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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    We have just come out of a second lockdown. This time my experiences working in the NHS are very different from the first lockdown back in March 2020. As you may have read in my past blogs, the first lockdown wasn’t really a lockdown for me. As a critical care outreach nurse I was going to work as usual; however, the work I was doing had changed. The way we were adapting our environment, our processes was almost exciting – to be able to directly influence rapid change in a usually bureaucratic organisation was novel. I remained at work, there was no furlough, and there was no isola
  2. Content Article
    This blog in the BMJ, recognises that bullying also occurs with in patient advocacy role and the patient community.
  3. Content Article
    The recommendations set out in the report are addressed to all leaders who influence the workplace experience of nursing and midwifery staff Recommendations Key recommendation 1: Authority, empowerment and influence Introduce mechanisms for nursing and midwifery staff to shape the cultures and processes of their organisations and influence decisions about how care is structured and delivered. Key recommendation 2: Justice and fairness Nurture and sustain just, fair and psychologically safe cultures and ensure equity, proactive and positive approaches to diversity and uni
  4. Content Article
    This guidance set out by Public Health England explains how patients/the public and clinicians can mitigate falls.
  5. Content Article
    This article, from John Hopkins Medicine, demonstrates some breathing exercises for you to try at home to aid recovery.
  6. Content Article
    This resource includes: What is medicines management? The right medicine for the right patient and the right time Becoming an independent prescriber Competencies and maintaining competence Specialist prescribing Delegation Unregistered staff and social care Administration Prescribing and administration Transcribing Nursing associates and medicines management Summary of available guidance
  7. Content Article
    Background: Acute kidney injury (AKI) in critically ill patients is multifactorial. There is little reliable UK data on the incidence and outcomes of patients with COVID-19 and AKI outside the ICU. At this stage we do not have a full understanding of the aetiology of AKI in COVID-19 and the pathogenic role of systemic inflammation, hypovolaemia or other COVID-19 related pathology (such as thrombotic microangiopathy) in its genesis. Volume status is critical in reducing the incidence of AKI but the balance between respiratory and kidney function can be challenging.
  8. Content Article
    Key points: Student paramedic practice, especially in the placement environment, mirrors human factors seen post registration, but also has its own unique set which require further research. The relationship between student and mentoring paramedics is a unique and important human factor in student development. Many clinicians may not feel prepared or willing to undertake a mentorship role. More training and support for mentoring paramedics would be of benefit. Emotional stresses faced by students when they initially encounter emotive aspects of the placement environment
  9. Community Post
    Oh Alice, I bet you feel scared stiff. I know there are many women on this forum who may be able to offer some words of advice/comfort to you. @Katharine Tylko I am glad you have found our site as this will put you in touch with women around the UK who understand your anxieties and are battling for a safer hysteroscopy.
  10. Content Article Comment
    Thanks Jonathan! The narrative of a datix is so important. I am new to the patient safety manager role, so I have limited experience in dealing with the 'back end' of datix. From the small amount that I have seen - you get many (tonnes actually) that are no harm, and you can tell that 'I am going to datix you' type reports. Datix may not be the best place to report these type of incidents - but where else can you log them? When reading the narrative you can get a sense of what is going on and the theme of it - communication, frustration with current systems/processes. These
  11. Community Post
    Hi , I am new to patient safety management, after 25 years working clinically it has been a learning curve. I have seen RCA reports, some poor reports that need to be re written and many good ones too. This takes up a huge amount of time by many different people of differing roles. Co-ordinating meeting, feedback and discussion can take time and hold up actions for dissemination. There is much effort put into severe and moderate harm, internal RCAs where it is not a serious incident but it doesn't warrant a serious incident investigation. However, the very low/no harm
  12. Content Article

    Faded rainbows

    Claire Cox
    When driving to work at the beginning of the pandemic, I felt a sense of worry and apprehension of what I would be faced with. As a critical care outreach nurse I never know what I may be faced with, but this has never bothered me. However, during the pandemic it did bother me. I worried how I could do my job; would I get sick and how would I navigate my way through the new ways of working? Seeing the brightly coloured rainbows in people’s windows gave me some hope. I knew that the public were thinking of us; they knew the risks we were putting ourselves at and our families. For a ti
  13. Content Article
    The first presentation draws on a recent National Institute for Health Research (NIHR) funded mixed-methods evaluation of the translation into practice of several ‘post-Francis’ policies that have aimed to improve openness in the NHS, and identifies key conditions necessary for policies to make sustainable impact on culture and behaviour. The second presentation reflects on material from a forthcoming book which will offer unfiltered accounts from patients, carers and healthcare professionals about their good and bad experiences of how care is organised, from birth up to the end of life.
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