
• 344 patients attending DC
• Type 1 = 31(78%) seen DC in last 15m
• Type 2 = 317(90%)seen DC in last 15m
• Other 60 mixture of hosp/recidivists/housebound
• 896 dedicated diabetic or DC/CVS appts (17 appts weekly)
• 2/3 appts annually on average
• 4 clinicians
WHAT ARE THE REQUIREMENTS?
PROTOCOL FOR ALL NURSES AND DOCTORS
AGREED APPROACH TO MANAGEMENT
EFFECTIVE USE OF IT – Protocol to include consistent IT entries
TARGETS FOR BP CONTROL
TARGETS FOR HbA1c LEVELS
AGREEMENT ON OTHER INVESTIGATIONS
FIT WITH NSF / NEW CONTRACT?
STEPPED APPROACH TO MEDICATION
NOT TO MAKE THINGS DIFFICULTEXPERTISE AND CONFIDENCE
CAN BE DEVELOPED IN HOUSEAPPROPRIATE USE OF EXPERTS –
DSNs, HOSPITAL CLINICS, DIETICIANS
DISEASE REGISTER
ADMIN USE OF REGISTER/RECALL
MONITOR LEVEL OF CARE BEING
DELIVERED
AUDIT AND QUALITY CONTROL