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Found 9 results
  1. Content Article
    Key messages Document the swallow status of all patients with PD at the point of referral to hospital Screen patients with PD for swallowing difficulties at admission Refer patients with PD who have swallowing difficulties (or who have problems with communication) to speech and language therapy Notify the specialist PD service (hospital and/or community) when a patient with PD is admitted, if there is any indication from the notes, or following discussion with the patient or their relatives/carers, that there has been a deterioration or progression of their clinical st
  2. Content Article
  3. Content Article
    So, what does it feel like working in chronically depleted staffing levels? "We are down three nurses today" – this is what I usually hear when I turn up for a shift. It has become the norm. We work below our template, usually daily, so much so that when we are fully staffed, we are expected to work on other wards that are ‘three nurses down’. Not an uncommon occurrence to hear at handover on a busy 50-bedded medical ward. No one seems to bat an eyelid; you may see people sink into their seat, roll their eyes or sigh, but this is work as usual. ‘Three nurses down’ has been the nor
  4. Content Article
  5. Community Post
    We are looking into introducing a new device to deliver CPAP at ward level into our trust. Currently we use NIPPY machines which can deliver some PEEP when in a selected mode, however the downfall to this is, it can only produce an oxygen concentration of around 50%. Often, the patient groups that require this intervention are on high oxygen requirements and so particularly in the early stages would benefit from a device that could deliver both. I have previously worked with Pulmodyne 02-Max trio which allows up to 90% oxygen and PEEP up to 7.5cmH20. Majority of patients responded ve
  6. Content Article
    I work in, both, the work imagined and prescribed, but practice in the world of work done. It’s interesting working in both worlds and has made me ask these questions: Why this happens? What are the consequences? How can we manage this disconnect? Real-life scenario What happened? A patient on a ward needs a nasogastric tube (NGT) for feeding and giving medication due to an impaired swallow following head and neck surgery. The nurse prints off the policy for placing an NGT from the Trust's infonet. The nurse inserts the NGT and checks the policy
  7. Content Article
    The key outcome is the development of a wearable medical device which is CE Marked and ready for a qualitative and quantitative evaluation study, which ultimately could assist 25,000 adults with a CVC for HD across the UK (Source: Renal Registry). The proof of concept pilot study is planned to start by the end of the 2018/19 financial year. MedConNecT North have also facilitated further connections with clinicians, and Tookie are now working with the Great North Children’s Hospital in Newcastle with Dr Yincent Tse and Dr Heather Lambert, Consultant Paediatric Nephrologists. Together they
  8. Content Article
    Day 2 – Visit to the medical ICU and medical ward Today started off with a 10-minute meeting with the medical emergency and cardiac arrest team at RUSH University Hospital, Chicago. This team consisted of a critical care outreach nurse, the medical intensive care unit (ICU) doctor, a respiratory therapist and a pharmacist – "yes, a pharmacist!" This is so drugs can be sent up to the ward without delay, pre-prepared and appropriate for the patient. Respiratory therapists assist with intubation and oxygenation of the patient. Unfortunately, the meeting was cut short due to a ‘code blue’,
  9. Content Article
    Q: Why was the training needed? A: A trust audit found that mortality for NIV was higher than the national average. We looked at previous training for nurses and there was no clear record for most ward areas using NIV. Some nurses had training, but this was several years old. The trust had also upgraded all the NIV machines as the previous machines were no longer serviceable. This gave a great opportunity to ‘rebrand’ NIV and provide current and appropriate training for all those using NIV. Q: What inspired you to take on this project? A: I work in an amazing team of highly skil
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