Transitional Care

RN DIABETES CLINICAL PATHWAY - Visit 5

  • 1 Expected Outcomes
  • 2 Interventions
  • 3 Signature

Patient will verbalize knowledge of disease process

select "Yes" or "No"

Patient will verbalize s/s disease exacerbation, appropriate interventions and prevention measures

select "Yes" or "No"

Patient will demonstrate proper foot/skin assessment

select "Yes" or "No"

Patient will be able to verbalize DC date and any continued follow-up needed

select "Yes" or "No"

Check and document the current finger stick. Assess bg log. Notify NP/MD if results outside of parameters.

select "Yes" or "No"

Assess knowledge of and compliance to prescribed diet, medications

select "Yes" or "No"

Assess compliance and ability to perform HEP

select "Yes" or "No"

Review any upcoming follow-up medical appointments

select "Yes" or "No"

Finished

Please sign here! Go to Visit 6