Vascular access care in patients with multimorbidity

Highly complex patients require an integrated care approach (case management) due the coexistence of multiple health problems, advanced age, greater functional impairment, higher risk of mortality,...

Changes by necessity have opened up new opportunities

‘I hope the positive adaptations we have made over the past year, such as an increase in IV team numbers, different ways of working and refocusing attention on infection control measures, will make...

Use of dry dressings for central venous access devices (CVADs) to decrease central line-associated blood stream infections (CLABSI) in a trauma intensive care unit (ICU)

In March 2017, a short education session, lasting approximately 15 minutes, was given to ICU nurses. This in-service reiterated interventions that were already known by the nurses such as proper...

Biofilm and catheter-related bloodstream infections

Biofilm can explain the clinical findings most often seen with CRBSIs, yet biofilm is poorly understood within medicine. In the early 1980s, the name biofilm was given to observations of bacteria...

Using e-health tools and PROMs to support self-management in patients with inflammatory bowel disease

In order to test the concept of using PROMs to support practice and follow up a small-scale service improvement pilot project was designed. The aim of the study was to understand whether empowering...

Adapting a 2-week-wait colorectal service in the pandemic using the quantitative faecal immunochemical test

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...

Clinical supervision for advanced practitioners

Clinical supervision is clearly an important factor in the development of ACPs. With the advent of the HEE (2020) workplace supervision document, it can only be hoped that its necessity and importance...

Workforce issues: the blurring of boundaries in surgical care