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Haven't come across this with children but have with adults who have
diabetes.

it's rather like the question of "allowing" patients to keep their own
medicines with them in hospital.

View A
The healthcare provider needs to know what's going on, therefore we'll
take the patient's device (drugs) from them, and document what's going
on our way.
And we'll know our staff understand the devices that are being used etc.

View B
If the patient's able to safely measure their own blood glucose (take
their own drugs) when at home they can safely do it while they are in
hospital. (And not unconscious etc.)
Furthermore they won't need to be restabilised, retrained etc when
they go home.
And the healthcare provider might learn more from the patient about
their disease.

Is there a governance problem with View B? I don't think so if you've
done an option appraisal including costs, benefits and risks, and
documented it. And, of course, included some patients in that option
appraisal.

Jonathan


On 5 Aug 2009, at 14:00, Ford Clare wrote:

Dear All,
 
Has anyone experienced opposition to the introduction of connected glucose meters in Paediatric departments because of the way children are trained to monitor their own blood glucose? 
 
I am told that it is standard procedure for children to remain in hospital after diagnosis of diabetes to be taught to check their own blood glucose and that consequently, once stabilised, all glucose measurements are performed by the child, under supervision, on the meter that they will be taking home and not by the nursing staff on the ward meter.   Therefore, even if connected meters were available most of the glucose measurements would not be performed on them. I am alarmed by the Governance issues with this approach and would like some indication of whether it is common or not.
 
Many Thanks
 
Regards
 
Clare
Consultant Clinical Biochemist
 
Clinical Chemistry
New Cross Hospital
Wolverhampton
WV10 0QP
 
Tel  01902 695286
Fax 01902 695618
 

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------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/