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Women’s College Hospital implements best practice guidelines in diabetes care

February 24, 2014

As a spotlight organization in partnership with the Registered Nurses Association of Ontario (RNAO), Women’s College Hospital (WCH) is committed to finding ways to implement best practice guidelines into nursing practices.

One of the most recent initiatives, carried out in the Endocrinology program, offers a standardized approach to care for diabetic patients who require insulin.

“Typically when patients with Type 2 diabetes go on insulin therapy, they receive verbal instruction from a nurse and then perform an injection themselves to ensure they understand and can perform the task correctly,” said Leah Drazek, advanced practice nurse and council lead, WCH. “In addition to this we have created a form, which details the insulin start instructions, including the patient’s prescription, which will be used as both a patient instruction form and nursing documentation.”

Once the initial instruction and injection practice is complete, a copy of the form is placed in the patient’s record and another copy is given to the patient to keep as a reference when administering injections at home.

“As healthcare providers, we are committed to providing the highest quality of patient care and ensuring the safety of our patients,” said Drazek. “The use of this form allows nurses and doctors to review the same documentation for an insulin start, maintaining a level of standardization throughout the entire process.”

The form is currently being used in its draft form as it goes through an approval process with the hospital committees and the RNAO. The official roll-out is expected in late March.

Leah Drazek
Leah Drazek, advanced practice nurse, WCH.
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