"You know you could kill someone, right?"

That is what my husband said to me over the dinner table last night.
At my job (wish I gushingly adore, yes!), dietitians can change insulin dosing. This our policy and a great one, if I do say so myself! As most of you know, I work with diabetics the vast majority of my days and I am working towards obtaining my Certified Diabetes Educator (CDE) credential (as of yesterday I have 25% of the hours I need!).
Over dinner last night, husband was asking me about my job and my span of care — i.e. can I change insulin regimens. When I explained our policy he said, “You know you could kill someone, right?”. Awesome, husband…thanks for your vote of confidence! (Side note: this is a very, very, very slim possibility at the rate at which insulin dosing is increased).
My co-worker, very much so unlike myself, would rather leave all dosing changes to the provider. Whaaaa? Aren’t dietitians working towards autonomy in the medical world? We are important! We are well-educated! We are RESOURCES that ought not to be underutilized! 
Disclaimer: The above in red sounds narcissistic, but for those out there who are RD’s or know the history of the battle for Medical Nutrition Therapy reimbursement, it hits very close to home. 
Don’t get me wrong, I very much so know my place on the totem pole and would never abuse or over-use the “power” I have in my role. However, I think that our policy is a huge pat on the back and vote of confidence in the corner of RD’s!
For those of you who are familiar with prescriptions and span of practice policies — how do you feel about this? You can be honest, it won’t hurt my feelings : )

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Filed under diabetes, dietitians, work

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