Wednesday, December 19, 2018

Christmas Opening 2018

Our services are open as follows: 24/7 access is available as usual while we are unstaffed. PLEASE arrange your swipe card access (Tunbridge Wells Hospital @Pembury) or your fob access (Maidstone Hospital Academic Centre) THIS WEEK!

Wishing you all a peaceful time over the festive season.


Thursday, June 28, 2018

MTW Libraries closed 17th July and 7th & 8th August- Advance warning

Maidstone Hospital Library and Tunbridge Wells Hospital Library will both be closed all day on Tuesday 17th July, Tuesday 7th August and Wednesday 8th August. This is for staff training on the new Learning Management system.

Out of hours access is available at both sites but the PCs at Maidstone will be unavailable.

We apologise in advance for any inconvenience this may cause.

Thank you
Learning and Library Services team




Tuesday, June 26, 2018

Health Information Week at MTW Libraries- 2nd-8th July 2018 #HIW2018


Pop into the MTW Libraries next week (w/c 2nd July) to find out about Health Information available for your own health and wellbeing and for patients and the public.

We will have leaflets and display boards on where to find good quality health information as well as books on Mindfulness, Mood-boosting and Living with Long term conditions available to borrow.

You can also try some Mindfulness colouring books in the Libraries throughout the week and while you are in, give guessing the number of sweets in the jar a go! The closest guess wins the jar and it's contents!

Thank you

MTW Libraries



Monday, June 25, 2018

Access to Clinical Key- reminder to activate account



HOW TO ACCESS CLINICAL KEY WITH YOUR OPENATHENS ACCOUNT

1) Go to www.clinicalkey.com and click the “Login” button on Clinical Key. Select “OpenAthens log in”
2) Enter your OpenAthens username and password
3) After logging in with your OpenAthens account, click on activate to register for a personal account
4) You can now access all the content on ClinicalKey as well as gain CPD points and save content.




Friday, May 11, 2018

Trial access to Journal of Patient Safety for MTW staff

Hi all,

A 4 week trial to Journal of Patient Safety has been set up after a request from a MTW staff member.  Please click on this link: http://ovidsp.ovid.com/athens/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=toc&D=yrovft&AN=01209203-000000000-00000
And enter your OpenAthens account to access.

Please email your feedback about the journal to mtw-tr.library@nhs.net
Please visit https://openathens.nice.org.uk to register for an OpenAthens account if you don't already have one.

The MTW Library Service can set up trials to other resources- just get in touch.




Friday, April 27, 2018

WEEKLY NEWS FROM THE BMJ


WEEKLY NEWS FROM THE BMJ

 

This week in The BMJ

27 April 2018
  • Better care for patients with cancer

  • For many people, cancer is now survivable and has become a long term condition. This week our clinical update reminds us to think about the psychological impact for the growing number of people living with cancer (doi:). As Alexandra Pitman and colleagues... Fiona Godlee
  • Sixty seconds on . . . the WannaCry cyberattack

  • Although the NHS has learnt lessons from the WannaCry cyberattack on 12 May 2017, trusts need to do more to improve cybersecurity and introduce strategies to take action quickly “when, and not if, there is a further attack.” This was the conclusion of... Susan Mayor
  • Anger as Alfie’s Army protests outside Alder Hey

  • Crowds, rallied by social media postings, try to storm Alder Hey children’s hospital in Liverpool on Monday 23 April, after the parents of Alfie Evans lost a “last ditch” appeal against ending life support for their nearly 2 year old son. Alison Shepherd
  • Should we recommend e-cigarettes to help smokers quit?

  • Smokers want to vape, it can help them quit, and it’s less harmful than smoking, say Paul Aveyard and Deborah Arnott. But Kenneth C Johnson argues that smokers who vape are generally less likely to quit and is concerned about youth vaping as a gateway... Paul Aveyard, Deborah Arnott et al
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RESEARCH UPDATE

COMMENT

EDUCATION

  • Exploring low mood in a person with cancer

  • A 54 year old man asks his doctor for a sleeping tablet. He has recently been diagnosed with a Dukes B adenocarcinoma of the rectum and seems low in mood. Although he has been given a good prognosis, has completed neoadjuvant chemotherapy, and is booked...
  • Depression and anxiety in patients with cancer

  • Advances in cancer treatments mean that half of people now diagnosed with cancer can expect to survive for at least 10 years, defining many cancers as long term conditions. Psychiatric illnesses such as depression and anxiety are common, but often neglected,...
  • Finger metastasis from renal cell carcinoma

  • An 83 year old woman presented with painful swelling of the left third finger following minimal trauma. Six months earlier she had noticed spontaneous ecchymosis at the same fingertip. Her medical history included a nephrectomy for metastatic renal cell...
  • Smart monitoring . . . and other stories

  • Smartwatches use photoplethysmographic sensors to measure heart rate. Analysed by a neural network, the same data can be used to identify atrial fibrillation. At the moment, the investigators are calling it proof-of-concept, but it might not be long...

CAREERS

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Thursday, April 26, 2018

New and updated procedures added to ClinicalSkills.net

From ClinicalSkills.net:

We have a bumper crop of new procedures and updates for you this week!

The first two new procedures are on obtaining a sample for arterial blood gas measurement. One covers taking the sample via an arterial line, and the other shows taking the sample via an arterial puncture. Both procedures are by Claire Walker, Lecturer at the University of Liverpool. You'll find them in the Adults section, under the Observations category.

Obtaining a sample for arterial blood gas measurement via an arterial puncture

This procedure covers the reasons why arterial blood gas measurement may be carried out and the sites where an arterial puncture may be performed. It reviews the contraindications for carrying out the procedure, and what complications may follow. It describes how to perform the Allen test, to check the blood circulation to the hand. This procedure goes on to show the injection of local anaesthetic, how to take the blood sample and how to prepare the syringe of blood once the sample has been obtained.

Obtaining a sample for arterial blood gas measurement via an arterial line

The companion procedure shows how to collect the sample for arterial blood gas measurement from a patient who already has an arterial line in place. It emphasises the need to clearly identify an arterial line, and to check the 0.9% sodium chloride infusion used to maintain the patency of the arterial line before administration and at regular intervals. The sample must be taken at least 15 or 20 minutes after altering the patient's oxygen flow rate (or applying oxygen or suctioning), in order to reflect the patient's response to oxygen therapy.

Having described how to cleanse the sampling port on the arterial line and fill the "waste" syringe, the procedure shows how to take the sample, prepare the syringe of blood, and then flush the sampling port. It also covers the important observations that must be done following the procedure.

Other new procedures and updates are as follows:

Assisting with eating and drinking in a care home setting

This new procedure is an adapted version of "Assisting a patient with eating and drinking" that has been edited to be suitable for HCAs working outside of the hospital setting. The editor is Vickie Wylde, Regional Support Manager at Brighterkind Homes. It includes much advice specific to staff in care homes, but which is generally applicable in the community setting. The last two pages include a checklist and assessor questions, which can be downloaded separately.

Mouth Care
This has been peer reviewed and extensively revised by the author, with updated illustrations. It now includes reference to the Health Education England programme to improve oral health, "Mouth Care Matters". It also mentions the Sunflower Initiative to help staff identify those patients with dentures, to ensure that they get appropriate help with cleaning their dentures and try to prevent these getting mislaid.

Urine testing-HCAs
These two new procedures aimed at HCAs have been adapted from the Adults procedures on Urine observation and Urinalysis. You will find a checklist and assessor questions on both procedures at the end of the one on urinalysis.

Care of a PEG tube and Feeding via a PEG (bolus and pump feeding) Both of these Adults procedures have been updated and feature ENFIT connectors.

Washing a patient's hair in bed

This procedure, in the Adults category, has been updated and the illustrations refreshed, in line with the HCA version that was published in December 2017. 

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



Tuesday, April 24, 2018

Onexamination codes for MTW trainees




Calling All Doctors!                                         

Are you taking one of the following exams soon?:

DCH
DRCOG
First FRCR Physics
FRCA Final
FRCA Primary
FRCS General Surgery
FRCS Trauma and Orthopaedic Surgery
GP ST Stage 2 Knowledge Test/ Specialty Recruitment
MRCGP
MRCOG Part 1
MRCOG Part 2
MRCP Part 1
MRCP Part 2 Written
MRCPCH Foundation of Practice
MRCPCH Foundation of Practice and Theory and Science of Practice
MRCPCH Part 2
MRCPCH Theory and Science of Practice
MRCPsych Paper 1
MRCPsych Paper 2
MRCS Part A Papers 1 and 2
Specialty Certificate Examination in Acute Medicine
Specialty Certificate Examination in Endocrinology and Diabetes
Specialty Certificate Examination in Gastroenterology

The Library Service offers Onexamination revision codes from BMJ to help you pass your exams. Visit either site Library to register for an Onexamination account for 4 months revision.

Tunbridge Wells Hospital Library, Education and Training Centre
Maidstone Hospital Library, Academic Centre

Maidstone & Tunbridge Wells NHS Trust Library and Knowledge Services:

 web:

http://www.mtw.nhs.uk/library

blog:

mtwlibrary.blogspot.com

email:

mtw-tr.library@nhs.net

online catalogue

www.southeastlibrarysearch.nhs.uk




Thursday, March 29, 2018

Easter Opening- MTW Libraries



And congratulations to Josie Lee Yow who guessed that there were 99 sweets in our jar at TWH Library and won the whole lot!

Happy Easter from the MTW Library Team!

Monday, March 19, 2018

Friday 23rd March- MTW Libraries closing at 2pm

The MTW Libraries will be closing at 2pm on Friday 23rd March 2018 for a team meeting. We apologise in advance for any inconvenience this may cause. 24/7 access is available as usual.

Thank you
MTW Libraries


Monday, March 12, 2018

Friday 16th March- All PCs at Maidstone Hospital Library in use

Advanced Warning

All PCs at Maidstone Hospital Library will be in use ALL DAY on Friday 16th March.
We apologise in advance for any inconvenience this may cause.

(The PCs at Tunbridge Wells Hospital Library are available)

Thank you
Maidstone Hospital Library team


Monday, February 19, 2018

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
Image result for still alice book

Friday, February 16, 2018

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 




Thursday, January 25, 2018

NEW Procedures on ClinicalSkills.net- measuring blood pressure

From ClinicalSkills.net:
2018 is upon us and we’re pleased to announce that the first updates of the year are the procedures on measuring blood pressure. The new editor of this series is Naomi Stetson, Lead Nurse at the Peart Rose Hypertension Clinic at Imperial College Healthcare NHS Trust. Naomi has reviewed the four parts of the series and updated them where needed.
 You can find the procedures in the Observations category in the Adults section. Their titles are:
 Measuring blood pressure part 1: Equipment
Measuring blood pressure part 2: Procedure
Measuring blood pressure part 3: The patient
Measuring blood pressure lying/sitting and standing

The procedures continue to cite key guidance from NICE (2011) and the British and Irish Hypertension Society (2017).

We will be adding edited versions of these procedures to the Healthcare Assistants section very soon.

There’s masses of updates and new content in the pipeline, so look out for my next newsletter next week!

Check out the Observations procedures here: https://www.clinicalskills.net/dashboard/procedures/5/34  and access with an OpenAthens account off-site or click straight through if on a Trust PC.

Monday, January 22, 2018

Resource of the Month: Resources for Researchers and launch of MTW Research Café

The library resource/ service we are promoting this month is our Resources for Researchers bulletin and the launch of the MTW Research café.

Click here for the library’s Resources for Researchers bulletin and here for details about the MTW Research Café.

To raise the profile of Trust research and to encourage staff to undertake their own research, we would like to invite you to pop in to the NEW Research Café on Tuesday 30th January between 12noon and 1.30pm at Maidstone Library. Research is for everyone, so come along to find out more!


RESEARCH CAFÉ

Friday, January 19, 2018

Research Cafe Launch- 30th January at Maidstone Hospital Library

RESEARCH CAFÉ

OPENING IN 

MAIDSTONE HOSPITAL LIBRARY

TUESDAY 30th JANUARY.   12 – 1.30

 




                                                                                                                                                                                                                                                                                              
                                                       Come and talk to the

Research and Development team and find out more about future drop-in sessions & activities.

#MTWBookClub Discussion Transcript

  If you weren't able to make our 'The Children Act' #MTWBookClub on 7th Aug, the full transcript of the Q&A can be found h...