Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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The diverse health needs of patients presenting to emergency department (EDs) are such that precise handovers between staff are critical to ensure all aspects of care are communicated. The handover process in an ED in south western Sydney, Australia, did not always achieve this, so a new approach, in which handovers tak place next to patients, has been developed. This article outlines the background to the change, describes the new system and reports the results of its audit.
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Anterior shoulder dislocation (ASD) is a common presentation in emergency departments, yet there is no national guidance on the use of sedation or analgesia. This article gives an overview of the aetiology and treatment of ASD, and reports the results of a literature review on best practice for timely and appropriate treatment of patients with ASD, and the effect of sedation on patient transit times