The Impact of SARS-COV-2 on two Colorectal Cancer screening centres.

BowelScreen paused activity in March 2020 to prioritise the response to the COVID-19 pandemic. The aim of this study was to examine the impact of this delay. Cases affected by the pause and subsequently completed were compared to the same period in 2019. Endoscopy and histology data were obtained from the BowelScreen database and patient records. One-hundred and seven colonoscopies were performed during the study period. This compared with 224 colonoscopies during the same period in 2019. Median lead time to colonoscopy in 2020 was 74 days compared to 34 days in 2019. Adenoma detection rate was 59% for both periods. Advanced adenoma and cancer detection rates were similar in both periods. While there was a marked reduction in activity and significant delays for BowelScreen patients during the first wave of the COVID-19 pandemic, this does not appear to have impacted on clinical outcomes for patients who attended for screening colonoscopy.

Keep with it.

Clinical practice is constantly changing in order to deliver higher standards of care. Jessica Cudmore calls for educationists to keep up with this change by ensuring their teaching is accurate and up to date.

Do nurses perceive that there is a need for defusing and debriefing following the resuscitation of a patient in the accident and emergency department?

Defusing and debriefing are techniques that have been used to prevent staff developing psychological problems such as post traumatic stress disorder (Mitchell, 1988). It has been identified that nurses may be susceptible to a form of post-traumatic stress disorder known as prolonged duration stress disorder (Scott and Stradling, 1994). This study employs a non-experimental survey to identify the current practice of defusing and debriefing in an accident and emergency department and explores nurses' perceptions of the need for defusing and debriefing following the resuscitation of a patient. A theoretical framework of cognitive therapy is utilised to structure the study.

Trauma nursing: the team approach.

The team approach to trauma care has demonstrated benefits for patients in terms of both quality of care and outcome. This article examines the current management and organizational strategies of trauma care and the effect these have on patient outcome. The four main roles of the nurse within the trauma team are discussed. Research has shown that during the resuscitation of patients only 26% of nurses felt confident that the care they gave was satisfactory. However, 81% of these nurses may be responsible for the care of patients with multiple injuries at least once a week (Hamilton, 1991). Although medical staff have a vital role to play within the trauma team, this article will focus predominantly on the role of the nurse.

Preventing post traumatic stress disorder in accident and emergency nursing. A review of the literature.

Nurses working in Accident and Emergency may be susceptible to post-traumatic stress disorder (Rentoul and Ravenscroft 1993, Scott and Stradling 1994). The literature suggests that defusing immediately following a resuscitation may help to reduce abnormal stress reactions (Mitchell, 1988; Wright, 1992, 1993). Critical incident stress debriefing is recommended following critical incidents to help prevent emergency personnel developing post-traumatic stress disorder (Jimmerson, 1988; Mitchell, 1983, 1988; Parkinson, 1995).

Another Selectatec switch malfunction.

Malfunction of a Selectatec-3 switch mechanism is reported which caused isolation of the selected vaporizer. This resulted in a delivery of unsupplemented fresh gas to the patient.