Diabetes - Insulin Dose Adjustment

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The College of Registered Nurses of BC (CRNBC) has defined the requirements for registered nurse (RN) scope of practice related to insulin dose adjustment. “Registered nurses who carry out insulin dose adjustment must possess the competencies and follow the decision support tools set out by Fraser Health Authority” (CRNBC, 2012).  

CRNBC has designated Fraser Health as the provincial agency responsible for maintaining and updating the provincial Registered Nurse Initiated Insulin Dose Adjustment - Clinical Decision Support Tool (CDST). 

This Decision Support Tool (DST) includes a description of limits and conditions for Insulin Dose Adjustment (IDA), required clinical competencies, and intended/unintended outcomes of insulin dose adjustment. RNs must successfully complete additional education before carrying out insulin dose adjustment and must use an established decision support tool when making such adjustments.

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