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Clinical Updates

Tesla electric car ‘drives’ children to theatre

“This mini-Tesla is one of 500 we have placed across the country thanks to our members’ donations.”



Telsa mini electric car

Children undergoing surgery in Hull are to be ‘driven’ to the operating theatres in a Tesla electric car.

The miniature version of the electric car has been donated to Acorn Ward at Hull Women and Children’s Hospital and will be used to transport children to theatre as well as for scans.

The Tesla Owners Club UK and the Christian Blandford Fund, a charity helping children facing long stays in NHS hospitals, are donating the car to make the experience of undergoing surgery less daunting to younger patients.


Joanne O’Conner, sister of Acorn Ward, said: “We do our best to make the experience of surgery or going for scans less intimidating and frightening for children.

“Our new car will make it far more exciting when the children discover they will be able to drive themselves to the theatre.

“It’s a fantastic gesture from the Tesla owners and the Christian Blandford Fund which will make a huge difference to the children we care for at the hospital.”

Room for a teddy bear in the boot.

The Tesla Model S for Kids car in midnight silver has a full sound system and room for a teddy bear in the boot. Suitable for children aged three to eight, the car is powered by an electric battery with the patient able to sit behind the wheel.

Tesla car owners Julian Hakes, Josh Cunningham and Karl Smith came to the hospital to hand over the car and treat staff, visitors and patients to displays of their own cars, including one’s “dancing” features.

Deryn Harvey, Mini Tesla Coordinator at the Tesla Owners Group UK, said: “The car is sure to bring joy and alleviate anxiety in young children in hospital.

“This mini-Tesla is one of 500 we have placed across the country thanks to our members’ donations.

“Hull Women and Children’s Hospital is especially deserving as it was nominated by one of our local members in gratitude for the great service provided to his children.”

David Haire, Project Director Fundraising at Hull and East Yorkshire Hospitals NHS Trust, said: “Both the trust and the WISHH Charity welcome this thoughtful donation which will, I am sure, help children to relax in the period before they have to receive their treatment.”


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.



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.


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’. 




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.


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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