The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Lisa Dougherty [658]
Mave Salter, Complex Discharge Co-ordinator
Catherine Sandsund, Senior Physiotherapist, Physiotherapy Department
Neelam Sarpal, Teaching Sister
Kate Scott, Clinical Nurse Specialist (Psychological Care)
James Smith, formerly Chaplain
Caroline Soady, Clinical Nurse Specialist (Head and Neck)
Catherine South, Specialist Sister (Head and Neck)
Val Speechley, Patient Information Officer
Moira Stephens, Clinical Nurse Specialist (Haemato-oncology)
Mavis Stork, formerly Theatre Services Manager
Mary Anne Tanay, Research Nurse (Head and Neck)
June Toovey, formerly Sister (Intravenous Therapy Team)
Anne Topping, formerly Senior Nurse (Gastrointestinal/Genitourinary)
Jennie Treleaven, Consultant Haematologist
Robert Tunmore, formerly Clinical Nurse Specialist (Psychological Support)
Beverley van der Molen, formerly Clinical Nurse Specialist/Unit Manager (General Oncology)
Rebecca Verity, formerly Senior Staff Nurse (Bud Flanagan Ward)
Chris Viner, Clinical Nurse Specialist (Ambulatory Chemotherapy)
Caro Watts, Nurse Consultant (Transitional Care (Cancer))
Clare Webb, Specialist Sister in Psychological Care
Richard Wells, formerly Rehabilitation Services Manager
Alexandra Westbrook, Programme Leader
Isabel White, Head of Undergraduate Cancer Care Studies
Jane Wilson, formerly Group Theatre Manager
Miriam Wood, Senior Practice Development Facilitator (supporting role)
Jacquie Woodcock, Programme Leader
Karen Wright, formerly Research Assistant Nursing Research Unit
Karen Young, formerly Physiological Measurement Technician
Appendix 3
Multiple choice answers
Chapter 3 Infection prevention and control
1 The correct answer is d, Using appropriate hand hygiene, wearing gloves and aprons when necessary, disposing of used sharp instruments safely and providing care in a suitably clean environment to protect yourself and the patients.
2 The correct answer is c, Nurse the patient in isolation, ensure that you wear appropriate personal protective equipment (PPE) and adhere to strict hand hygiene, for the purpose of preventing the spread of organisms from that patient to others.
3 The correct answer is c, The patient has spiked a temperature, has a raised white cell count (WCC), has new-onset confusion and the urine in his catheter bag is cloudy.
4 The correct answer is d, Review antimicrobials daily, wash hands with soap and water before and after each contact with the patient, ask for enhanced cleaning with chlorine-based products and use gloves and aprons when disposing of body fluids.
5 The correct answer is b, Gently make the wound bleed, place under running water and wash thoroughly with soap and water. Complete an incident form and inform your manager. Co-operate with any action to test yourself or the patient for infection with a bloodborne virus but do not obtain blood or consent for testing from the patient yourself; this should be done by someone not involved in the incident.
Chapter 4 Risk management
1 The correct answer is a, By adopting a culture of openness and transparency and exploring the root causes of patient safety incidents.
2 The correct answer is d, Help the patient to a safe comfortable position, take a set of observations and report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time, discuss the incident with the patient and, if they wish, their relatives.
3 The correct answer is d, Give adequate analgesia so she can mobilize to the chair with assistance, give subcutaneous low molecular weight heparin as prescribed. Make sure that she is wearing antiembolic stockings.
4 The correct answer is b, Assess his risk of developing a pressure ulcer with a risk assessment tool. If indicated, procure an appropriate pressure-relieving mattress for his bed and cushion for his chair. Reassess the patient’s pressure areas at least twice a day and keep them clean and dry. Review his fluid and nutritional intake and support him to make changes as indicated.
5 The correct answer is c, Make sure that the bed area is free of clutter