Prediabetes Screening in the Emergency Room

POSTER

Prediabetes Screening in the Emergency Room Andrew Aloia, RN, DNP Student BACKGROUND 20 16 Demographics n=20 12 8 • Prediabetes indicates a risk for future diabetes • Assess facilitators and barriers to screening for 4 0 prediabetes in the ER • Nearly 38 percent of U.S. adults have prediabetes • Translate the CDC PST for use in the ER and many remaining undiagnosed • Implement the CDC PST in the ER • Early recognition may prevent or delay diabetes • Considering there is nearly 130 million ER visits in the U.S. screening in the ER may be an ideal approach to enhance diabetes prevention METHODS • Discussed with ER nursing staff best methods for implementing project • Tailored the CDC PST for use in the ER • Presented project and its protocol to ER RN staff • Implemented over four consecutive days PURPOSE 20 16 12 8 4 0 Prevalence of Risk Factors as Assessed by the PST n=20 • Evaluate the feasibility, usability and user satisfaction of screening for prediabetes in the ER • Dissemination of final project, its results and Parent Sibling Woman Age>65 Age 45-65 Age <65 BMI >25 with DM with DM who has and little to had a baby no >9 lbs. exercise Low Risk Score High Risk Score discussion to ER and NDPP staff CONCLUSIONS/IMPLICATIONS RESULTS (or FINDINGS) • Twenty patients were successfully screened I. 50% were considered low risk for prediabetes II. 35% were considered high risk for prediabetes III. Minimum risk score of 0, maximum score of 17 and a mean score of 7.4 • Screening for prediabetes in the ER may be an untapped setting for effective screening • Majority of those screened were discovered to be at risk for prediabetes • Barriers to screening in the ER must be overcome for screening to be successful • Observed RN operations for facilitators and barriers to screening • ↑BMI and family history of DM were the most frequently • Buy in from hospital administration, medical & reported risk factors predicting a + screening nursing staff would be necessary • PI facilitated screening for data collection on prevalence of risk factors • Perceived barriers and facilitators to screening: • Barriers I. Lack of time II. Follow up care III. Acute care needs • Facilitators I. Time II. Plan of care III. Management • Discussed with staff perceived facilitators and barriers to screening Committee members: Denise Ward, DNP, Pamela Phares PhD, APRN, & Pamela Hardin PhD, RN • A systematic screening procedure may enhance screening opportunities & participation Content experts: Nancy Allen, PhD, APRN & Steve Sugerman, MPAS, PA-C