Comment on: Cancer follow-up
I would be interested to know if anyone has had any experience of long term problems one might experience after having radiotherapy to the colon? This would involve possible irregularity of the bowel and/or problems with high roughage/healthy foods. I'd be grateful for any info available.
Comment on: Region introduces hourly rounds
I am working here in the US and in some places you have to sign a sheet that shows that either you or your n/a has seen the pt each hour. It is just another piece of paper to sign. Patients do not care or remember that you are going to do this, they just want you there when they need something. As it is we are already doing this but 'not in a structured way' as someone already said. If you have a lot of patients and tried to do this every hour you'd never get anything else done except answer call lights. These are going off all the time anyway regardless. I usually have a choice of lights to answer at any one time! Even my friend who is a charge nurse here believes that fallacy that research has shown that this practice can reduce the number of calls made by patients! It doesn't. You would need a separate person to just answer call lights and even then they'd be rushed off their feet. The problem here is that people are nursed in single and double rooms where you cannot easily see them. In the UK years ago in the open wards it was easier to see and hear if someone was calling or needing assistance. If a patient starts demanding my presence on the hour it would be the same as the pt wanting their meds on the hour. As I politely tell them, I cannot be in several rooms at the same time! We are not allowed to say how many pts we have but in my case I would have to explain that probably all my 10-12 pts for example have 8pm meds due but obviously as their is only one of me I cannot be with all of them at the same time. Same thing with the hourly rounding. In any case, what do our managers think we are doing anyway? We are already with the patients doing something but not necessarily the ones that are calling at this time.
This is a good article and has generated some interesting responses but the title worries me. Nurses are not 'passing the buck' rather it's the other way around! Everyone is responsible for patient safety and nurses are the ones most aware of this, being on the shop floor with the patients 24//7. A little more help from 'above' and recognition of this problem would be welcome. If there is not enough staff to look after the patients then falls are more likely to occur. We cannot be everywhere at the same time. It's obvious really. Instead of doing yet another study on something we already know, why not address the real problem?
The above states the obvious. Syringes are also a lot easier to use when giving medication to anyone unable to take it themselves.
Comment on: What are the differences in nurse practitioner training and scope of practice in the US and UK?
This author completely ignores the fundamental differences in nursing in the US compared with the UK. These issues need to be addressed before thinking about comparing these two roles. Also, one cannot compare the salary differences either as the cost of living here in the US is quite different also! Reading this article, one would think that the US nurse earns a great deal more but if you take into account the culture differences etc you would realise that the apparent higher salary is really no different. Otherwise, this is an interesting and informative article.