Is a doctor needed in the adult ENT pre–admission clinic?
Objectives: Pre-admission clinics are traditionally run jointly by nurses and doctors. Within an adult ENT pre-admission clinic, we wished to assess what doctors added tonurses’ pre-clerking, to determine whether doctors were actually needed in the clinic. Methods: Prospective study,looking at how o...
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| Veröffentlicht in: | Journal of laryngology and otology 2004-10, Vol.118 (10), p.796-798 |
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| container_title | Journal of laryngology and otology |
| container_volume | 118 |
| creator | Daniel, M. Banerjee, A.R. |
| description | Objectives: Pre-admission clinics are traditionally run jointly by nurses and doctors. Within an adult ENT pre-admission clinic, we wished to assess what doctors added tonurses’ pre-clerking, to determine whether doctors were actually needed in the clinic. Methods: Prospective study,looking at how often doctors, seeing patients after ward-based nurses, changed or added to clerking or tests as organized by nurses. Results: Out of 184 patients, doctors changed or added to nurses’ clerking or planned investigations in 47 patients (26 per cent), making 64 different changes. The commonest reasonsfor changes were ordering blood tests (22 changes), chest X-rays (eight), cancelling due to hypertension (seven), altering drug history (five) and requesting electrocardiograms (five changes). Conclusion: Most changes made by doctors could be eliminated by designing a
pre-admission clinic protocol that could easily be used by nurses. We recommend that all ENT departments consider implementing nurse-led pre-admission clinics. |
| doi_str_mv | 10.1258/0022215042450715 |
| format | Article |
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pre-admission clinic protocol that could easily be used by nurses. We recommend that all ENT departments consider implementing nurse-led pre-admission clinics.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1258/0022215042450715</identifier><identifier>PMID: 15550187</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>(RF) Otorhinolaryngology ; Adult ; Biological and medical sciences ; Diagnostic Tests ; Diagnostic Tests, Routine - methods ; Humans ; Medical sciences ; Medical Staff, Hospital ; Nurse Practitioners ; Nursing Staff, Hospital ; Organization and Administration ; Otorhinolaryngologic Diseases - diagnosis ; Otorhinolaryngologic Surgical Procedures ; Otorhinolaryngology. Stomatology ; Patient Admission ; Preoperative Care ; Preoperative Care - methods ; Prospective Studies ; Routine ; Surgery</subject><ispartof>Journal of laryngology and otology, 2004-10, Vol.118 (10), p.796-798</ispartof><rights>2004 Royal Society of Medicine Press</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Royal Society of Medicine Press Ltd. Oct 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-5b8fefe094228f3a3f0f65a2b0fed919530b2b8fb579a6e0f0418c182d9f912e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215104002117/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,309,310,314,780,784,789,790,23930,23931,25140,27924,27925,55628</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16264891$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15550187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daniel, M.</creatorcontrib><creatorcontrib>Banerjee, A.R.</creatorcontrib><title>Is a doctor needed in the adult ENT pre–admission clinic?</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>Objectives: Pre-admission clinics are traditionally run jointly by nurses and doctors. Within an adult ENT pre-admission clinic, we wished to assess what doctors added tonurses’ pre-clerking, to determine whether doctors were actually needed in the clinic. Methods: Prospective study,looking at how often doctors, seeing patients after ward-based nurses, changed or added to clerking or tests as organized by nurses. Results: Out of 184 patients, doctors changed or added to nurses’ clerking or planned investigations in 47 patients (26 per cent), making 64 different changes. The commonest reasonsfor changes were ordering blood tests (22 changes), chest X-rays (eight), cancelling due to hypertension (seven), altering drug history (five) and requesting electrocardiograms (five changes). Conclusion: Most changes made by doctors could be eliminated by designing a
pre-admission clinic protocol that could easily be used by nurses. We recommend that all ENT departments consider implementing nurse-led pre-admission clinics.</description><subject>(RF) Otorhinolaryngology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Diagnostic Tests</subject><subject>Diagnostic Tests, Routine - methods</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medical Staff, Hospital</subject><subject>Nurse Practitioners</subject><subject>Nursing Staff, Hospital</subject><subject>Organization and Administration</subject><subject>Otorhinolaryngologic Diseases - diagnosis</subject><subject>Otorhinolaryngologic Surgical Procedures</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Patient Admission</subject><subject>Preoperative Care</subject><subject>Preoperative Care - methods</subject><subject>Prospective Studies</subject><subject>Routine</subject><subject>Surgery</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kEFrFTEUhYNY7Gt170qCoLuxN5lkkuBCpNZaWhShKrgJmeRGp86beSYz0O78D_5Df4kpb_BBwdVdnO9czjmEPGbwgnGpjwA450yC4EKCYvIeWTEldCVFA_fJ6lauis72yUHOVwDAFPAHZJ9JKYFptSIvzzJ1NIx-GhMdEAMG2g10-o7Uhbmf6Mn7S7pJ-OfXbxfWXc7dOFDfd0PnXz0ke9H1GR8t95B8entyefyuuvhwenb8-qLyoq6nSrY6YkQwgnMda1dHiI10vIWIwTAja2h5YVqpjGsQIgimPdM8mGgYx_qQPN_-3aTx54x5siWIx753A45zto0CU0o2BXx6B7wa5zSUbJYroYxSCgoEW8inMeeE0W5St3bpxjKwt6vau6sWy5Pl79yuMewMy4wFeLYALnvXx-QG3-Ud1_BGaMMKV225Lk94_U936UcpUStpm9OPVjP--c1X88WeF54vWd26TV34hrtG_037F0ivmoQ</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Daniel, M.</creator><creator>Banerjee, A.R.</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20041001</creationdate><title>Is a doctor needed in the adult ENT pre–admission clinic?</title><author>Daniel, M. ; Banerjee, A.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-5b8fefe094228f3a3f0f65a2b0fed919530b2b8fb579a6e0f0418c182d9f912e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>(RF) Otorhinolaryngology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Diagnostic Tests</topic><topic>Diagnostic Tests, Routine - methods</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Medical Staff, Hospital</topic><topic>Nurse Practitioners</topic><topic>Nursing Staff, Hospital</topic><topic>Organization and Administration</topic><topic>Otorhinolaryngologic Diseases - diagnosis</topic><topic>Otorhinolaryngologic Surgical Procedures</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Patient Admission</topic><topic>Preoperative Care</topic><topic>Preoperative Care - methods</topic><topic>Prospective Studies</topic><topic>Routine</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daniel, M.</creatorcontrib><creatorcontrib>Banerjee, A.R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daniel, M.</au><au>Banerjee, A.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is a doctor needed in the adult ENT pre–admission clinic?</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>118</volume><issue>10</issue><spage>796</spage><epage>798</epage><pages>796-798</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>Objectives: Pre-admission clinics are traditionally run jointly by nurses and doctors. Within an adult ENT pre-admission clinic, we wished to assess what doctors added tonurses’ pre-clerking, to determine whether doctors were actually needed in the clinic. Methods: Prospective study,looking at how often doctors, seeing patients after ward-based nurses, changed or added to clerking or tests as organized by nurses. Results: Out of 184 patients, doctors changed or added to nurses’ clerking or planned investigations in 47 patients (26 per cent), making 64 different changes. The commonest reasonsfor changes were ordering blood tests (22 changes), chest X-rays (eight), cancelling due to hypertension (seven), altering drug history (five) and requesting electrocardiograms (five changes). Conclusion: Most changes made by doctors could be eliminated by designing a
pre-admission clinic protocol that could easily be used by nurses. We recommend that all ENT departments consider implementing nurse-led pre-admission clinics.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>15550187</pmid><doi>10.1258/0022215042450715</doi><tpages>3</tpages></addata></record> |
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| subjects | (RF) Otorhinolaryngology Adult Biological and medical sciences Diagnostic Tests Diagnostic Tests, Routine - methods Humans Medical sciences Medical Staff, Hospital Nurse Practitioners Nursing Staff, Hospital Organization and Administration Otorhinolaryngologic Diseases - diagnosis Otorhinolaryngologic Surgical Procedures Otorhinolaryngology. Stomatology Patient Admission Preoperative Care Preoperative Care - methods Prospective Studies Routine Surgery |
| title | Is a doctor needed in the adult ENT pre–admission clinic? |
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