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Article
Publication date: 12 March 2020

Clare Margaret Crowley, Gabriela McMahon, Joanna Desmond and Mendinaro Imcha

To implement a safe and effective intravenous iron infusion protocol to prevent skin staining.

Abstract

Purpose

To implement a safe and effective intravenous iron infusion protocol to prevent skin staining.

Design/methodology/approach

Mixed methods approach was utilised including education, auditing, self-reported survey, patient information leaflet and patient feedback. In total 25 healthcare professionals completed the survey and 15 patients provided feedback.

Findings

No skin staining or severe adverse reactions were observed over eight weeks. Audit results found 53 per cent of staff were compliant with the recommended IV iron infusion protocol and 46 per cent informed patients of skin staining risk. Self-report surveys indicated 92 per cent flushed the cannula with sodium chloride before starting the infusion, 88 per cent flushed the cannula after the infusion and 76 per cent informed patients of skin staining risk. Patient feedback was largely positive and constructive.

Research limitations

Limitations include self-reported bias, short audit time interval, missing data and discrepancy between audit and survey results.

Originality/value

This quality improvement project was developed following two skin staining incidences at our maternity hospital. Although rare, skin staining after intravenous iron infusion is potentially permanent and may be distressing for some patients. Intravenous iron is considered safe and effective to treat anaemia during pregnancy and is often prescribed for this patient cohort. To avoid medicolegal action and patient dissatisfaction, it is essential that patients are informed of potential skin staining and an evidence-based administration protocol is utilised.

Details

International Journal of Health Care Quality Assurance, vol. 33 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 April 1973

Current issues of Publishers' Weekly are reporting serious shortages of paper, binders board, cloth, and other essential book manufacturing materials. Let us assure you these…

Abstract

Current issues of Publishers' Weekly are reporting serious shortages of paper, binders board, cloth, and other essential book manufacturing materials. Let us assure you these shortages are very real and quite severe.

Details

Reference Services Review, vol. 1 no. 4
Type: Research Article
ISSN: 0090-7324

Article
Publication date: 1 September 1901

The Board of Agriculture, by virtue of the powers conferred upon them by the Sale of Food and Drugs Act, 1899, have made regulations whereby it may be presumed, until the contrary…

Abstract

The Board of Agriculture, by virtue of the powers conferred upon them by the Sale of Food and Drugs Act, 1899, have made regulations whereby it may be presumed, until the contrary is proved, that milk containing less than 8·5 per cent. of solids‐not‐fat, or less than 3 per cent of fat, is adulterated within the meaning of the Act. The suggested limit for fat in milk recommended by the special committee appointed by the Board of Agriculture was 3·per cent., and it will therefore be observed that the new regulations have fixed a standard for milk‐fat which is even lower than the low limit recommended by the committee. There are even rumours that a further lowering of this standard is to bo urged upon the authorities. Although from the point of view of Public Analysts and the officials responsible for the enforcement of the Food and Drugs Acts it is satisfactory that an official standard for the composition of milk has at last been set up, it is idle to suppose that the fixing of such a limit will materially improve the character of the milk‐supply as a whole. It should be remembered that milk which contains only 3 per cent of fat, although under the new regulations legally “genuine,” is, as a matter of fact, of the poorest quality, and is only produced by a cow when in bad condition, or by a particular breed of cow which is remarkable more for the quantity than for the quality of the fluid yielded. Producers and vendors of milk of good quality have been placed in a very unfortunate position by the new regulations, as the tendency of the trade will be to lower all milk to the official limits, with the result that those dealers who are still desirous of maintaining a high standard of quality will have to compete in the matter of price with less conscientious traders, who, taking advantage of the protection afforded by the regulations, will be enabled to sell to the public “genuine” milk, from which all “superfluous” fat has been removed. Gradation of quality in an article of food cannot, of course, be provided for by official regulation, and for the purpose of legal classification it is only possible to differentiate between legally “genuine” and adulterated articles. Therefore, in a legal sense, and also in a popular sense, a milk containing 4 per cent. of fat is no more “ genuine ” than one containing 3 per cent., although the former is, of course, a superior article. Competition in the dairy trade, which has of late years become very keen, will, as the result of the fixing of this standard, become more acute than before, and to keep their position it will be necessary for those milk‐vendors who are desirous of maintaining their reputation as vendors of milk of good quality to give to their customers some guarantee that their product is indeed superior to the legalised article. Any statements of the traders themselves upon this point will naturally be received by customers with reserve, as proceeding from an interested source, and the guarantee, to be effective, must therefore be given by an authority whose statements are above suspicion. It is hero that the system of Control will be found to be a necessity both to the milk dealer and milk consumer.

Details

British Food Journal, vol. 3 no. 9
Type: Research Article
ISSN: 0007-070X

Article
Publication date: 1 March 1979

Julia E. Miller

This column has always intended to provide in‐depth, comparative reviews of abstracting services, indexes, serial bibliographies, yearbooks, directories, almanacs and other serial…

Abstract

This column has always intended to provide in‐depth, comparative reviews of abstracting services, indexes, serial bibliographies, yearbooks, directories, almanacs and other serial tools which would normally be housed in reference departments. For the purposes of this column, reference serials are materials which must meet two rather flexible requirements: they must be useful as reference sources and they must be issued as serials or be titles which are superseded periodically by new editions.

Details

Reference Services Review, vol. 7 no. 3
Type: Research Article
ISSN: 0090-7324

Article
Publication date: 16 September 2011

Matthew R. Sanders, Divna M. Haslam, Rachel Calam, Clare Southwell and Helen M. Stallman

The purpose of this paper is to examine working parents' experiences and attitudes and to determine if these differ according to gender. Three areas were investigated: level of…

Abstract

Purpose

The purpose of this paper is to examine working parents' experiences and attitudes and to determine if these differ according to gender. Three areas were investigated: level of reported difficulties in parenting and balancing work and family; parental perceptions about the workplace as a context for the delivery of parenting support; and employee preferences for intervention features.

Design/methodology/approach

In total, 721 employed parents in the UK were recruited via their organisation and completed a web‐based survey.

Findings

A total of 41 percent of parents reported their children had significant behaviour problems and 85 percent stated that worksite parenting interventions should be made available. A clear preference was found for evidence‐based interventions delivered by trained practitioners. The vast majority of men (86 percent) and women (90 percent) reported they would attend a workplace parenting intervention if one were available.

Originality/value

The need to tailor programmes to the needs of parents is increasingly accepted. This paper analyses the potential for tailoring an evidence‐based programme for parents in the workplace. It suggests that the provision of workplace parenting programmes may benefit the organisation and the individual and increase parental access to services.

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