GREATER NEWCASTLE SECTOR DIABETES SERVICE GNS Diabetes Service Diabetes Staff Orientation Guide January 2020 Welcome to the Team Welcome to the Greater Newcastle Sector Diabetes Service. The service is part of Community and Aged Care Services (CACS) in the Greater Newcastle Sector (GNS) – one of the seven Hunter New England Local Health District (HNELHD) sectors. The service also supports adult diabetes medical clinics at John Hunter, Belmont and Maitland Hospitals. New employees to the Diabetes Service will also be provided with a copy of the Hunter New England Local Health District Orientation Guide for New Staff, as it contains generic information about working in our health service and the CACS-GNS Orientation Guide for New Staff, containing information about the Greater Newcastle Sector. It is recommended that the HNELHD Guide is read first, with the CACS-GNS Guide and this service orientation guide providing local and additional information to support you in your role. Common\Administration GNC Diabetes\Staff Orientation\2020 updated Staff Orientation documents\GNS Diabetes Service Orientation Guide Jan 2020 GREATER NEWCASTLE SECTOR DIABETES SERVICE About this Orientation Guide . Information can be used for the orientation of new staff to Greater Newcastle Sector Diabetes Service and for existing staff to update on procedures. New and existing staff can use the checklists that accompany this guide to monitor their training progress and competency, and participate in ongoing review. New staff will be allocated an orientation buddy to help guide them through the orientation process. Contents of this guide . Information about the adult diabetes services offered. Minimum Standards of Care in GNS Diabetes Service. General Information about GNS Diabetes Service. Administrative and Clinical Procedures. Diabetes Service procedures and site orientation to Newcastle Community Health Centre (NCHC), 670 Hunter Street Newcastle and other site locations where you may work. Diabetes Clinics procedures at the Royal Newcastle Centre (RNC) on the John Hunter Campus. Diabetes Service procedures at other community sites. General Checklist Diabetes Service (CHIME). Diabetes Service Combined Foot Clinic. Meter and Pump Downloading. Philosophy of the Diabetes Team The GNS Diabetes Service bases professional practice on all staff working together cooperatively as a supportive, multi-disciplinary team. The team takes a holistic approach to patient self- management education to motivate the patient, and their carers/support persons and health care professionals to develop a realistic care plan for the patient. The diabetes staff believe that better diabetic control and minimisation of complications can be achieved by incorporating assessment, monitoring, education and counselling, follow-up and on- going support. The Diabetes Service is a multidisciplinary team committed to fostering independence of the person with diabetes and improving the lifestyle of the person with diabetes and their relatives/support persons. The right of patients to select their health care professionals, be involved in planning their own education program, and be informed of their progress, is respected and encouraged. Common\Administration GNC Diabetes\Staff Orientation\2020 updated Staff Orientation documents\GNS Diabetes Service Orientation Guide Jan 2020 GREATER NEWCASTLE SECTOR DIABETES SERVICE Adult Diabetes Services in the Greater Newcastle Sector Royal Newcastle Centre (RNC) John Hunter Hospital, Level 2 North Block RNC Young People’s Clinic. Adult Type 1 Diabetes, Complex Type 2, New Patient, Metabolic and Cystic Fibrosis Related Diabetes Clinics. Associated clinics: Gestational and Diabetes in Pregnancy Clinic. JHH outpatients Clinic Level 2. High Risk Foot Clinic and Combined Diabetes/Foot Clinic. Level 1 RNC. Newcastle Empowerment Program for people with type 1 diabetes who want advanced skills for diabetes self-management. Insulin Pump Commencement, upgrades and downloads. Continuous Glucose Monitoring System (CGMS) set up and downloads. Medical clinics for Adult Type 1 Diabetes, Complex Type 2, New Patient Clinics (Tuesdays). Individual Diabetes Nurse Educator and Dietitian consultations for patients newly diagnosed with type 1 diabetes. Individual education for people commencing insulin therapy. Individual instruction for self-care activities (eg. SBGM). Individual education for people with existing type 1 or type 2 diabetes who are inappropriate for group education and/or have complex problems. Individual consultations for gestational diabetes with a nurse educator and a dietitian. Gestational Diabetes Mellitus (GDM) groups on Wednesday afternoons with a nurse educator and a dietitian. Pre-op reviews. Toronto Individual Diabetes Nurse Educator and Dietitian consultations for patients newly diagnosed with type 1 diabetes. Individual education for people commencing insulin therapy. Individual instruction for self-care activities (eg. SBGM). Individual education for people with existing type 1 or type 2 diabetes who are inappropriate for group education and/or have complex problems. Raymond Terrace Individual Diabetes Nurse Educator and Dietitian consultations for patients newly diagnosed with type 1 diabetes. Individual education for people commencing insulin therapy. Individual instruction for self-care activities (eg. SBGM). Individual education for people with existing type 1 or type 2 diabetes who are inappropriate for group education and/or have complex problems. Wallsend Individual Diabetes Nurse Educator and Dietitian consultations for patients newly diagnosed with type 1 diabetes. Individual education for people commencing insulin therapy. Individual instruction for self-care activities (eg. SBGM). Individual education for people with existing type 1 or type 2 diabetes who are inappropriate for group education and/or have complex problems. Common\Administration GNC Diabetes\Staff Orientation\2020 updated Staff Orientation documents\GNS Diabetes Service Orientation Guide Jan 2020 GREATER NEWCASTLE SECTOR DIABETES SERVICE Belmont Adult diabetes medical clinic (Tuesdays) Dr Quach only. Individual Diabetes Nurse Educator and Dietitian consultations for patients newly diagnosed with type 1 diabetes. Individual education for people commencing insulin therapy. Individual instruction for self-care activities (eg. SBGM). Individual education for people with existing type 1 or type 2 diabetes who are inappropriate for group education and/or have complex problems. Review of inpatients requiring diabetes education, as required. Any requests need to be discussed with the Service Manager and inpatients seen will require a CHIME Service Request. Maitland Gestational and Diabetes in Pregnancy Clinic and group education program. Individual Diabetes Nurse Educator and Dietitian consultations for patients newly diagnosed with type 1 diabetes. Individual education for people commencing insulin therapy. Individual instruction for self-care activities (eg. SBGM). Individual education for people with existing type 1 or type 2 diabetes who are inappropriate for group education and/or have complex problems. Individual consultations for gestational diabetes with a nurse educator and a dietitian. Review of inpatients requiring diabetes education, as required. Any requests need to be discussed with the Service Manager and inpatients seen will require a CHIME Service Request. Common\Administration GNC Diabetes\Staff Orientation\2020 updated Staff Orientation documents\GNS Diabetes Service Orientation Guide Jan 2020 GREATER NEWCASTLE SECTOR DIABETES SERVICE Minimum Standards of Care in GNS Diabetes Service It is the expectation that all staff involved in the care of patients and their support persons will deliver high quality, best practice care that is patient centred. All staff will follow best practice principles which encompass (but are not limited to), privacy and dignity, clinical assessment and monitoring, communication and documentation, promoting self-management, clinical intervention and management, medication education and management, and preventing risk and promoting safety. Patient-centred care is an approach where health professionals and the patient and their family/support plan, implement and evaluate care provision, in partnership. This framework needs to be adopted as a collaborative approach between all health professionals involved. Privacy and Dignity • All patients will be informed of their rights and responsibilities when accessing services. • All patients will be treated with respect and dignity. • All patients will be treated with confidentiality. • All patients’ religious and cultural needs will be respected and attended to where possible. • Requests by patients to have family/support involved in the delivery of care will be respected and accommodated where possible. Clinical Assessment and Monitoring • Clinical assessments will be comprehensive and culturally appropriate. Clinical note templates are utilised to ensure assessments are standardised, objective and measurable, but may also have aspects tailored to the needs of the patient. • Prior to providing education and/or clinical care, the staff should consider the patients’: . Reason for referral to the Diabetes Service . Type of diabetes, time since diagnosis, current diabetes treatment, diabetes control, and other comorbidities and current medical conditions . Medical history . Degree of mobility . Cognitive function . Cultural or language factors .