MTW Libraries celebrating World Book Day- Book Amnesty 5th-16th March 2018!

#WorldBookDay

Next MTW Book Club- Still Alice by Lisa Genova

The next book the MTW Book Club will be discussing is Still Alice by Lisa Genova (click here for more detail on the title).  We will be meeting in the Tunbridge Wells Hospital Library on Tuesday 6th March at 5pm. All are Welcome.


Please contact Alison Millis on 01892 6(35994) or email for further details or to be added to the distribution list (alison.millis@nhs.net)

Thank you
MTW Libraries

Updated procedures in ClinicalSkills.net

From ClinicalSkills.net

We have two updated procedures in the Catheterisation category for you this week, plus a new procedure on Safeguarding vulnerable adults in care homes.

Changing a suprapubic catheter

The new editor of this procedure is Rachel Leaver, Lecturer Practitioner-Urological Nursing at University College London Hospital NHS Foundation Trust and London South Bank University. Rachel is also Editor of the International Journal of Urological Nursing.

This procedure has been thoroughly overhauled following peer review, and it now shows: 

* Use of an aseptic non-touch technique to remove the old catheter and insert the new one, while wearing a single pair of sterile gloves.

* It emphasises more strongly the need to insert the new catheter speedily once the old one has been removed, to avoid the suprapubic tract closing.

* It no longer shows instillation of saline into the bladder via the old catheter before performing the change. Doing so is no longer recommended as it breaks the closed urinary drainage system and may cause blockage or symptomatic catheter-associated urinary tract infection. Instead, the procedure recommends encouraging the patient to drink 30 minutes before the change of catheter, or clamping the catheter or applying a catheter valve.

* It recommends use of a catheter passport to record details of the patient's catheter and when it needs changing.

Intermittent self-catheterisation

This procedure has also been reviewed and updated. It now features:

* A wider range of catheters suitable for intermittent self-catheterisation, including those with a cover that the patient has to pull down in order to expose the catheter, and those with an integral gel sachet, which the catheter is pushed through to lubricate.

* Greater emphasis on the hand-washing routine that the patient has to follow before washing their genitalia, and again before preparing the catheter.

* Use of the catheter passport to record details of the catheter.

You can find both of these updated procedures by clicking on the Adults section, then the Catheterisation category, and then the procedure titles. Alternatively, on the Procedures page, just put a key word in the Search field and click Apply.

Safeguarding vulnerable adults in care homes

This new procedure is by Vickie Wylde, Registered Nurse Manager at MHA Homes. It explains what safeguarding involves and the legislative background to safeguarding. It covers the different types of abuse that can occur, and the signs to look out for. Three case histories, all based on real events within a care home setting, help to relate safeguarding to day-to-day practice, and how the principles of safeguarding provision work in practice.

You can find this new procedure in the Adults section, in a new category called Safeguarding. We're planning additional procedures this year on safeguarding in a hospital setting and safeguarding of children.

Access procedures via the Library resources page on the Trust intranet or off-site with an OpenAthens account at www.clinicalskills.net