British journal of nursing (Mark Allen Publishing)
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This article addresses the gap between the literature and practice in relation to the use of the Glasgow Coma Scale (GCS). It will explore level of consciousness and the GCS. ⋯ Attention is also given to the importance of including vital signs when using the GCS, as these can tell a lot, if not more, about the patient's neurological condition. Finally, the limitations of the GCS are examined to assist in a more accurate and consistent assessment tool for neurologically impaired patients.
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Although transfusion of blood and blood products is often of life-saving benefit for the many patients who receive transfusions every year, it is not without considerable risk. Nurses need to be aware of these risks so that they can respond to patient anxiety about transfusion. ⋯ Other significant adverse effects will be discussed briefly. Recent initiative aimed at monitoring the incidence of these adverse effects and increasing the safety of blood transfusion will be discussed, with special emphasis on the nurse's role in the transfusion process.