 |
 |
View B-Governance problem?
Who ensures that the glucose meter the
patient uses has had regular QC done? Who provides EQA support? Is the patient given
an SOP (document controlled and reviewed annually of course)?
Regards
Ian
From:
Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of Jonathan Kay
Sent: 05 August 2009 14:55
To:
[log in to unmask]
Subject: Re: Connected meters in
Paediatric departments
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.