Information about the decision support tool for insulin dose adjustment (IDA) by registered nurses.
The British Columbia College of Nurses and Midwives (BCCNM), , that now includes the former British Columbia College of Nursing Professionals (BCCNP) has defined the requirements for registered nurse (RN) scope of practice related to insulin dose adjustment. “Registered nurses who carry out insulin dose adjustment must possess the competencies and follow the decision support tools set out by Fraser Health Authority” (BCCNM, 2020).
BCCNM has designated Fraser Health as the provincial agency responsible for maintaining and updating the provincial resource: Insulin Dose Adjustment Decision Support Tool and Competency Framework for Registered Nurses
The Decision Support Tool (DST) includes a description of limits and conditions for Insulin Dose Adjustment (IDA), required clinical competencies, and intended/unintended outcomes of IDA. It is intended to be used by registered nurses (RNs) in BC but is the sole responsibility of the Fraser Health Authority for revising and updating. Employers and RNs are responsible for implementing a process for RNs to develop and maintain competencies for IDA.
The Insulin Dose Adjustment Decision Support Tool and Competency Framework for Registered Nurses 2nd edition (2021) is a revision of the 1st edition: Decision Support Tool for Insulin Dose Adjustment (IDA) by Registered Nurses (2009).