stages of our Get What You’re Owed campaign, so it is far too early to gauge or comment on its success. Many of our members feel worn down by the pressures of their work. We will always support them to assert their value and worth, and to claim back what they are legally entitled to. Josie Irwin, head of employment relations, RCN
GUIDANCE HELPS OPEN DISCUSSION OF NEONATE ORGAN DONATION Following a recent high-profile case in the media of neonatal organ donation, last month’s report from the Royal College of Paediatrics and Child Health on the diagnosis of death by neurological criteria in infants less than two months old is very welcome. Previous guidance excluded neonates because of lack of evidence on diagnosis of brain stem death. But the new guidance says the same neurological clinical examination used in older children and adults can now be used for neonates. One third of all paediatric deaths occur in the neonatal period, and 165 paediatric patients are waiting for organs. Expanding organ donation into the neonatal population could give more infants the opportunity for transplantation. Predominant issues in past cases involving neonatal organs have been lack of consent and poor communication. Empathetic communication, and collaboration of the family and neonatal and organ donation teams, will therefore be essential to the successful introduction of this guidance. For the neonatal world, this is a new and sensitive subject, and there will be challenges to overcome. But the opportunity to allow neonates and their families to offer someone else the chance of life is one that should be explored openly. Rhiannon Jones, chair, National Neonatal Surgical Benchmarking Group
INPUT OF CLINICIANS IS VITAL IN THE SHIFT TO DIGITAL HEALTH CARE Technology is becoming increasingly important in helping us change the way care is delivered, but achieving technology adoption on the wards is not always easy. As a nurse for more than 20 years, I have seen information technology products introduced to hospitals that have been designed and implemented with little input from clinical staff. This means clinical effectiveness is often lost. Chief nursing information officers (CNIO) – a relatively new role in the NHS – are crucial in bridging the gap between IT and clinical teams and ensuring new technologies meet the needs of nurses in clinical practice. I have worked with CNIOs on implementing Hospital at Night, handover and electronic observations software, with huge success. Benefits include less burdensome paperwork and the ability to respond more quickly to deteriorating patients. CNIOs are well respected drivers of change and central to trusts’ operational management. But the role is often overlooked in the UK, with some trusts apathetic about the role’s potential. As the digital healthcare revolution continues to take shape, it is time we championed the CNIO. Debbie Guy, director of clinical operations, Nervecentre
I FEEL UNSURE ABOUT HOW TO FULFIL THE REQUIREMENTS OF REVALIDATION I am an A&E nurse by background but am currently employed as a trust resilience lead. What will revalidation require of me? Will I need to make special local arrangements to meet this requirement? I have no clinical time beyond my current remit. Am I correct in assuming that the trust will have to make allowances for me to complete the revalidation process? Any advice gratefully received. Gary Siddle, trust resilience lead, County Durham and Darlington NHS Foundation Trust
TWEETS OF THE WEEK Yesterday I discharged a patient liberated from an eating disorder. She wrote me a card ‘thank you for giving me my life back’#whyInurse @lisanursecrooks
An outstanding nurse is someone who cares, nurtures, understands, empathises and instils confidence #NScomment @MarkWheatley72
Demonstrating the 6 Cs, going out of your way to help a patient in the best way possible @PUNC14_Hannah
Compassion first. Everything else follows on from compassion @baynage
Amongst the many communication skills it has to be active listening skills. What is the patient really trying to say? @kbentley202
Using the 6cs, passionate about their job role, considering each & every aspect about every patient #Outstandingnurses @punc14danielle
The health service lost its C for courage in the face of media pressure over the LCP @stpjjf
What makes outstanding nurse – courage, authenticity, advocacy and knowing your True North @mastersnurseed
Follow Nursing Standard @NurseStandard and join the #NScomment chat on Thursdays at 12.30pm
NURSING STANDARD mayNo6 other :: voluses 29 no 36 :: permission. 2015 33 Downloaded from RCNi.com by ${individualUser.displayName} on Sep 04, 2016. For personal use only. without Copyright © 2016 RCNi Ltd. All rights reserved.
GUIDANCE HELPS OPEN DISCUSSION OF NEONATE ORGAN DONATION Following a recent high-profile case in the media of neonatal organ donation, last month’s report from the Royal College of Paediatrics and Child Health on the diagnosis of death by neurological criteria in infants less than two months old is very welcome. Previous guidance excluded neonates because of lack of evidence on diagnosis of brain stem death. But the new guidance says the same neurological clinical examination used in older children and adults can now be used for neonates. One third of all paediatric deaths occur in the neonatal period, and 165 paediatric patients are waiting for organs. Expanding organ donation into the neonatal population could give more infants the opportunity for transplantation. Predominant issues in past cases involving neonatal organs have been lack of consent and poor communication. Empathetic communication, and collaboration of the family and neonatal and organ donation teams, will therefore be essential to the successful introduction of this guidance. For the neonatal world, this is a new and sensitive subject, and there will be challenges to overcome. But the opportunity to allow neonates and their families to offer someone else the chance of life is one that should be explored openly. Rhiannon Jones, chair, National Neonatal Surgical Benchmarking Group
INPUT OF CLINICIANS IS VITAL IN THE SHIFT TO DIGITAL HEALTH CARE Technology is becoming increasingly important in helping us change the way care is delivered, but achieving technology adoption on the wards is not always easy. As a nurse for more than 20 years, I have seen information technology products introduced to hospitals that have been designed and implemented with little input from clinical staff. This means clinical effectiveness is often lost. Chief nursing information officers (CNIO) – a relatively new role in the NHS – are crucial in bridging the gap between IT and clinical teams and ensuring new technologies meet the needs of nurses in clinical practice. I have worked with CNIOs on implementing Hospital at Night, handover and electronic observations software, with huge success. Benefits include less burdensome paperwork and the ability to respond more quickly to deteriorating patients. CNIOs are well respected drivers of change and central to trusts’ operational management. But the role is often overlooked in the UK, with some trusts apathetic about the role’s potential. As the digital healthcare revolution continues to take shape, it is time we championed the CNIO. Debbie Guy, director of clinical operations, Nervecentre
I FEEL UNSURE ABOUT HOW TO FULFIL THE REQUIREMENTS OF REVALIDATION I am an A&E nurse by background but am currently employed as a trust resilience lead. What will revalidation require of me? Will I need to make special local arrangements to meet this requirement? I have no clinical time beyond my current remit. Am I correct in assuming that the trust will have to make allowances for me to complete the revalidation process? Any advice gratefully received. Gary Siddle, trust resilience lead, County Durham and Darlington NHS Foundation Trust
TWEETS OF THE WEEK Yesterday I discharged a patient liberated from an eating disorder. She wrote me a card ‘thank you for giving me my life back’#whyInurse @lisanursecrooks
An outstanding nurse is someone who cares, nurtures, understands, empathises and instils confidence #NScomment @MarkWheatley72
Demonstrating the 6 Cs, going out of your way to help a patient in the best way possible @PUNC14_Hannah
Compassion first. Everything else follows on from compassion @baynage
Amongst the many communication skills it has to be active listening skills. What is the patient really trying to say? @kbentley202
Using the 6cs, passionate about their job role, considering each & every aspect about every patient #Outstandingnurses @punc14danielle
The health service lost its C for courage in the face of media pressure over the LCP @stpjjf
What makes outstanding nurse – courage, authenticity, advocacy and knowing your True North @mastersnurseed
Follow Nursing Standard @NurseStandard and join the #NScomment chat on Thursdays at 12.30pm
NURSING STANDARD mayNo6 other :: voluses 29 no 36 :: permission. 2015 33 Downloaded from RCNi.com by ${individualUser.displayName} on Sep 04, 2016. For personal use only. without Copyright © 2016 RCNi Ltd. All rights reserved.
