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Defining the scope of advanced practice

‘It is difficult to define what the scope of practice should be for these new groups of practitioners because roles evolve on a continual basis. Seeking ever more narrow definitions of practice may...

Factitious disorder in IV therapy

It is essential to maintain a high level of suspicion while also approaching patients with empathy and understanding. Building a rapport with patients can help in effectively addressing and managing...

Protecting patients through surveillance of device-related bacteraemias

I enjoyed the strong teamwork that results; however, I was keenly aware of the risks faced by acutely ill patients requiring support from the multitude of invasive devices necessary for their...

A guide to cannulation in adults

The aseptic non-touch technique (ANTT) is a method employed to minimise the likelihood of patients contracting infections during clinical procedures. It accomplishes this by safeguarding ‘Key-Parts’...

Longer length peripheral catheters in sickle cell treatment: a more efficient and cost-effective care pathway

An observational audit was conducted to understand the value in terms of value for money and clinical time spent of the new LPC pathway. Data collection began in November 2021 for 1 year. The...

Guarding the central venous access device: a new solution for an old problem

The pathogenesis of bacteria into the bloodstream can occur in two common ways: intraluminally and extraluminally. A CVAD can be colonized extraluminally by bacteria along the catheter or skin flora...

Foundation for implementing a comprehensive vascular access excellence initiative organization-wide to improve vascular access device insertion and standardize care: best practice for an acute care hospital

To improve first-attempt success, preserve vessel health, and reduce complications, a new approach to vascular access was deemed necessary. In 2016, a 263-bed public district hospital in California...

A drop in nursing applications

Applications to the Universities and Colleges Admissions Service (UCAS) for nursing courses in the UK are down (as are applications for midwifery programmes). Scotland has seen the biggest drop, even...

RCN's new definition of nursing reflects changes in health care

Both definitions aim to describe the role and scope of nursing, but highlight different aspects of the profession.

Black History Month 2023: what is it like to be Black and British right now?

The treatment of a young Black female gymnast in Ireland who was ignored because she is Black has been receiving widespread circulation and comment in the media. It is 2023 and it has been described...

Making the invisible visible

In the UK, British Arabs often share similar cultures, language and identity despite being from different Arab countries. Many British Arabs reside in the bigger cities such as London and Birmingham...

Unconscious bias: gynaecological pain, the elephant in the womb!

‘Gynaecology, being predominantly focused on women's reproductive health, was sometimes considered less prestigious or less prioritised than other surgical fields’.

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