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Day Kimball Hospital’s Nursing Clinical Practice Council Develops New Insulin Policy Procedure and Documentation

From left to right, first to second row:  John O’Keefe,
RN, MS, CNAA, Director of Critical Care Services;
Sandra Bucci, RN, MS, Day Kimball Hospital Senior
Vice President of Patient Services; Janet Yannotti,
RN, Ambulatory Care Unit; Mary Chenell-Smith, RN,
Education; Robin Thompson, RN, HNC, Medical/Surgical Unit and chairperson of the Clinical Practice Council; Linda Rochefort, RN, Maternal Child Health; and Michele Bobola, RN, Emergency Department

PUTNAM, CT Day Kimball Hospital’s Nursing Clinical Practice Council (CPC) recently developed and implemented a new insulin policy in light of changes in diabetes care over the last few years.  The CPC strives to stay on the forefront of patient care by reviewing current practices, and when necessary, making suggestions for revisions and implementing new initiatives.

The Clinical Practice Council is comprised of 13 nurses, representing different patient areas at Day Kimball Hospital.  These nurses are representatives of their units, and bring nursing concerns and ideas to the Council.  The goal of the Council is to involve nursing staff in the decision making process regarding clinical, safety, policy and procedural initiatives.

“The Clinical Practice Council gives a voice to the bedside nurse. Nursing staff have input into their practice at DKH through the council,” said Sandra Bucci, RN, MS, Day Kimball Hospital Senior Vice President of Patient Services. The Council allows for diversity in decision making, so decisions are not being made in isolation. All areas of clinical practice are discussed with input from nursing staff at all levels.”

In the case of the new insulin procedure, Dr. Lee Wesler and Sue Collins, APRN, MS, CDE of Day Kimball’s Outpatient Diabetes Self-Management Education Program spearheaded changes regarding diabetic care at DKH, as medications and management in this field have changed considerably in the past few years.      

As a result of a collaborative effort, the CPC developed pre-printed forms to document insulin doses and changed physician order sheets to reflect the new policy and change to diabetic care. Much time and effort was placed into the formation of new nursing tools and documentation forms.  The real success of the new insulin policy procedure and documentation process ensures that Day Kimball Hospital is current with modalities of treatment for diabetic patients.

“The Clinical Practice Council is a great place for nurses who are passionate about certain aspects of patient care,” said Robin Thompson, RN, HNC, Medical/Surgical Unit and chairperson of the CPC.  “The CPC is an avenue for nurses to evolve their specialties, and broaden their scope of practice.”

Thompson continued, “The CPC gave me a sense of meaning and fulfillment.  It gave me a voice, and offers nursing staff global views of why certain policies and procedures are carried out.  This group fosters a great sense of team work!”

According to John O’Keefe, RN, MS, CNAA, Director of Critical Care Services, “In addition to the new insulin policies, the CPC has also developed initiatives to help care providers support patients with drug and alcohol withdrawal, as well as care for bariatric patients.”

For more information about Day Kimball Hospital, its safety and quality initiatives, please visit www.daykimball.org.

Day Kimball Hospital is a non-profit, 103-bed community hospital in Putnam.  Day Kimball has
been in operation since 1894, and provides for the health care needs of Northeastern Connecticut,
and nearby Massachusetts and Rhode Island.  Day Kimball Hospital is served by more than 1,000
employees and more than 100 physicians, dentists and medical specialists.

In coordination with its affiliated health centers in Danielson, Dayville, Plainfield and Thompson, Day Kimball offers acute and general medical/surgical care, a 24-hour Emergency and Prompt Care Department, obstetrics, gynecology, pediatrics, oncology, hematology, cardiopulmonary and psychiatric programs.


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Day Kimball Hospital
320 Pomfret Street (Route 44)
Putnam, Connecticut 06260
Phone: (860) 928-6541 or (860) 774-3366
TTY: (860) 963-6422

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