Diabetes Clinics in General Practice
DIABETES CLINICS IN GENERAL PRACTICE
The following are guidelines for the Practice Consultant Program. They will provide a framework to guide you and the Practice Nurse on how to develop a systematic approach to diabetes care and how to set up diabetes clinics within General Practice.
CHECKLIST
- Practice protocols for the care of diabetes
- Systems for delivery of care
- Roles and responsibilities on how patients should be managed
- Customised education program for individual patients
- Use of guidelines
- Use of protocols
- Use of templates
RECRUITING OF PATIENTS
- GP referrals
- Nurse referrals
- Recalls using register
- Recalls from Diabetes Clinic
- Advertising (eg waiting room)
ROLE OF PRACTICE NURSE
Diabetes Clinic Preparation
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Selecting patients for diabetes clinic
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Develop a letter in MD to send to patients
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Medical Director templates
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Procedures for reception staff to book patients
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Patient information for GPs to hand out
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Place article in patient newsletter
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Advertising sign for reception (could do a diabetes education month)
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Staff meeting with Drs, nurses and reception staff to go through how the clinic will operate and what needs to be done at each step in the process
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Timing of clinic appointments (whole day, pension day, appointment schedule)
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Set up appointment book for nurse
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Conducts a clinical review
ANNUAL CYCLE OF CARE ITEMS
Care Planning (MBS Items 721, 723, 725)
- Review home glucose monitoring
- Physical assessment (RBG, BP, micro albumin etc)
- Lifestyle counselling (nutrition, exercise, smoking, alcohol)
- Medication review
- Allied Health and Specialist providers
- Equipment forms
- Forms for DAQ
- Completion of notes
- Printing of pathology forms
- Add patient to recall
ROLE OF THE GENERAL PRACTITIONER
- Review the clinical information
- Perform physical examination
- Coding
PATIENT
- Self Management Interview (knowledge of condition, treatment and medication)
- Patient survey
- National Diabetes Services Scheme (NDSS)
- Complete Diabetes Australia Registration form
- Diabetes Australia FACT sheets
RESOURCES AND INFORMATION - available from the Sunshine Coast Division of General Practice -
- Diabetes Hand Held Records
- Patient Survey (Diabetes Assessment tool) taken from MD
- Diabetes presentation Monash Division GP - putting the CDM MBS Item Numbers into Practice in Managing Patients with Diabetes. Information on time frames in claiming TCA, GPMP, SIPs and incomes
- The Australian Guide to Healthy Eating Poster
- Food for Health brochure, Dietary Guidelines for Australian Adults
- Novo Nordisk Diabetes Services "My Diabetes Record Book" for people who use Novo Nordisk insulin
- Starting Insulin, Information for people with type II Diabetes (Novo Nordisk)
- Self Monitoring Kit (contains pages for results, activity diary, medication checklist & food diary (Bristol-Myers Squibb)
- Diabetes Australia - National Diabetes Week Resource Kit (includes Risk Assessment Tick Test pad, Health Professionals Information Sheet, three posters highlighting on Diabetes (available in six different languages)
HELPFUL DIABETES WEBSITES
- Diabetes Australia
- Australian Diabetes Educators Association (ADEA)
- Australian Diabetes Society (ADS)
- Australasian Paediatric Endocrine Group (APEG)
- Australasian Diabetes In Pregnancy Society (ADIPS)
- Australasian Podiatry Council
- Dietitians Association of Australia
- Diabetes Centre
- National Heart Foundation
- International Diabetes Federation
- International Diabetes Institute
- Kidney Foundation
- National Prescribing Service (NPS)
- Optometrists Association of Australia
- Royal Australian College of General Practitioners (RACGP)
- Stroke Foundation
- Australian Consumer Health Forum
- Joslin Diabetes Centre
- Diabetes Research Foundation (WA)
- John Curtin School of Medical Research
- Walter & Eliza Hall Institute of Medical Research
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| Printed from http://www.scdgp.org.au/page/Programs/Peer_Support/Diabetes_Clinics_in_General_Practice/ © Sunshine Coast Division of General Practice (SCDGP), Australia |