References

Bakshi SS. A button battery in the nose. Intern Emerg Med. 2019; 14:(1)185-186 https://doi.org/10.1007/s11739-018-1949-0

Bolton SM, Saker M, Bass LM. Button battery and magnet ingestions in the pediatric patient. Curr Opin Pediatr. 2018; 30:(5)653-659 https://doi.org/10.1097/MOP.0000000000000665

Healthcare Safety Investigation Branch. Interim bulletin: button battery ingestion. 2019. https://tinyurl.com/yckzvwcs (accessed 8 June 2022)

Houston R, Powell S, Jaffray B, Ball S. Clinical guideline for retained button batteries. Arch Dis Child. 2021; 106:(2)192-194 https://doi.org/10.1136/archdischild-2019-318354

Kavanagh KT, Litovitz T. Miniature battery foreign bodies in auditory and nasal cavities. JAMA. 1986; 255:(11)1470-1472

King R, Tod A, Sanders T. Development and regulation of advanced nurse practitioners in the UK and internationally. Nurs Stand. 2017; 32:(14)43-50 https://doi.org/10.7748/ns.2017.e10858

Kodituwakku R, Palmer S, Prosad Paul S. Management of foreign body ingestions in children: button batteries and magnets. Br J Nurs. 2017; 26:(8)456-461 https://doi.org/10.12968/bjon.2017.26.8.456

Kramer RE, Lerner DG, Lin T Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015; 60:(4)562-574 https://doi.org/10.1097/MPG.0000000000000729

Krom H, Visser M, Hulst JM Serious complications after button battery ingestion in children. Eur J Pediatr. 2018; 177:(7)1063-1070 https://doi.org/10.1007/s00431-018-3154-6

McConnell MK. When button batteries become breakfast: the hidden dangers of button battery ingestion. J Pediatr Nurs. 2013; 28:(6)e42-e49 https://doi.org/10.1016/j.pedn.2012.12.008

Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE guide no 82. Med Teach. 2013; 35:(10)e1511-e1530 https://doi.org/10.3109/0142159X.2013.818632

National Capital Poison Center. Button battery ingestion statistics. 2021. https://www.poison.org/battery/stats (accessed 8 June 2022)

Nguyen LHP, Bank I, Fisher R, Mascarella M, Young M. Managing the airway catastrophe: longitudinal simulation-based curriculum to teach airway management. J Otolaryngol Head Neck Surg. 2019; 48:(1) https://doi.org/10.1186/s40463-019-0332-0

NHS England. Patient safety alert; stage one: warning; risk of death and serious harm from delays in recognising and treating ingestion of batteries. 2014. https://tinyurl.com/ycknzw5k (accessed 8 June 2022)

Premachandra DJ, McRae D. Severe tissue destruction in the ear caused by alkaline button batteries. Postgrad Med J. 1990; 66:(771)52-53 https://doi.org/10.1136/pgmj.66.771.52

Reynolds J, Mortimore G. Advanced nurse practitioners: the NHS England framework. Gastrointest Nurs. 2018; 16:(2)14-17 https://doi.org/10.12968/gasn.2018.16.2.14

Rodríguez H, Passali GC, Gregori D Management of foreign bodies in the airway and oesophagus. Int J Pediatr Otorhinolaryngol. 2012; 76:S84-S91 https://doi.org/10.1016/j.ijporl.2012.02.010

Royal College of Nursing. National curriculum and competency framework: emergency nursing (level 2). 2017. https://tinyurl.com/2p86fd5z (accessed 16 June 2022)

Smith ME, Navaratnam A, Jablenska L, Dimitriadis PA, Sharma R. A randomized controlled trial of simulation-based training for ear, nose, and throat emergencies. Laryngoscope. 2015; 125:(8)1816-1821 https://doi.org/10.1002/lary.25179

Unequal pandemic, fairer recovery. The COVID-19 impact inquiry report. 2021. https://tinyurl.com/v5n6uc44 (accessed 8 June 2022)

Wu XV, Chan YS, Tan KHS, Wang W. A systematic review of online learning programs for nurse preceptors. Nurse Educ Today. 2018; 60:11-22 https://doi.org/10.1016/j.nedt.2017.09.010

Button batteries in the ear, nose and throat: a novel survey of knowledge of UK advanced nurse practitioners

23 June 2022
14 min read
Volume 31 · Issue 12

Abstract

Background:

Button battery (BB) impaction in the ear, nose and throat can result in significant morbidity. Advanced nurse practitioners (ANPs) are increasingly responsible for initial patient assessment and prompt escalation to otolaryngologists for definitive management.

Aim:

Our novel national study aimed to assess ANPs' knowledge with respect to the assessment and management of patients with BBs in the ear, nose and throat.

Method:

A national 13-point survey was disseminated among ANPs over a 2-week period. Knowledge was assessed through eight multiple choice questions with a maximum attainable score of 21.

Findings:

A total of 242 responses were analysed. Knowledge deficits were identified in all domains (mean overall score 8.5/21), including presenting clinical features, preliminary investigations and intervention strategies. The overwhelming majority of respondents (97%; n=234) advocated for further training.

Conclusion:

A need for further education has been highlighted by this surveyed cohort of ANPs. Implementation of standardised protocols, virtual resources and simulation platforms may address knowledge deficits.

Foreign body impaction is a common emergency presentation, particularly among the paediatric population (McConnell, 2013; Kodituwakku et al, 2017). In most cases, ingested foreign bodies traverse spontaneously through the gastrointestinal tract without sequelae (Rodríguez et al, 2012). However, impaction in the upper aerodigestive tract or aural cavity has the potential to cause significant morbidity (Rodríguez et al, 2012).

Button batteries (BBs) are among the most hazardous of foreign bodies and may cause severe harm within 2 hours of placement in the ear, nose or throat (ENT)(NHS England, 2014). A rising incidence has been observed because of an increase in household electronic devices and toys using these batteries (Kodituwakku et al, 2017). According to data collected by the National Capital Poison Center (2021) in the US, the incidence of BB ingestion has risen sharply over the past two decades, with 3467 cases reported in 2019; the exact incidence of BB ingestion in the UK is unknown (Healthcare Safety Investigation Branch, 2019).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content