Our experts discuss burnout, mindfulness and how to stay fit
It’s not just hand hygiene technique that matters, human factors play a role too
Leadership, communication and skin care feature in the most-read clinical content of the year
Our senior nurse editor reflects on the legacy of the Stonewall riots and the use of LGBTQI+
Evidence and practice remains an essential part of RCNi’s work, helping readers reflect upon the underpinning knowledge-base behind high-quality nursing practice. Here we look back in more detail at the most popular articles from our clinical archive in 2018.
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.
Looking for a new job or to develop your career in 2018? The new-look RCNi Nursing Careers and Jobs Fairs now include a panel discussion to enhance your job application success and help you get the most out of your career
We look back at the peer-reviewed content from our clinical archive that has proved most popular with readers this year.
Attaching a patient to a cardiac monitor and obtaining a clear electrocardiogram (ECG) trace may now be considered basic nursing skills. In line with the UK professional standards and code of conduct, healthcare practitioners are required to practise effectively and preserve patients’ safety. Therefore, healthcare practitioners undertaking cardiac monitoring are required to have a basic understanding of normal sinus rhythms and some of the common types of cardiac arrhythmia. This will enable prompt recognition of early warning signs of potential and actual clinical conditions, and the timely initiation of treatment. This article reviews the clinical skill of attaching a patient to a three and five-lead cardiac monitor, discussing appropriate skin preparation and lead selection. It also outlines the identification of several of the common types of cardiac arrhythmia on an ECG rhythm strip using a systematic approach.
The medicines refrigerator is a common piece of equipment found in clinical areas. It is used to ensure specific medicines are safely stored within a narrow temperature range in line with manufacturers’ instructions; this is usually between +2˚C and +8˚C, and ideally +5˚C. Drugs stored in the medicines refrigerator include: vaccines; insulin; chemotherapy drugs; topical preparations, such as some types of eye drops; and other treatments such as glucagon, which is used to manage severe hypoglycaemia. This article reviews the function of the medicines refrigerator and the checks required by healthcare practitioners to ensure that medicines remain safely stored and their effectiveness is maintained. It also outlines the medicines refrigeration procedure known as the ‘cold chain’, which includes the use of cold boxes or vaccine carriers to maintain the required temperature of medicines during transport from the manufacturer to user, or between healthcare departments.
Public protection is a complex issue, but increased regulation isn’t always the answer and can give false reassurance.
Don’t present yourself as perfect. Revalidation is about public protection, so be brave and reflect on areas you need to improve.