The Diabetes Specialist Nurse Team (DSNT) is well established in the Northern Devon Healthcare Trust (NDHT), delivering inpatient, outpatient and community support to patients with diabetes.
An Inpatient Diabetes Awareness (IDA) project commenced in 2015, as the existing link nurse model was ineffective. A 12-month programme was developed to enable the diabetes specialist team to audit different aspects of diabetes management and care on each ward. The aim was to highlight areas that were going well and review those that required education and improvement. Among the topics audited was insulin safety and wastage. Themes identified included: insulin safety (ward stock management); safe administration of insulin; patients’ own insulin (waste reduction); staff education and training; multidisciplinary team working; patient transfer/discharge; insulin wastage and patient experience. Since 2016 the project has improved inpatient diabetes care through increased staff knowledge and awareness, improved efficiency and money saving, reduced insulin omission and reduced incidents.
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