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316H Diagnosis CPRS – Dive Right In Christy Gagliano Dale Givens Duane Mawhorter Nick Strong 316H Diagnosis CPRS - Dive Right In Class Objectives Utilize existing VistA tools to support disease management Utilize group knowledge to design a solution based on user requirements

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316H Diagnosis CPRS –Dive Right In

Christy Gagliano

Dale Givens

Duane Mawhorter

Nick Strong


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316H Diagnosis CPRS - Dive Right In

Class Objectives

  • Utilize existing VistA tools to support disease management

  • Utilize group knowledge to design a solution based on user requirements

  • Facilitate group’s ability to determine own learning path

  • Utilize group dynamics to learn from and teach each other


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316H Diagnosis CPRS - Dive Right In

  • Group Introductions

    • Take 2 minutes to get to know each other and assign a group leader

  • The focus is for the team to take advantage of expertise of the group

  • The group leader will coordinate and assign tasks

  • Members will present group results at end of class


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316H Diagnosis CPRS - Dive Right In

  • Access Code: ##VEHU

  • Verify Code: VEHU##

  • Signature Code: VEHU##


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316H Diagnosis CPRS - Dive Right In

Diabetes ORZ MN 316

ORZ GMENU 316

Medications PSOZ QO 316

(All for 30 days with 3 refills)

Glipizide tab 5mg PO qam

Metformin 500mg PO tid

Insulin NPH (no preset dose)


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316H Diagnosis CPRS - Dive Right In

Supplies

For all - Schedule As Directed; Quantity 100

Dose Route

Syringes 1 syringe SQ

Lancets 1 lancet ‘blank’

Alcohol pad 1 pad TOPICAL

Glucose test strips 1 strip ‘blank”


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316H Diagnosis CPRS - Dive Right In

Labs LRZ QO 316

HGB A1C (every 3 months)

Lipid profile (yearly – more often if needed)

Basic Metabolic Panel (yearly – more often if needed)

Microalbumin & UA (yearly – more often if needed)


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316H Diagnosis CPRS - Dive Right In

Consults GRMCZ QO 316

  • Dilated eye exam (Ophthalmology) - yearly

  • Foot risk assess. (Diabetic nurse)- yearly

  • Foot/nail care (Podiatry) (as needed)

  • Nutrition/weight control (Dietary/MOVE)

  • Diabetic Ed. Class (Diabetic nurse)


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316H Diagnosis CPRS - Dive Right In

Radiology RAZ QO 316

  • Renal Ultrasound (uncontrolled DM with protein in urine)

    Text orders ORZ GXTEXT 316

  • Nursing – provide self injection ed.

  • Nursing – Blood glucose testing ed.

  • Clerk – RTC with labs or without labs


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316H Diagnosis CPRS - Dive Right In

Hyperlink

  • National Diabetes Practice Guidelines

    http://www.oqp.med.va.gov/cpg/DM/DM_base.htm

    Documentation provided

  • Blood pressure

  • LDL Cholesterol

  • HGB A1C

  • Microalbumin


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