I hope this doesn't turn into a rant but it certainly could. I have been a pediatric nurse for 21 years and a Type 1 for 29 years. I currently work a small 15 bed pediatric unit in a moderate sized medical center. I am constantly amazed at how little your average healthcare worker knows about diabetes. From the pediatricians to the nurses to the child life specialists.
Most days it seems that I am the only one around knows anything. Which is scary! It just makes me so upset and yes sometimes angry when I see how things are being ordered or carried out for these patients by physicians and nurses just doing what they THINK is right. I know it's a lack of education but the patients are the ones getting the short end of the stick.
I try as much as I can to educate my co-workers and always tell them to come to me if they have diabetes related questions. And occasionally they do. However, they just don't get the basics....ugh!! I was recently asked to check an insulin dose with another nurse before she gave it to the patient. She showed me the blood sugar and we agreed by the sliding scale of the correct dose and she administered it. Later I found out that the blood sugar she based the dosing on was done AFTER the kid ate his breakfast not before. Typically, for small kids we don't dose until after the meal to make sure we cover all the carbs that were actually eaten. NOT checking the blood sugar AFTER eating. That's nursing 101.
And believe it or not the pediatricians are no better. Their philosophy is to just keep them stable until they get them to the outpatient diabetes center.
Do any of you have similar experiences? Are other healthcare professionals like the ones that I work with? Or is it just here? my location?