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Kathy Nabbie

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About Kathy Nabbie

  • Rank
    Starter

Profile Information

  • First name
    Kathy
  • Last name
    Nabbie
  • Country
    United Kingdom

About me

  • About me
    Passionate about patient safety
  • Organisation
    Private hospital
  • Role
    Theatre scrub nurse practitioner

Recent Profile Visitors

712 profile views
  1. Community Post
    You are so correct Katherine- In my previous role as an auditor for Surgical Safety Checklist, I audited Endoscopy lists in hospitals. Patients having colonoscopies, sigmoidoscopies etc, were always assessed and consented for sedation of their choice including with/ without entonox. The endoscopist gave the sedation.If a top up was required, it was given by the IV trained RGN in the room. There is no reason why it should be different for women having a hysteroscopy, especially if it's only a case of training.
  2. Kathy Nabbie started following How do we make hysteroscopy processes safer for patients? 
  3. Community Post
    I do not scrub for hysteroscopies, but I recently circulated for one in theatres- It was diagnostic- the patient was awake talking to the anaesthetic nurse about the weather, holidays etc .The surgeon explained the procedure throughout the short procedure after injecting local anaesthetic.The patient could also follow the procedure on the monitor- It went very well- So why can't we do all hysteroscopies with local anaesthetic or sedation if the procedure will take longer ? Surely there is no need to subject women to unnecessary pain- And please can we stop telling women it's just 'l
  4. Content Article
    Developing the FRAS In January 2017, I read a tragic story in Outpatient Surgery involving an elderly patient in the US who suffered multiple burns following the use of chlorohexidine bottled alcoholic prep. I'd also read that in the US there are over 600 surgical fires every year. As the Practice Development Lead for my theatre department at the time, I decided to design a Fire Risk Assessment Score (FRAS). I discussed the FRAS with my manager and my suggestion to add the FRAS to the 'Time Out' of our WHO Surgical Safety Checklist. To further develop my ideas, I attended one of th
  5. Kathy Nabbie started following COVID-19: what are you wearing? Working in a soup of droplets, Video: Happy first birthday to the hub! (2 October 2020) and Patient Safety Learning blog: COVID-19 and social care – we must act now to ensure patient safety
  6. Content Article Comment
    Congratulations to patient safety learning hub. 👏👏I joined the hub one year ago- With encouragement from Helen, Claire and the patient safety team, I started writing blogs on patient and staff safety issues. If like me, you have a passion for patient and staff safety, its a great idea to join the hub, as it helps you grow,develop and also gain confidence to write and share your knowledge to benefit your team.xx
  7. Content Article Comment
    I must admit it was truly heartbreaking to see carers donning a disposable mask, flimsy apron and disposable gloves before going into rooms in care homes with positive Covid 19 patients. I sincerely hope that they soon get tests,respirators and adequate PPE just like my NHS colleagues. Care homes and care staff have always been neglected in the past, and this pandemic is certainly opening our eyes to a lot of failings in this area. Let's hope when this is all over, we will see drastic changes and overall improvement in the care of patients and staff in care homes.
  8. Content Article Comment
    Another blog by Claire where she bares her deepest feelings about life at home and at the frontline of this pandemic.Truly heartbreaking! Compared to my last private hospital, where the scrubs were colour coded for intensive care,radiology, endoscopy and theatres- more than enough to go around and a further supply if necessary as well as availability of disposable scrubs if required for droplet infections. In some hospitals, we cannot wear a reusable cap, because we are not allowed to launder it at home! Why then, are NHS nurses allowed to risk their family safety and take their uniform
  9. Community Post
    I too am especially concerned about the lack of PPE for the healthcare staff. I am also heartbroken to learn that some staff never had Fit tests for FfP3 even though we had training for Ebola which was not airborne. The training should have continued yearly and on induction for new staff as we always have a new virus. Quite a number of staff still have no idea what a Fit test involves as some hospitals are either not doing them or doing a shortened version. I am really distressed thinking of healthcare staff who are looking after coronavirus positive patients with inadequate PP
  10. Content Article
    During my many years of working in operating theatres, I observed that hydrogen peroxide was adopted by surgeons as a ritual for washing out wounds and deep cavities. An entire bottle of 200 ml hydrogen peroxide was mixed with 200 ml of normal saline. It seems this ritual was passed down from consultant to trainee and it then became a habit. In a recent post on the hub, I mentioned that women in 1920 were given Lysol as a disinfectant to preserve their feminity and maritial bliss! Lysol contains hydrogen peroxide, so women were daily irrigating their vaginas with a harmful solution
  11. Community Post
    Yes Claire- Lysol contains Hydrogen Peroxide. In my previous comments, you will note that it was used to flush the vagina of women before the gynaecologist delivered the baby. In 2014, the MHRA issued a safety warning about the usage of Hydrogen Peroxide. Since the hazards are many, and also another of my passions, I think it needs a blog which I will be writing soon.
  12. Community Post
    Still sold in the US, I understand Claire, and in UK as Chlorophenol. My concern here is, it was advertised and marketed with 'shocking and hilarious' ads, as being the gold star for feminine hygiene in 1920. However it was so potent, it was used to end an outbreak of cholera in Germany in 1889, the Spanish Flu in 1918 and also as an effective agent for the influenza virus. Also, it was used to wash the bedding and decontaminate the sick rooms and hospital walls! Marketing and advertising of products did not think of women then, and one hundred(100) years later, we are still being
  13. Community Post
    Thank you Claire. - Recently I have been researching this subject and some tales are gruesome. Over the years women have been prodded and poked. As far back as 1920,a product called Lysol- (a disinfectant) was marketed as a feminine hygienic product which preserved youth and marital bliss, used as a birth control agent via post coital douching and also used for abortions . Gynaecologists flushed the vagina with Lysol solution to prevent infections before delivering the baby . This practice was later abandoned, as it was thought its usage masked more serious problems- perhaps
  14. Content Article
    Recently Dr Peter Brennan tweeted a video of a plane landing at Heathrow airport during Storm Dennis. I looked at this with emotion, and with hundreds of in-flight safety information, human factors, communication and interpersonal skills running through my head. I thought of the pilot and his crew, the cabin crew attendants and the passengers, and how scared and worried they would have felt. On a flight, the attendants will take us through the safety procedures before take off. We are all guilty, I am sure, of partly listening because it is routine and we have heard it all before. Then s
  15. Community Post
    It's great the hospitals are highlighted in the link- In one story the patient did not know the people in the room- This is poor practice! Everyone in the room should be introduced to the patient- This is part of protocol and if not followed, is also disrespectful.
  16. Stefka started following Kathy Nabbie
  17. Content Article Comment
    I agree with all the reporter said in this article. It took me a while to make a comment. Why? I was too busy crying, because it resonates with many other practitioners in so many hospital departments . This is exactly what happens- We are expected to work Harder, work Faster, work Longer and still do it Safely. Are we really "making a list and checking it not just twice but thrice?" We are supposed to in theatres- However there are times the patient is sent for too early- the surgeons are on a tight schedule, another surgeon may be following him- In most hospitals, sending ear
  18. Content Article Comment
    Hello Helen. Thank you. I sent you and Claire an email with links covering what I have done so far with the assistance of AFPP, and also what my plans are to increase more awareness of the hazards of diathermy tissue plume in ALL hospital theatres. I agree this project needs further help from social media to attract a wider audience . Kind regards Kathy
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