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Diabetes: developing nurse prescribing.

LAST MONTH'S registered nurse (RN) diabetes and nurse practitioner (NP) prescribing meeting in Auckland was an inspirational event. The meeting's hosts--the New Zealand Society for the Study of Diabetes (NZSSD) and NP Helen Snell--collaborated to develop the two days of clinical education. The programme was supportive, challenging and inspirational, both in process and content.

Helen opened the programme, welcoming nurse colleagues and introducing key speakers. NZSSD medical director and clinical director diabetes at Auckland District Health Board (DHB) Paul Drury and consultant physician and professor of medicine at Auckland University Tim Cundy presented updates on current evidence-based diabetes management. They were also resource people during the later clinical case study discussions.

Helen explained how to access the Ministry of Health's Quality Standards for Diabetes Care Toolkit and the latest clinical information available on the Health Improvement and Innovation Resource Centre website (www.hiirc., and how these are applicable in practice. All three presenters received standing ovations for their contribution to improving diabetes management through developing and supporting the nurse prescribing programme.

Attendees from each region had the opportunity to present interesting case studies, allowing for reflective and active group learning. Key take-home messages included the benefits of thorough holistic assessment, individualised care planning, including prescribing regimens, and using the wide range of resources available to support nurses in safe practice.

Towards the close of the programme, sessions shifted focus onto impending changes in the delivery of diabetes management. Nursing Council strategic policy manager Pam Doole commended Helen and the other clinical leaders of the RN diabetes prescribing programme, for setting the standards of excellence in their development of prescribing. She then provided an update on the evolution of generic RN prescribing.

GP and Pharmac deputy medical director Bryan Betty explained Pharmac's funding process and opportunities for nurses to provide valuable clinical feedback. Drury also gave a brief update on international medical research evidence for improved diabetes management, relating these to the previous speakers' sessions, and current constraints and opportunities in the health service delivery environment.

In summary, participating in this meeting was a pleasure and privilege, and others I spoke to felt the same. I learned so much and thoroughly enjoyed the collegial support and networking. Once again, thank you to the organisers, to Novo Nordisk who provided sponsorship to cover meeting costs, and to all nurses who contributed to this special occasion.

Report by national executive committee member of the Aotearoa College of Diabetes Nurses Liz Allen. Allen is a diabetes designated prescriber at Northland DHB.

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Title Annotation:section & college news
Author:Allen, Liz
Publication:Kai Tiaki: Nursing New Zealand
Geographic Code:8NEWZ
Date:Apr 1, 2015
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