Registered Medical Practitioners in England and Wales have a statutory duty to notify Public Health about the following diseases. To facilitate rapid treatment and control of outbreaks. (Links to Wikipedia for illustrative purposes) Read more
Ligature cutters are keep at the Nurse-in-Charges station
Remember to complete ReACT or CAMHS assessment tools on EPR Read more
You need to be a bit more suspicious and have a lower threshold for investigation than in patients without Known, Suspected OR Previous Malignancy Read more
Changes in: Tetanus prone and High Risk definitions
- Primary: 2, 3 & 4 months old
- Boosters: 3½ – 5yrs and 13-15yrs
- Immunisation only started nationwide in the UK in 1961 (people born before 1961 are unlikely to have completed a primary course)
- Immunocompromised patients are unlikely to produce adequate antibodies
When giving blood products you need to use the transfusion care pathway.
It can be found on intranet > Policies & Documents Library >Other Systems [green button] > Clinical records repository > Search [title And transfusion] – its only 9 clicks away (and some writing)
Do NOT use this regime for:
- Pregnant women
- Children under 16 years
- Urology surgery prophylaxis patients
- ANY patient who has ascites, limb amputation, cystic fibrosis, endocarditis, major burns, Cisplatin Chemotherapy, renal transplant.
- Creatinine clearance <30ml/min seek advice from pharmacy.
To maintain or restore patency of the ductus arteriosus
Only to be used in infants who are ventilated or where ventilation is immediately available
DO NOT DELAY IN STARTING Alprostadil if: there is clinical
suspicion of duct dependent CHD while waiting for paediatric cardiology opinion OR echocardiogram, even when in-house echo facilities are present.
Generally we DON’T admit patients acutely solely for “Detox”
However the following groups should be admitted [taken from trust guide]
- Patients requiring admission for another reason – refer to appropriate specialty (e.g. Head injury going to CDU, or Upper GI bleed going to medicine)
- ALL patients with symptoms / signs of Wernicke’s – medicine
- ALL patients with Delirium Tremens – medicine
- ALL alcohol withdrawal fits if patient to remain abstinent – medicine
- ALL alcohol related seizures with possible other trigger – medicnie
- ALL decompensated alcoholic liver disease – medicine
If admitted to CDU – complete the PAT tool
The impact of ED crowding on early interventions and mortality in
patients with severe sepsis
10th July 2018 12:00
(cross-site in the seminar rooms) Read more
- Subtle fractures are hard to pick up – especially if the wrong X-Ray is requested. Ordering the right X-Ray helps patients.
- Finger injury – request X-Ray Finger(specific), NOT a hand (they are different views and often of little use)
- Wrist injury – request X-Ray Wrist NOT Radius & Ulna
- You can request they include the distal half of radius and ulna if the pain covers that area but still request a wrist