Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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At Leicester Royal Infirmary, the care of frail older people occupies a disproportionate amount of emergency department (ED) staff's time and resources. Too few ED staff are trained to deal with the complex comorbidities associated with older patients, 90 per cent of whom are therefore admitted to hospital. To take the pressure off the ED and reduce the number of avoidable admissions, the hospital has set up an emergency frailty unit to treat patients over the age of 70 who need not be admitted to hospital and to ensure they can receive community care as soon as possible. This article describes how the unit operates.
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Nurses are bound by the Nursing and Midwifery Council code of conduct (2008) to deliver care based on the best available evidence, which involves a combination of clinical expertise and incorporating research into practice (Thompson et al 2004). This article critically evaluates the evidence base of methods available to reduce radial head subluxation in children. The author is a senior staff nurse at an inner-city paediatric emergency department in which about 30,000 children are treated each year.