Paediatric nursingPub Date : 2010-06-01DOI: 10.7748/paed2010.06.22.5.20.c7783
Joan Simons
{"title":"Identifying medication errors in surgical prescription charts.","authors":"Joan Simons","doi":"10.7748/paed2010.06.22.5.20.c7783","DOIUrl":"https://doi.org/10.7748/paed2010.06.22.5.20.c7783","url":null,"abstract":"<p><strong>Background: </strong>Each year 200 million prescriptions for children and adolescents are issued in the UK, with a 1.5 per cent prevalence of errors.</p><p><strong>Aim: </strong>To identify and quantify medication errors on surgical children's prescription charts over a four-month period at two hospital sites.</p><p><strong>Method: </strong>Retrospective review of the prescription charts of 175 children at a children's hospital and a children's unit.</p><p><strong>Results: </strong>Errors totalled 301, the most common was overwriting of a prescription, the least common was incorrect dates. No resulting adverse events were recorded.</p><p><strong>Conclusion: </strong>The prevalence of errors needs to be reduced to avoid serious adverse incidents. Computerised physician order entry systems are discussed as a potential solution.</p>","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 5","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7748/paed2010.06.22.5.20.c7783","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29084930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to encourage children to take part in research trials. Interview by Christian Duffin.","authors":"Helen Smith, Alan Smyth","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paediatric nursingPub Date : 2010-05-01DOI: 10.7748/paed2010.05.22.4.20.c7737
Lisa Shipway
{"title":"Providing nutritional support for patients during cancer treatment.","authors":"Lisa Shipway","doi":"10.7748/paed2010.05.22.4.20.c7737","DOIUrl":"https://doi.org/10.7748/paed2010.05.22.4.20.c7737","url":null,"abstract":"<p><p>Children and young people with cancer often experience a diminished oral intake and exhibit subsequent weight loss and poor nutrition as a result of the side effects of treatments. This article studies the case of a five-year-old boy who developed nutritional problems to demonstrate the need for clear and systematic guidelines and protocols for nurses and health professionals to make uniform decisions in the management of such situations.</p>","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"20-5"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7748/paed2010.05.22.4.20.c7737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paediatric nursingPub Date : 2010-05-01DOI: 10.7748/paed2010.05.22.4.28.c7738
Alison Oliver, Colin Powell, Dawn Edwards, Brendan Mason
{"title":"Observations and monitoring: routine practices on the ward.","authors":"Alison Oliver, Colin Powell, Dawn Edwards, Brendan Mason","doi":"10.7748/paed2010.05.22.4.28.c7738","DOIUrl":"https://doi.org/10.7748/paed2010.05.22.4.28.c7738","url":null,"abstract":"<p><strong>Aim: </strong>To review routine observations on all children admitted to the Children's Hospital for Wales and the feasibility of implementing an early warning score for children developing critical illness.</p><p><strong>Method: </strong>Nursing staff, while performing their routine duties, recorded the physiological observations of temperature, heart rate, respiratory rate and blood pressure, as well as identifying airway threat, recording oxygen saturation levels, level of consciousness using the AVPU scale (alert, responds to voice, responds to pain, unresponsive) and identifying if they had concerns about a child on a new paediatric observation chart. The clinical care policy for each ward determined the frequency of recording observations.</p><p><strong>Results: </strong>Data were collected for 1,000 patients on whom 9,075 sets of observations were performed. Of those 9,075 sets, temperature was the most frequently recorded observation at 88.4% (95% confidence interval (CI) 87.7-89), followed by heart rate at 86.8% (95% CI 86.1-87.5), respiratory rate at 79.7% (95% CI 78.9-80.5), AVPU at 36.4% (95% CI 35.4-37.4) and blood pressure at 25.1% (95% CI 24.2-26.0). A complete set of observations needed for the Cardiff and Vale Paediatric Early Warning System to trigger effectively were only recorded in 52.7% (95% CI 52.4-53.1) of patients.</p><p><strong>Conclusion: </strong>There were variations in the frequency, type and recording of observations. This issue needs to be addressed if scoring systems are to be implemented. The findings of this observational study suggest that the required basic observations of acutely ill children are not being carried out.</p>","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7748/paed2010.05.22.4.28.c7738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Government report calls for joined up action to tackle issues of abuse.","authors":"John Thain","doi":"10.7748/paed.22.4.7.s10","DOIUrl":"https://doi.org/10.7748/paed.22.4.7.s10","url":null,"abstract":"","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing nurses' power to care. Interview by Jennifer Sprinks.","authors":"Katie Bagstaff, Stephanie Markham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ward sisters and charge nurses have an important role in developing staff and caring for patients. However, not all are given the appropriate authority and resources to ensure wards are run most effectively. This article reports on paediatric team leader Katie Bagstaff, who was recently nominated for an award.</p>","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paediatric nursingPub Date : 2010-05-01DOI: 10.7748/paed2010.05.22.4.14.c7736
Jackie Parkes, Nan Hill
{"title":"The needs of children and young people with cerebral palsy.","authors":"Jackie Parkes, Nan Hill","doi":"10.7748/paed2010.05.22.4.14.c7736","DOIUrl":"https://doi.org/10.7748/paed2010.05.22.4.14.c7736","url":null,"abstract":"<p><p>Because cerebral palsy (CP) is a sufficiently common condition of childhood and adolescence, the number and needs of these children and young people with cerebral palsy are monitored by centres across the UK (Surman et al 2006) and Europe (Surveillance of Cerebral Palsy in Europe 2000). This article describes the epidemiology of CP in childhood using data derived from the Northern Ireland Cerebral Palsy Register, which is one of the longest running CP registers in Europe. The findings presented here are similar to, and representative of, the epidemiology of CP in the western world (Dolk et al 2006).</p>","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"14-9"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7748/paed2010.05.22.4.14.c7736","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exchange tackles health issues.","authors":"Anne Lonsdale","doi":"10.7748/paed.22.4.34.s28","DOIUrl":"https://doi.org/10.7748/paed.22.4.34.s28","url":null,"abstract":"<p><p>Young people from Bolton in Lancashire and KwaZulu Natal province in South Africa took part in an exchange visit to improve cultural awareness and reinforce the need for healthy living.</p>","PeriodicalId":79363,"journal":{"name":"Paediatric nursing","volume":"22 4","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29017689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}