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Recall issued for children’s blackcurrant cough medicines

The MHRA has issued a recall on some own-brand children’s glycerine and blackcurrant cough syrups.

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Reaclled-Cough-Medicine

The MHRA has issued a recall on some own-brand children’s glycerine and blackcurrant cough syrups.

The Medicines & Healthcare products Regulatory Agency (MHRA) has today issued an urgent recall of infant cough syrups that are manufactured by Bell, Sons & Co. and sold as ‘own-brand’ products by a variety of retailers.

According to the MHRA, the recall is a precautionary measure due to a small number of reports of mould.

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Affected products

  • Asda Children’s Dry Cough Syrup Glycerol Blackcurrant Flavour;
  • Bell’s Healthcare Children’s Dry Cough Glycerin 0.75g/5ml Syrup;
  • Morrisons Children’s Dry Tickly Cough Glycerin 0.75g/5ml Oral Solution;
  • Numark Children’s Dry Cough 0.75 g/5 ml Oral Solution;
  • Sainsbury’s Children’s Dry Cough 0.75g/5ml Syrup;
  • Superdrug Children’s Dry Tickly Cough Glycerin 0.75 g/5 ml Oral Solution;
  • Tesco Children’s Dry Cough Syrup;
  • Wilko Tickly Cough 0.75g/5ml Oral Solution

Affected batches

Parents are advised to check if they have any bottles from the batches of the blackcurrant cough syrups listed above. If they do, they should immediately return any bottles of the batches above to the shop or pharmacy they bought it from.

The MHRA reiterates that the mould is not always visible so they should return any bottles of the cough syrups from the batches above even if they can’t see the mould.

Concerned parents should speak to their GP, Pharmacist or designated healthcare professional.

Clinical Care

Hourly rounding ‘may not be the best way for nurses to deliver care’, finds study

Hourly rounding places an emphasis on ‘tick box’ care.

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Nurse with patient in bed

Hourly rounding made a minor contribution, if at all, to the way nurses engage with patients.

A new report by researchers at King’s College London has found that the widespread practice of hourly or intentional rounding, may not be the best way for nurses to deliver care to patients.

The report also found that rounding makes a minor contribution, if at all, to the way nurses engage with patients.

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Hourly or intentional rounding involves standardised regular checks with individual patients at set intervals and was introduced in hospitals in England in 2013, with 97% of NHS acute Trusts in England implementing it in some way.

The majority of NHS trusts adopted the ‘4Ps’ (Position, Pain, Personal needs, Placement of items) model of rounding.

The research was commissioned and funded by the National Institute for Health Research (NIHR) and was led by Professor Ruth Harris in the Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care.

Hourly rounding places an emphasis on ‘tick box’ care.

The NIHR report – Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation – is the first study of its kind in the world.

The study found that rounding placed an emphasis on transactional ‘tick box’ care delivery, rather than individualised care. However, patients were found to value their interactions with nursing staff, which the study argues could be delivered during other care activities and rather than through intentional rounding.

The report also found that rounding was implemented without consultation, careful planning and piloting in the interests of political expediency following the Francis Inquiry Report into care failures in the NHS.

Ruth Harris, Professor of Health Care for Older Adults at King’s College London, said; “Checking patients regularly to make sure that they are OK is really important but intentional rounding tends to prompt nurses to focus on completion of the rounding documentation rather than on the relational aspects of care delivery.

“Few frontline nursing staff or senior nursing staff felt intentional rounding improved either the quality or the frequency of their interactions with patients and their family.”

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Clinical Updates

Nurses’ ‘worry’ better than most early warning scores, finds study

Nurses were asked to grade patients between ‘no concern’ and ‘extreme concern’. 

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Observations

A sense of worry can provide important information for the detection of acute physiological deterioration.

Nurses’ worry has a “higher accuracy” than most published early warning scores (EWS) at predicting if a patient is becoming more unwell, according to a recent study.

The study looked at 31,159 patient-shifts for 3185 patients during 3551 hospitalisations across two surgical and two medical wards. Researchers compared if the nurses were worried about a patients potential for deterioration using ‘the Worry Factor’ with early warning score indicators.

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Nurses were asked to grade each patient between “no concern” and “extreme concern”.

The Worry Score

Out of 492 potential deterioration events identified, researchers found that when nurses had an increasing worry factor the patient was more likely to require emergency medical treatment – 7 cardiac arrest calls, 86 medical emergency calls and 76 transfers to the intensive care unit.

The study also revealed that accuracy rates were significantly higher in nurses with over a year of experience.

The researchers concluded that “nurses’ pattern recognition and sense of worry can provide important information for the detection of acute physiological deterioration” and was often more reliable than traditional early warning systems.

They also noted that the worry score could be used alone or easily incorporated into existing EWS to potentially improve their performance.

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