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Good day,
I have a huge question. I'm an RN working in a Primary Health Care Centre in Sk Canada. We have had a Diabetic Foot Clinic. Clients were by physician referral. Due to a variety of issues the clinic has been on hold for a spell and it is my goal to restart. A visit consisted of an educational video - History of recent labs - a Foot Assessment by monofilament testing and a current footwear assessment, foot tracing and teaching. We were doing ABI's but were unsure of the benefit of this in light of the potential for inaccuracy in the Diabetic.
Our Centre is also a primary referral centre for ABI assessement for the purpose of determining if Compression Bandaging is an option for Lower Leg Ulcers/Wounds. As well as Nursing staff trained in applying compression bandage systems.
Do any of you see the benefit of having a Nursing led - Lower Leg (Vascualr) / Assessment - Diabetic Foot Clinic. Currently if we have someone that we cannot obtain a doppler on for ABI we try to refer to our Podiatrist who has been able to do Toe Pressures. It is near impossible to connect with this specialty. Would it be of benefit for us to be able to do these assesments. If so - what level of equipment would be best. I've been looking at the RHEO Dopplex II Doppler by Huntleigh as well as the SMARTDOP 45 with PPG bye KOVEN. Can anyone provide some feedback on the pros and cons of either of these. Would either of these be beneficial as assessment tools? If you had a couple of RN's, moderate funding for some equipment what would you see it best being directed. Thank you so much for your input and Time! Jellybean7