Professional nurse (London, England)
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Peripherally inserted central catheters (PICCs) can meet the needs of patients requiring short- to intermediate-term intravenous therapy in a variety of settings. PICCs minimise insertion and catheter-related complications when compared to other central venous access devices (CVADs). PICCs have been introduced in the UK mainly through innovative advanced nursing practice.
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An audit of nutritional practice was carried out in one NHS trust. Findings demonstrated areas for improvement, particularly in the documentation of nutritional status and in criteria for referral for specialist help. An assessment sheet and a nursing care plan were developed to assess patients' risk of being malnourished and to provide a recognised place for recording nutrition-related information.
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The mouth, axilla, rectum and tympanic membrane are commonly used sites for temperature measurement, although readings may vary at different sites. Despite viable alternatives, glass-mercury thermometers remain in common use.
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Nursing's response to victims of domestic violence may reflect that of society, with victim-blaming and reluctance to become involved being major problems. Nurses should improve their awareness in this area and call for training in dealing with such patients. Nurses should become involved in drawing up guidelines for practice in this area.
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The procedure of establishing peripheral venous access carries the risk of potential complications to both the patient and the practitioner. Complications include infection, phlebitis and thrombophlebitis, emboli, pain, haematoma or haemorrhage, extravasation, arterial cannulation and needlestick injuries. Careful adherence to guidelines and procedures can minimise these risks.