Diabetic Injections by https://padlet.com/celinegrundy/rc360nkcfmu3zvua en-us 2021-09-22 11:15:38 UTC 2021-09-22 14:56:07 UTC hello@padlet.com Numbers of patients that require support and administration at home and the time sensitive nature. https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760191570 2021-09-22 14:20:47 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760191570 https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760192947 increase in volume of referrals

]]> 2021-09-22 14:21:08 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760192947 Geographical spread of the patients https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760193798 2021-09-22 14:21:24 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760193798 All staff to complete Insulin training https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760194748 2021-09-22 14:21:40 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760194748 https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760194908 Patients being deconditioned whilst in hospital - losing their independence in insulin administration - end up being referred to DN's]]> 2021-09-22 14:21:42 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760194908 People who can self administer being admitted to hospital and discharged needing support. amandaspooner https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760195286 2021-09-22 14:21:49 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760195286 patients independence being taken from them in hospital https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760195302 2021-09-22 14:21:49 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760195302 staff complacency and need to go back to the basics https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760196819 2021-09-22 14:22:14 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760196819 Reluctance to self care due to perceived needle phobia and the amount of time needed to address this amandaspooner https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760198385 2021-09-22 14:22:43 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760198385 https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760199169 patients being on oral medication, getting admitted with an infection - started on low dose insulin, no follow up to stop the insulin when infection resolved]]> 2021-09-22 14:22:57 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760199169 * R's of medication reminders https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760199919 2021-09-22 14:23:09 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760199919 Geographical spread of patients requiring timed administration amandaspooner https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760200543 2021-09-22 14:23:21 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760200543 Reduced staffing at weekends and bank holidays so not the same number of staff available to deliver the care https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760200724 2021-09-22 14:23:24 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760200724 link with our DN liaison nurses (where we have the service) to encourage self-care https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760201518 2021-09-22 14:23:40 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760201518 Geographical allocation of visits amandaspooner https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760202158 2021-09-22 14:23:51 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760202158 linking with care agencies around times that food will be prepared and available to the patients to ensure administered in a timely manner to ensure good control https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760203953 2021-09-22 14:24:25 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760203953 Support from other teams to manage insulin administration. May be health care support staff in specialist teams that could support some of these times interventions https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760208756 2021-09-22 14:25:54 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760208756 Residential care homes to support with administration of insulin? https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760210242 2021-09-22 14:26:19 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760210242 https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760212249 support from GP's/Matrons/prescribers to review medications - EG low dose BD insulin being changed to OD insulin - takes pressure off peak times]]> 2021-09-22 14:26:57 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760212249 Linking with partners such as SCC, care agencies and residential homes to see what there future contracting and service planning are doing to consider how they could support around time sensitive interventions https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760213411 2021-09-22 14:27:19 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760213411 review the exceptions of insulin administration in residential care homes some patients requiring 3 x daily https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760216943 2021-09-22 14:28:24 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760216943 increase in the number od patients requiring tds or qds support https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760218285 2021-09-22 14:28:48 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760218285 if you are struggling to recruit in dsn roles, could you look at using that funding to recruit a team of administrators of insulin...a big wish i know, but if a team could be put together for our long term stable patients, to admin insulin and review these patients weekly, https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760271916 2021-09-22 14:44:59 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760271916 Quality checks within the team individual management/care plans are completed timely and re assessed https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760284793 2021-09-22 14:49:12 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760284793 scheduled clinic appointments for non house bound? https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760292337 2021-09-22 14:51:39 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760292337 Ensure we ask the right questions on the new referral form. amandaspooner https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760297171 2021-09-22 14:53:09 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760297171 Further training for home first staff to administer insulin, often overlap with dn teams and patient receiving 2 services at once at the same time in the morning and evenings carolynfleurat1 https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760302262 2021-09-22 14:54:42 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760302262 Community nursing teams could consider moving away from historical rota patterns and have equal staff spread across 7 days and no reduction in staffing at weekend. This would mean different visiting schedules around house bound wound care, catheters ect https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760305776 2021-09-22 14:55:51 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760305776 Develop insulin ISW services to undertake regular administration and have weekly reviews from DN team rather than daily visits may work around family friendly schools hours carolynfleurat1 https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760306504 2021-09-22 14:56:07 UTC https://padlet.com/celinegrundy/rc360nkcfmu3zvua/wish/1760306504