PubMed · 9429494
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J Foote. Time to grieve.. https://pubmed.ncbi.nlm.nih.gov/9429494/
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In the U.K. the requirement for organs grows daily and sadly many people will die before an organ for transplant becomes available. In an effort to improve the supply of organs some clinicians are now looking to the A&E department to identify potential organ donors occurring as a result of a sudden death in the department. Many people take the view that hundreds of potential organs are wasted every year, as a result of the A&E departments' failure to notify the organ transplant co-ordinator of a potential donor in sufficient time to seek consent from the relatives. This paper will explore the legal and ethical principles which underpin the current organ donations system in the U.K., and explore the rationale for the reluctance of the majority of A&E departments to utilise this option. Some possible solutions to the conflicts which this option presents to the A&E nurse will be proposed.
Emergency Nurse Practitioners (ENPs) are being used in an increasing proportion of A&E departments across England and Wales. This paper reports the findings of a postal survey sent to all (94) A&E departments in Scotland including the smaller GP run units. The aim of the study was to document the extent and nature of ENP services in Scotland. Nurses were found to be practising as ENPs in 47% of Scottish A&E departments. The majority (70%) of nurses practising as ENPs had been educated for the role on courses for ENPs. Nurses working as ENPs were being paid at all grades ranging from the lowest grade for a staff nurse (D-grade) through to H-grade. ENPs are practising in all types of A&E department. Most ENPs have been formally trained for the role, however huge variation exists in educational preparation and in remuneration for this expanded nursing role.