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Session Details

Proactive A1c Screening and Education for the Elective Total Joint Patient

Track: Podium: Clinical Practice

Session Number: S205
Date: Sun, May 31st, 2020
Time: 11:00 AM - 12:00 PM

Description:

The preoperative laboratory orders for elective total joint patients were found to be inconsistent, with only 2 of 5 surgeons including a hemoglobin A1C as part of the order set. Once the order sets were aligned and all patients received a preoperative hemoglobin A1C as part of the preoperative screening, a more apparent issue came to light. A cursory review of hemoglobin A1C values revealed that as many as 50% of our elective total joint patients had elevated values in the pre-diabetic or diabetic range without corresponding medical history. We found that most patients were unaware of their impaired glycemic status. Collaboration with diabetic educators led us to design a protocol to provide a diabetic educator consult during the patients' hospital stay. The individual time with the diabetic educator provides an opportunity to learn and ask questions in an unhurried atmosphere while the need for outpatient follow up is reinforced. Written educational material is provided as well as contact information for outpatient diabetic resources. Each month has generated between 39 and 65 diabetic educator consults, at times putting a strain on the resources of our two diabetic educators. We are in the process of incorporating the hospitalist into the educational fold and discussing whether our hemoglobin A1C level of >5.6 is the most appropriate value to generate a diabetic educator consult. The goal continues to be to bring awareness to patients to maximize their recovery while educating and providing a link for patients to manage their health and wellness in the community setting.
Sub-Categorization: Patient Education
Session Type: Podium

Learner Outcome: Evaluate current practice of how elevated hemoglobin A1C values are handled in the elective joint population and develop a means for ensuring patient education and continued follow up in the community setting.
Category: A
Sub-Categorization: Patient Education
Session Type: Podium

Learner Outcome: Evaluate current practice of how elevated hemoglobin A1C values are handled in the elective joint population and develop a means for ensuring patient education and continued follow up in the community setting.
Category: A

Speakers

Lead Presenter
Jennifer Miller, MSN,RN,CMSRN,ONC
Naples Healthcare System

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