Table 4.
Faculty/Medical Staff Education | AH1 | AH2 | CH1 | CH2 | CH3 |
Estimating total daily insulin dose required by patients. Howto divide it into basal, nutritional, and correction insulin. | Optional | Mandatory | Not offered | Not offered | Not offered |
Guidelines for empirical adjustment of insulin to prevent hypoglycemia | Optional | Mandatory | Not offered | Not offered | Not offered |
Guidelines for adjustment of insulin in response to hypo- or hyperglycemia | Optional | Mandatory | Not offered | Not offered | Not offered |
Guidelines for avoiding insulin stacking | Optional | Mandatory | Not offered | Not offered | Not offered |
Prescriber responsibilities for insulin pump use | Optional | Mandatory | Not offered | Not offered | Not offered |
Oral and non-insulin injectable antidiabetic agents | Optional | Mandatory | Not offered | Not offered | Not offered |
Nursing & Support Staff Education | |||||
Understanding basal/nutritional/correction insulin therapy | Mandatory | Mandatory | Not offered | Not offered | Not offered |
Oral antidiabetic agents | Optional | Optional | Not offered | Not offered | Not offered |
Prevention and treatment of hypoglycemia | Mandatory | Mandatory | Not offered | Mandatory | Not offered |
Diabetic ketoacidosis | Optional | Optional | Not offered | Not offered | Not offered |
Type 1 versus type 2 diabetes | Mandatory | Mandatory | Not offered | Not offered | Not offered |
Blood glucose monitoring | Mandatory | Mandatory | Not offered | Mandatory | Mandatory |
Insulin administration and documentation | Mandatory | Mandatory | Not offered | Mandatory | Mandatory |
Medical devices: Insulin pumps (nursing responsibilities) | Mandatory | Mandatory | Not offered | Mandatory | Mandatory |
Medical devices: Insulin pens, glucometers | Mandatory | Mandatory | Not offered | Mandatory | Not offered |
Transitions of care (inpatient area to inpatient area; inpatient to outpatient) | Mandatory | Mandatory | Not offered | Not offered | Not offered |
Parenteral and enteral nutrition | Mandatory | Mandatory | Not offered | Not offered | Not offered |
Patient diabetes education | Mandatory | Mandatory | Not offered | Not offered | Not offered |
Carbohydrate identification and counting | Optional | Mandatory | Not offered | Not offered | Not offered |
AH, academic hospital; CH, community hospital.