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Letter to the Editor

On behalf of NHS Blood and Transplant (NHSBT) Patient Blood Management Team, the Serious Hazards of Transfusion (SHOT) UK Haemovigilance Scheme and the National Blood Transfusion Committee, I have...

Understanding safety culture

‘Staff know that what they do carries risk, but the culture in which they work is one that views itself as essentially safe, where errors are considered exceptional, and where rigid hierarchical...

Nutritional support for children and young people: nasogastric tubes

NGTs are usually inserted as a short- or medium-term method of feeding for CYP, as patients who require longer term support would often have a percutaneous endoscopic gastrostomy (PEG) inserted (NHS...

Developing and piloting a simulated placement experience for students

The option of increasing clinical placement hours is unsustainable in a climate of controlled budgets, limited placement availability and rising learner numbers given the education provider's finite...

Safety in nutrition nursing—a need to protect patients and professionals

The HSIB report undertook a detailed investigation focusing on NG tubes that are used to enterally feed patients and the two methods used for confirmation of NG tube tip position: pH testing and...

Diagnosis and management of coeliac disease in children

The European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) updated their diagnostic guidance for CD in 2012, recommending a no-biopsy pathway (NBP) for symptomatic...

Adapting to online placements

‘The placement could be improved through better organisation and planning for students; however, staff are much more supportive of students now than a few months ago.’ .

Why not choose intermittent self-catheterisation?

A combination of medical conditions left Paul Carter (not his real name), who is in his mid-fifties, chair/bed bound. He lives in his own home, supported by a full package of carers. Due to a poor gag...

Continence issues in individuals living with multiple sclerosis

Bladder and/or bowel dysfunction in MS can occur at the onset of the disease or any time during its course. It can impact either the bladder or bowel directly, through plaques damaging the areas of...

Measuring and monitoring fluid balance

Fluid shifts happen when the fluid in the body moves between fluid compartments. Physiologically, this occurs by a combination of hydrostatic pressure gradients and osmotic pressure gradients. Osmosis...

An exploratory study into the teaching of clinical examination skills in advanced practice

‘Most errors in the physical examination … [which lead to adverse outcomes] … are related to not performing an examination.’ .

Impact of nurse-initiated education on HeartScore in patients with hypertension: a randomised trial

The study was approved by the ethics committee of the hospital (17929/19-7-13). A written consent form was obtained from all participants. The investigation conformed to the principles outlined in the...

COVID-19 and adult congenital heart disease services: impact on support and advice from nurse specialists

A questionnaire was sent to ACHD CNSs across the UK, via email, at the end of March 2020. It asked how many nurses were planned to be retained in their service and how many were planned to be...

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