WEBVTT

00:00:00.310 --> 00:00:01.250
>> I'm Liz.

00:00:01.250 --> 00:00:05.530
I'm a family nurse practitioner
down in Durham, North Carolina.

00:00:05.530 --> 00:00:10.700
I'm currently working at Duke University
House Center as a Nurse Practitioner

00:00:10.700 --> 00:00:14.350
in the Endocrine Service so, I
actually am have a unique position

00:00:14.350 --> 00:00:16.650
in that I rotate inpatient and outpatient.

00:00:16.650 --> 00:00:21.120
So, for one month I do inpatient diabetes
mentoring, all new diagnosis diabetes patients.

00:00:21.120 --> 00:00:25.030
So, any kids that get diagnosed with type 1
diabetes, doing a lot of education working

00:00:25.030 --> 00:00:28.870
with the family, explaining what they
need to look for like what's coming

00:00:28.870 --> 00:00:32.150
up down the pipeline for
their life with diabetes.

00:00:32.150 --> 00:00:37.300
And then, any new usually tends to be 40 year
old white male had a heart attack then we find

00:00:37.300 --> 00:00:40.400
out he had diabetes, so, doing a
lot of education with them, as well.

00:00:40.400 --> 00:00:44.720
So, any new diagnosis diabetes patient inpatient
and then the nice thing is that I get to follow

00:00:44.720 --> 00:00:49.510
up with them outpatient and then also get kind
of a smattering of stuff other than diabetes

00:00:49.510 --> 00:00:53.780
with like thyroid and pituitary tumors
and adrenal gland insufficiency.

00:00:53.780 --> 00:00:57.440
So, for a month I'm inpatient and then
I do a month of outpatient clinic work,

00:00:57.440 --> 00:01:01.930
which is kind of a nice I don't get
bored ever because I get to rotate

00:01:01.930 --> 00:01:03.150
in and out in 2 different things.

00:01:03.150 --> 00:01:07.650
On the inpatient side, which I prefer
actually the inpatient, is I come in like 8

00:01:07.650 --> 00:01:10.420
in the morning and I'm checking,
I do a lot of data entry

00:01:10.420 --> 00:01:15.630
of what different ones blood I have my stack
of usually between 7 and 15 patients I'll see

00:01:15.630 --> 00:01:19.190
when I'm on the inpatient side of what
their blood sugars were the night before,

00:01:19.190 --> 00:01:22.550
how much insulin they got, and it's kind
of we have these nice I'm very organized

00:01:22.550 --> 00:01:27.360
and meticulous and so I have made a very
meticulous sheet and writing all their sugars

00:01:27.360 --> 00:01:31.480
in for like an hour and then I go on round in
the hospital and I talk to all my patients.

00:01:31.480 --> 00:01:34.940
How was your night, I see you had
a blood sugar that was like 250?

00:01:34.940 --> 00:01:35.790
Did you have a snack?

00:01:35.790 --> 00:01:36.390
Are you lying?

00:01:36.390 --> 00:01:37.780
Did you lie to the nurse, did you eat a snack?

00:01:37.780 --> 00:01:42.110
And just kind of like finding out what
happened, if there's anything that went wrong.

00:01:42.110 --> 00:01:45.430
And where the challenges are, you know,
if they're being discharged for that day,

00:01:45.430 --> 00:01:49.080
like what kinds of things we need to talk about
and really doing a lot of education pieces

00:01:49.080 --> 00:01:52.370
with them, making sure that they're
comfortable before they go home

00:01:52.370 --> 00:01:53.300
with what their diagnosis is.

00:01:53.300 --> 00:01:57.230
And then the outpatient side,
it's mostly just I see 8 patients

00:01:57.230 --> 00:01:59.210
in the morning and 8 patients in the afternoon.

00:01:59.210 --> 00:02:01.330
And it's doing it's a half
hour with each patient.

00:02:01.330 --> 00:02:05.140
Usually, mostly diabetes, doing
a lot of So, you did really well.

00:02:05.140 --> 00:02:06.930
Let's check what your A1C is.

00:02:06.930 --> 00:02:08.320
Did you bring your blood sugar log in?

00:02:08.320 --> 00:02:09.920
What have your challenges been this month?

00:02:09.920 --> 00:02:13.440
Like, really kind of helping them troubleshoot
any issues that come up and making sure

00:02:13.440 --> 00:02:15.850
that we've got their numbers
where we need them to be.