"Keeping Kids With Diabetes Safe at School:Non-Medical Staff Can Do the Job"
Alexandria, April 27, 2007
http://www.diabetes.org/newsroom/press-releases/2007/may-dcare-release-2007.html
So easy to conduct study and put responsibility to the anyone but MD. Study show that insulin administration can be easily done by anyone. Is this really true?
Well, to inject needle into belly probably is not so difficult. Staff can be easily trained to do so. The problem is, what non-medical staff in school suppose to do if student suddenly collapsed? What school staff suppose to do if sugar is high? Or Low? To inject insulin is not the problem. How many units to inject is great deal. No one medical staff know for sure how count dose of insulin according to the number on glucose meter. No one. Why? Because of there is no pattern how dose of insulin and level of sugar come together.
In our education programs all the time presented that we have to inject insulin according to the body weight and amount of carbs we are going to eat. Is this practical? Does it works? Not at all. The glucose level in blood is different not every day but every moment we take reading. Try to take the same meter, the same finger, and see if reading come the same. The difference can be up to 10. It is not big deal if it is 100 mg/dl or 110 mg/dl. When it is low sugar then 10 mg/dl is great deal. 40mg/dl diabetic still functional and responsive. 30 mg/dl is danger, probably coma. I am not sure about the number, I think different diabetic response differently to any numbers. I saw only 38 mg/dl on my meter. I was able to see this number. Someone would not.
This is difference in numbers on glucose meter. At the same time weight in pounds is not so flexible and does not change so dramatically fast and wide. When staff have to inject insulin to the student? What dose of insulin staff must inject? Even nurse would not do it without MD order. Now it is presented that non-medical staff must do the job no one med pro able to do.
This is ADA recommendations and studies. In other words, every one can inject insulin, but not medical staff. To conclude this absurd I wish to say, what about old Diabetics population? Is this really true that home aide would do insulin injections? Not at all. Home aide still medical staff, traned pro. No one health care company provide home aides with training how to inject insulin, why? It is responsibility to the dose of insulin injections. If diabetic got low sugar then it is health care company would be responsible. No one medical pro will take this responsibility.
Now there is another question. Why it is school staff must administer insulin? Really it is interesting question. For how long student stay in school? Why there are no nurse in school all the time when students in school? OK, someday nurse would have day off or get flu. So, what? If it is teacher get flu then there are substitute teaching. When nurse get sick there is no nurse in school where thousands students at once? Why? Why there is no substitute for nursing in school? So, if nurse in school then why it is non medical staff must be trained to inject insulin? No any reason for that. With any non medical staff student cannot be safe when insulin injected.
This is ADA recommendations. Does they know how danger insulin can be? O,yes they do know it very well. This is why they pretend that insulin can be 'safely injected by any non medical staff". Medical Staff cannot do job safely. So, they better to stay aside.
Brilliant studies. Keep donate to ADA. They will conduct more studies like this one.
Alexandria, April 27, 2007
http://www.diabetes.org/newsroom/press-releases/2007/may-dcare-release-2007.html
So easy to conduct study and put responsibility to the anyone but MD. Study show that insulin administration can be easily done by anyone. Is this really true?
Well, to inject needle into belly probably is not so difficult. Staff can be easily trained to do so. The problem is, what non-medical staff in school suppose to do if student suddenly collapsed? What school staff suppose to do if sugar is high? Or Low? To inject insulin is not the problem. How many units to inject is great deal. No one medical staff know for sure how count dose of insulin according to the number on glucose meter. No one. Why? Because of there is no pattern how dose of insulin and level of sugar come together.
In our education programs all the time presented that we have to inject insulin according to the body weight and amount of carbs we are going to eat. Is this practical? Does it works? Not at all. The glucose level in blood is different not every day but every moment we take reading. Try to take the same meter, the same finger, and see if reading come the same. The difference can be up to 10. It is not big deal if it is 100 mg/dl or 110 mg/dl. When it is low sugar then 10 mg/dl is great deal. 40mg/dl diabetic still functional and responsive. 30 mg/dl is danger, probably coma. I am not sure about the number, I think different diabetic response differently to any numbers. I saw only 38 mg/dl on my meter. I was able to see this number. Someone would not.
This is difference in numbers on glucose meter. At the same time weight in pounds is not so flexible and does not change so dramatically fast and wide. When staff have to inject insulin to the student? What dose of insulin staff must inject? Even nurse would not do it without MD order. Now it is presented that non-medical staff must do the job no one med pro able to do.
This is ADA recommendations and studies. In other words, every one can inject insulin, but not medical staff. To conclude this absurd I wish to say, what about old Diabetics population? Is this really true that home aide would do insulin injections? Not at all. Home aide still medical staff, traned pro. No one health care company provide home aides with training how to inject insulin, why? It is responsibility to the dose of insulin injections. If diabetic got low sugar then it is health care company would be responsible. No one medical pro will take this responsibility.
Now there is another question. Why it is school staff must administer insulin? Really it is interesting question. For how long student stay in school? Why there are no nurse in school all the time when students in school? OK, someday nurse would have day off or get flu. So, what? If it is teacher get flu then there are substitute teaching. When nurse get sick there is no nurse in school where thousands students at once? Why? Why there is no substitute for nursing in school? So, if nurse in school then why it is non medical staff must be trained to inject insulin? No any reason for that. With any non medical staff student cannot be safe when insulin injected.
This is ADA recommendations. Does they know how danger insulin can be? O,yes they do know it very well. This is why they pretend that insulin can be 'safely injected by any non medical staff". Medical Staff cannot do job safely. So, they better to stay aside.
Brilliant studies. Keep donate to ADA. They will conduct more studies like this one.
via Ravenvoron
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