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R Pope

Publications and source records attributed to R Pope.

42 records · Page 3Linked to original sources

Pressure sore formation in the operating theatre: 1.

While theatre nurses strive to master increasingly sophisticated equipment and techniques they must also endeavour to ensure that the quality of fundamental nursing care has positive outcomes for the patient. According to Land (1995), pressure area care is such a fundamental nursing activity that many health professionals do not recognize the importance of keeping abreast of new developments. A review of the literature concerning pressure sore formation suggests that, far from being a ward-based problem, all surgical patients experience a critical period during which they are most susceptible to pressure injury--the time spent on the operating table. This article, the first of two parts, outlines the pathophysiology of pressure sores and the contributory factors present within the operating theatre. The second part suggests nursing interventions to reduce the incidence of pressure sore formation during the perioperative phase.

Humans↗

Pressure sore formation in the operating theatre: 2.

The incidence of pressure sores is seen as a key quality indicator by the Department of Health (1993). The effects of pressure are dependent on its intensity and duration and are widely acknowledged as contributing to pressure sore formation. Therefore, all patients undergoing surgery should be regarded as being at risk. The first article in this two-part series, outlined the pathophysiology of pressure sores and the contributory factors present within the operating theatre (Vol 8(4): 211-17). This article suggests nursing interventions to reduce the incidence of pressure sore formation during the perioperative period.

Humans↗

Doctors, nurses, and training in the administration of intravenous drugs.

To assess the knowledge of staff and the effect of formal training on house officers we conducted telephone questionnaires of 40 house officers and 18 nurses. The following points were assessed: knowledge of dilution of drugs; knowledge of the rate at which drugs should be given; and the rate at which drugs were given. Appropriately trained nurses had greater knowledge than 'untrained' house officers. In all, 17/18 (94%) nurses compared with 9/18 (50%) house officers knew the correct rate at which to give ampicillin (P = 0.0036, Fisher's exact test); 14/18 (78%) nurses and 1/18 (6%) house officers said they gave ampicillin at the correct rate (P < 0.001); 13/18 (72%) nurses and 7/18 (39%) house officers said they gave ranitidine at the correct rate (P = 0.037). Only 1 of the 10 house officers who knew how rapidly to administer ampicillin said they took the correct length of time; 6 of the 10 who knew how rapidly to give ranitidine said they gave it at the correct rate. Training improves the knowledge of house officers, but other factors besides lack of knowledge (possibly lack of time) adversely affect delivery of intravenous drugs.

Education, Nursing↗