Evidence Based Care Program

1. Evidence Based Care Program Subcutaneous Insulin Order Set arawn@gbhs.on.ca

2. Order Sets and Pathways • Grey Bruce Health Network (GBHN) is a collaboration of 3 corporations, CCAC and Public Health • Grey Bruce Health Services – 6 sites • Hanover and District Hospital – 1 site • South Bruce Grey Health Centre – 4 sites • Evidence Based Care Program has 10 pathways and almost 120 order sets and protocols • Order Sets are “owned” by the physician • Pathways/Doc in Plan “owned” by the nurses

3. Order Sets are a TOOL for the physician and can only be implemented by the physician • Orders not required can be stroked out, while other orders can be added • Pathways/Doc in Plans are TOOLS for the nurses • Nurses can implement these without a physician order and critique the care based on the individual patient • Both are based on best practice, practice guidelines, and are evidence based where evidence is available

4. Change • How can we change what we do to effectively have a direct impact on patient outcomes? • Is it possible to change habits?

5. http://www.youtube.com/watch?v=2lXh2n0aPyw

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11. Hypoglycemia Clinical Protocol

16. Questions, Comments, Feedback, Ideas Andrea Rawn EBC Program Co Ordinator Education Co Ordinator Evidence Based Care Program arawn@gbhs.on.ca