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Clinical Skills

Audit of the appropriateness and accuracy of fluid intake and output monitoring: experience in a tertiary hospital

This audit aimed to review the current practice of prescribing and monitoring of fluids and the documentation of fluid intake and output in hospitalised patients by assessing the appropriateness and...

Placement of finger oximeter on the ear: comparison with oxygen saturation values taken from the finger

This was a prospective, single-centre, cohort study performed at University Hospitals Coventry and Warwickshire (UHCW) NHS Trust, a large teaching hospital serving a population of approximately 1...

Blood transfusions in adults: ensuring patient safety

The UK national haemovigilance surveillance programme, SHOT, repeatedly identifies that patient are harmed, and some die, as a result of being given the incorrect type of blood..

Advanced practice: critical thinking and clinical reasoning

As detailed in the table, multiple themes surrounding the cognitive and meta-cognitive processes that underpin clinical reasoning have been identified. Central to these processes is the practice of...

Colour vision deficiency: the ‘unseen’ disability

In 2020, 724 516 nurses, midwives and nursing associates were registered with the Nursing and Midwifery Council (NMC), of whom 10.7% identified as male and 89.3% as female (NMC, 2020). The prevalence...

Recognition and management of neonatal sepsis

Neonatal infections are divided into early-onset sepsis (EOS) occurring within the first 48 hours of birth, and late-onset sepsis (LOS) occurring between 2 and 28 days after birth (Cailes et al,...

Guideline for the management of long tunnelled external ventricular drains in chronic hydrocephalus

Empowerment of parents/guardians in the management of their children's condition is not new in health care. Chronic conditions often require parents/guardians to undertake medical or nursing duties...

COVID-19 vaccines and vaccine administration

COVID-19 is an infectious respiratory disease caused by the novel coronavirus, severe acute respiratory syndrome 2 (SARS-CoV-2). Transmission is primarily via respiratory (droplet and aerosol) and...

Adolescence: physical changes and neurological development

Puberty has been described as one of the most profound biological transitions in a person's life (Susman and Rogol, 2014). Among the many endocrine and paracrine activities, one catalyst for these...

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