Registered Nurse - Diabetes Care & Education Specialist (CDCES)

Work schedule: Full-time Days (40 hours/week), Monday – Friday 8:00 a.m. - 5:00 p.m.

Primary Purpose
Provides complex or clinical specialty area care for people living with diabetes in accordance with established protocols and multi-disciplinary plan of care utilizing independent and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses through patient-centered / patient-valued care.

Minimum Specifications
Education

• Must be a graduate from an accredited school of nursing - or - must have a bachelor’s degree in food and nutrition.

Experience

• Must have three years of clinical experience in the direct care of people with diabetes and associated conditions.

Equivalent Education and/or Experience

• May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

Certification/Registration/Licensure:
*Please Note: All certification cards must provide an expiration date. The expiration date must be more than 30 days from date of hire. Completion of course certificates will not substitute this

requirement.

Certification/Registration/Licensure

• Registered Nurse Only: Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or valid Compact RN license or
• Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association, American Red Cross, Military Training Network.
• Must have or obtain Certified Diabetes Care and Education Specialist (CDCES) or Certified Diabetes Educator (CDE) from the Certification Board for Diabetes Care and Education (CBDCE) (previously called National Certification Board for Diabetes Educators (NCBDE) within six months of hire date and/or job placement.

Required Tests for Placement

• RN ONLY: Applicants must pass (85% or above) Dosage Calculation Exam prior to hospital orientation. Current Parkland employees requesting reassignment to role must have current Dosage Calculation Exam on file. Skills or Special Abilities
• Provide individualized diabetes self-management education and support to individuals living with diabetes and support persons according to the Scope of Practice, Standards of Practice, and Competencies for a Certified Diabetes Care & Education Specialist.
• Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills with colleagues, patients and families.
• Bilingual (oral and writing) in Spanish preferred.
• Must be able to demonstrate basic computer skills with a working knowledge of database programs, data report analysis software, and electronic medical record charting.
• Must be able to demonstrate person-centered / person-valued behavior.
• Nurses: Ability to provide care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multi-disciplinary plan of care, and clinical area specific standards.
• Dietitians: An advanced knowledge of nutrition and patient education skills preferred. 

Responsibilities

• Assists in establishing a clear, timely and coordinated approach to the referral process for community-based, ambulatory and /or inpatient Diabetes Self-Management Education (DSME) and support.
• Performs a comprehensive patient assessment, including collection of relevant medical data. Documents in the medical record relevant assessment data, educational plan, education services provided, evaluation results and relevant discharge / support services recommended or coordinated. Documents community diabetes education activities performed as per established processes.
• Evaluates effectiveness of DSME services provided by measuring attainment of learning objectives, through patient / family demonstration and / or verbalization. Participate in the continuous quality improvement processes to measure the DSME process and to identify and address opportunities for improvement within Parkland and / or community-based activities.
• Collaboratively (patient, multidisciplinary team and referring provider) develops educational goals, learning objectives, educational content and teaching methods, including an individualized support plan, for all patients referred for DSME within Parkland and where relevant, for diabetes education activity conducted in the community. Provides educational interventions that utilize interactive, collaborative, skill-based training methods. Dietitian Certified Diabetes Care and Education Specialists can undertake all steps above EXCEPT the physical injection of a patient.
• Liaises with the multidisciplinary diabetes care team, including clinical, business and relevant community partners / support personnel, to optimize patient diabetes self-management.
• Serves as a patient / community advocate, by focusing on their needs, rights, confidentiality, and religious and cultural preferences. Ensures positive working relationships are maintained with all Parkland internal and external customers, employees and community partners etc. Serves as a resource for patients, physicians, other healthcare team members and community partners / support personnel.
• Participates in the ongoing development of health professional, patient-centered and community education programs and resources (live, print, online, other) to increase Parkland's capacity for optimal diabetes care delivery, reduced clinical incidences and attainment of desired patient, health system and community outcomes for diabetes. Within the multi-disciplinary framework of diabetes management and education, identifies opportunities for providing and receiving peer education and direction.
• Strives to advocate for and implement the American Diabetes Association Standards of Medical Care in Diabetes and the National Standards for Diabetes Self-Management Education and Support to assist in building the structure to deliver consistent, best-practice care across the health system and community to achieve better outcomes.
• May lead and / or participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Serves on diabetes-related committees and completes special projects, including possible community projects, as assigned.
• (Dietitian) Screens patients for nutritional risk, when applicable. Assesses and reassesses nutritional status and consults with physicians and support staff. Develops individualized care plans in accordance with each patient's, preferences, age, disease requirements, and resources. Calculates age-appropriate calorie and protein needs, and modifies diet based on needs. Document’s pertinent objective and subjective data pertaining to patient status and care.
• (Dietitian) Instructs, educates, and counsels patients of all ages and their significant others in nutritional therapy. Individualize instructions based on patient's lifestyle, preferences, resources, ethnicity, language, and literacy level. Provides age-appropriate educational material and adapts teaching method based on needs. Teaches classes on medical nutrition therapy as appropriate. Makes appropriate documentation, including assessment of comprehension and follow-up needs to monitor progress, in the patient's chart and record.
• Additional duties as assigned.