Introduction. The Final Course Project Was Creating An

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Introduction The final course project was creating an interprofessional team (IPT), function as a leader and take part in the stages of group development, setting of the team roles and goals, identifying communication patterns, and team analysis to discuss an issue at the microsystem level at our facility. The issue that is being addressed is post-transplant steroid associated hyperglycemia. For patients that have new onset diabetes after transplant (NODAT) whether immediate post-operative period or during a rejection episode is an issue that needs attention. The patient has a poor understanding of the blood sugar monitoring, insulin administering, and dieting. A date, time, and location were secured that was conducive to the IPTs …show more content…

Fresh kidney transplant patients will be tapered from steroids over four months, however, they will always take a small dose of steroids. Both types of patients will receive one gram of steroids intravenously on two separate days. Now, those patients that are admitted for steroid recycle due to rejection will receive one gram of steroids for one day. Then, the steroids will be tapered for a week via intravenously until the oral form of prednisone can be started. And then, the taper starts as listed above for each organ. Even though this regimen starts in the hospital, it will extend over to the outpatient clinic. Because steroids cause the blood sugars to rise in some patients, insulin is a medication is to bring down the glucose. There are short and long acting insulins that a patient is prescribed. A glucometer, a device used to measure blood sugar is also prescribed for these patients. A provider prescribes for the patient at discharge a diabetic diet, short acting insulin, sliding scale to use with the short acting insulin, long acting insulin, glucometer, and testing supplies. Patients become overwhelmed and confused very easily and some are just in denial.
The participants of the IPT were chosen for their expertise, years of experience, certification, and passion for the patient-centered challenge. The interprofessionals work together in transplant

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