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What exactly IS a DSN?
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<blockquote data-quote="Unbeliever" data-source="post: 230652" data-attributes="member: 30851"><p>Its probably one of those things which vary . In my area there are designated DSNs in the larger practices. It is a largelyrrualarea and there are several practice nurses in each one but only one is designated as he DSN. the Gps refer to her as the DSN and she receives regular training at the hospital. The othe nurses may receive a certain amount of training but this one, designated nurse is defered to by the Doctors as the practice "expert in all things diabetic.</p><p>When I was a patient a a nearby practice there was a gp specialising in diabetes and the "diabetic nurse" was one of he practice nurses with r esponsibility for the diabetic clinics etc.</p><p>Whether they choose to have either a Dr or nurse specialist I don't know - always willing to learn though!</p><p>As my hospital - a foundation trust is busily turfing out any diabetics of any type who have more than a modiculm of control , back to the "care" of their own Gp's practice perhaps the situation wtih regard to DSNs reflects this.</p><p>A few years ago there was a great "push" in this area to move as many T2s as possible onto insulin. This was a nuse-led initiative and initially embraced by the hospital until it became clear that far from the hospitals benefiting the PCTs would fund the initiation of insulin therapy in the local practice.</p><p>This we had the Rise of the DSN.</p><p>I read recenly that it has been suggested that diabetes treatment could be privatised . This would be "nuse-led".</p><p>My DSN has frequent training at the hospital and may, for all I know ,be a complete expert in T1 diabetes. She knows little and has little inteest in T2 except to want to put us all on insulin.</p><p>Interesting thread and question.</p><p>I would be very interested to know more .</p><p>The Gps {all ten} and the other practice Nuses and receptionists all refer to her as "The DSN".</p><p>and no Dr or nurse will discuss any diabetic medication without reference to her.</p><p></p><p>Is this, then, a massive "con"?</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 230652, member: 30851"] Its probably one of those things which vary . In my area there are designated DSNs in the larger practices. It is a largelyrrualarea and there are several practice nurses in each one but only one is designated as he DSN. the Gps refer to her as the DSN and she receives regular training at the hospital. The othe nurses may receive a certain amount of training but this one, designated nurse is defered to by the Doctors as the practice "expert in all things diabetic. When I was a patient a a nearby practice there was a gp specialising in diabetes and the "diabetic nurse" was one of he practice nurses with r esponsibility for the diabetic clinics etc. Whether they choose to have either a Dr or nurse specialist I don't know - always willing to learn though! As my hospital - a foundation trust is busily turfing out any diabetics of any type who have more than a modiculm of control , back to the "care" of their own Gp's practice perhaps the situation wtih regard to DSNs reflects this. A few years ago there was a great "push" in this area to move as many T2s as possible onto insulin. This was a nuse-led initiative and initially embraced by the hospital until it became clear that far from the hospitals benefiting the PCTs would fund the initiation of insulin therapy in the local practice. This we had the Rise of the DSN. I read recenly that it has been suggested that diabetes treatment could be privatised . This would be "nuse-led". My DSN has frequent training at the hospital and may, for all I know ,be a complete expert in T1 diabetes. She knows little and has little inteest in T2 except to want to put us all on insulin. Interesting thread and question. I would be very interested to know more . The Gps {all ten} and the other practice Nuses and receptionists all refer to her as "The DSN". and no Dr or nurse will discuss any diabetic medication without reference to her. Is this, then, a massive "con"? [/QUOTE]
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