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News

Retired nurses on pensions can work part-time in NHS Scotland

New interim guidance makes it quicker and easier for retiring nursing staff to return

Image of rows of figures with half of them greyed out

Nurse vacancies hit record high 47,000 in England

Latest figures show 20% jump from March to June, prompting RCN to renew call on strike action

Nurse leaders say healthcare support workers cannot replace registered nurses

NHS England made 35,000 job offers to support workers this year to ease pressure on trusts

Brass wall plate showing the name of the NMC

Nurses who go on strike won’t face fitness to practise hearings, NMC says

As thousands take part in pay ballots, regulator asserts the right to join industrial action

GMB union asks nurses if they will strike over ‘punishment’ pay offer

The ballot seeks views of almost 10,000 nurse members as workers try ‘to make ends meet’

Government plans to extend pension abatement until March to boost winter staffing

Critics say extending changes made at start of COVID-19 pandemic is just a short-term fix

Analysis

Image of a £ symbol in gold breaking through a wall of blocks painted with percentage symbols

Pay offer: how it breaks down and what nurses need to know

Met with a decision to ballot on industrial action, NHS offer is among most complicated ever

What to do if you suspect a fracture in the ED

Failing to spot a fracture can be serious, so nurses need to know what to look for

Why are nurses more likely to be bullied than other NHS staff?

Advice for staff when faced with a toxic culture that poses a risk to them and patient care

PPE: there is more of it – but it’s still not fit for purpose, say female nurses

Nursing Standard survey finds many still struggle to get equipment that fits

Compassionate leadership: how to make it happen in your workplace

Empathy and inclusiveness can be hard to find in the hierarchies of the NHS

Nurses’ freedom to speak: are things better for whistleblowers in the NHS?

Improvements have been made, but work culture still needs to change

Clinical update

Bronchiolitis: how to recognise red flag symptoms requiring emergency care

Updated NICE guidance focuses on diagnosis, red flag symptoms and when to seek emergency care

Wound care: what the framework for standardised treatment means for your patients

Guidance focuses on individualised care for pressure ulcers, lower limbs and surgical wounds

Cardiac arrest and CPR: guidance update aims to improve survival and patient outcomes

Resuscitation UK advice affirms role of advance care planning

Atrial fibrillation risk, treatment and self-care: updated guidance

How to recognise and manage the symptoms of AF and advise patients on lifestyle adjustments

Out-of-hospital cardiac arrest: what nurses need to know

A new report shows value of early interventions and community CPR training

Lung cancer or COVID-19? How to differentiate between their similar presentations

A new resource helps patients and nurses differentiate between the symptoms

Policy briefing

ReSPECT form update: a more patient-centred focus for advance care planning

How nurses can implement changes to the RCUK process for end of life decision-making

Picture shows two medics in discussion. Lack of personal protective equipment allows nurses to take a decision to protect themselves, RCN guidance says.

COVID-19: when you can refuse to treat a patient due to inadequate PPE

The implications for nurses of RCN guidance on care provision and inadequate PPE

Nurses meeting to discuss and reflect following a difficult situation

Helping nurses to ‘defuse’ after difficult situations

The RCN has issued guidance on how to discuss and reflect on challenging incidents at work

nurse prepares a catheter for insertion

Improving care for patients who have catheters

RCN updates its guidance on using catheters and how to minimise associated risks

Glove awareness week

Correct use of gloves and how to protect your skin

RCN Glove Awareness week stresses correct use of gloves and how nurses can protect their skin

Instant messaging: guidance for NHS staff in hospital

Guidance aims to help judge how and when to use instant messaging in acute clinical settings

Journal scan

Patients without primary care providers more likely to have CT scan in emergency...

American-based research finds more people who have CT scans in the emergency department didn't have a primary care provider

Research compares use of intravenous paracetamol with oral paracetamol for pain...

An Australian study looks at whether intravenous or oral paracetamol is more effective at reducing pain

Patient using spacer

Using an antistatic spacer with an inhaler improved asthma control, a study found

A study has found that using an antistatic spacer with an inhaler gave patients better asthma control

Alcohol

Alcohol screening: rise in referrals to clinical nurse specialist teams

A recent study looking into emergency departments’ (EDs) current practices regarding alcohol identification has found that there is an increase in their access to clinical nurse specialist (CNS) teams.

SSTI

Management failure in treating skin and soft tissue infections

Risk factors, such as a fever, are associated with failures in the management of skin and soft tissue infections (SSTIs) in emergency department observation units (EDOUs), a review has found.

Sepsis

Lactate levels in patients with suspected sepsis

Emergency department (ED) sepsis screening algorithms should incorporate a serum lactate cut off of ≥2mmol/L as a threshold for the initiation of interventions and increased monitoring, research concludes.

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This webinar explores the nursing management of serious skin infections and how they can be effectively managed and treated. Richard Hatchett, a nurse tutor and senior editor at RCNi, discusses nursing innovations with Sharon Falconer, a specialist outpatient parenteral antimicrobial therapy (OPAT) nurse from Aberdeen, and Malcolm Bain from the medical department at Correvio.

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Sian Thomas, a Consultant Nurse for Child Health in South Wales, and Nurse of the Year 2016, talks about why everyone looking for a rewarding nursing career should put Wales at the top of their list.

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