1. Inpatients with diabetes on insulin: self-adminstration pathway
Daily diabetic foot check on all diabetic inpatients by Diabetes Team
During foot-check confirm if patient takes insulin
YES NO
Is patient able to self administer insulin?
Does patient need to be reviewed by Inpatient Diabetes Specialist Nurses?
Complete PHQ-9 and questionnaire (re self-administration of insulin)
END of pathway
(refer to other diabetes pathways)
YES NO
YES NO
Ensure correctly prescribed on drug chart
Ward staff to complete Diabetes Referral on EPR
Give patient pencil case to store their own
insulin pen devices
Ward staff nurses to continue administering insulin and document on EPR at time of administration
Patients to store needles separately (for safety) to self-administer insulin – and dispose of sharps
Insulin to be stored in patient’s bedside locker to be administered by ward staff with safety needles
Ward staff nurses to document on EPR date/time insulin was
self-administered