Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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The start-up time is the delay between starting an infusion pump and the delivery of fluid at the set flow rate. Mechanical slack in syringe pumps can lead to start-up delays of an hour or more at low-flow rates. During this period no medication is delivered to the patient. The causes of the start-up time delay, its implications and methods of minimising the delay are explained.
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This article discusses a systematic approach to the assessment of a breathless patient and outlines the principles of oxygen delivery. The indications for oxygen administration, different methods of delivery and the nursing management of oxygen therapy are examined.
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A government campaign aimed at stopping violence against healthcare staff is a start in dealing with the problem of aggression in the workplace. Staff attitudes will also need to be addressed, particularly in those areas where violence has become an accepted part of the job, if zero tolerance is to be achieved.
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To investigate the supportive work carried out by a health psychologist working with nurses in an A&E department caring for patients with sickle cell disease, some of whom are known to present with difficult and challenging behaviour. ⋯ The support group was found to provide the nurses with emotional support as well as boosting their confidence in dealing with this patient group. This will have an impact on the quality of patient care they are able to deliver.