Specialist units

Specialist units

carbon monoxide poisoning in the home, eating toadstools instead of mushrooms are examples of such occasions. If there had been separate A & E facilit...

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carbon monoxide poisoning in the home, eating toadstools instead of mushrooms are examples of such occasions. If there had been separate A & E facilities for children on a separate children’s hospital site, the children involved would have suffered much more distress than they did. Treating whole families is almost exclusive to A & E. Separating the children and sending them to another hospital A 81 E department would cause serious distress for all concerned. In this kind of situation the family needs to stay together, not only to comfort each other but also to know each member is quickly accessible. I have experienced trying to care for a young injured mother whose child had been taken to another hospital in order to share out the workload of several severely injured patients. Who went where had not been considered carefully enough. This might have been impossible at the scene of the incident, due to the urgency of the situation or the difficulty of knowing who belonged to whom. All I know is that it resulted in a very reluctant patient whose only thought, despite her injuries, was to get to her child. I am trying to balance optimum care for the patients with economic sense. Longstanding repercussions will result from some of the psychological distress experienced on these occasions. I am not a RSCN, or an A 81 E nurse who has worked in a children’s hospital with its own A Sr E department, and you may disagree with me. Can decisions be made based on economics alone, even in times of major reorganisation and rationalisation? Let us know what you think.

Specialist units Even though they deal with patients of all ages, more and more hospital Accident and Emergency (A & E) departments are advertising for Registered Sick Children’s Nurses (RSCNs). Increasingly, the special needs of children in A & E are being recognised. This is clearly an important development, and leads me to wonder how many children’s hospitals have A 81 E departments of their own, and whether children’s hospitals will become a thing of the past. It must make economic sense to have paediatric areas in large general hospitals, where there are facilities and services to care for all patients. It must also be expensive to run pathology, X-ray and all other services on one site exclusively for children. Is this to be the only consideration? Should children have their own hospitals, and especially their own A & E departments? Some of our adult patients can be nasty, disruptive, drunk and totally unaware of the fear they cause in the children around them. Other patients will become philanthropic and say: ‘That child needs you more than I do.’ Large departments can be bustling, noisy places full of frightening sights and sounds. However, I can think of occasions when whole families have been treated together in A & E. House fires, road traffic accidents,

The Call organised

for Papers is announced by the Royal College


for a 3-day National of Nursing Accident

Accident and and Emergency

Emergency Nursing

The conference will be held at the Lord Daresbury Hotel, Daresbury, Nr Warrington, 1995. Abstracts are invited for the following: Main hall presentations Poster presentations Concurrent sessions Skills sessions * Workshops l









27 April


For an abstract form and further details please contact: Lynn Sbaih, Chair of the Scientific Committee, Department of Health Care Studies, Elizabeth Gaskell Campus, Manchester Metropolitan University, Manchester Ml 3 OJA Tel: 0161 247 2530

Accrdent and EmergencyNursing (/ 995) 3, 57 0 Pearson Profewonal Lrd I995



conference Association.

10-12 November