Posted by Jen Simpson | 26 May 2015
It’s almost 10pm and I’m getting ready for bed as I have an early start tomorrow morning, alarm set for 5am for a 7 o’clock start in the EMeRGE office.
Just as I’m getting into bed I get a text message from our Research Fellow informing me of a potential patient for our new Heart Failure study. Immediately I waken up and begin to plan our next move. We have 16hours from admission to recruitment and randomisation.
Bright eyed I arrive in the office the following morning and get straight to work. I pull out our Relax 2 screening folder and with a fine tooth comb, check and re-check the inclusion and exclusion criteria. This particular study has been running for just over 2 months and we’ve yet to recruit so I’m being extra vigilant. I head down to the Medical Admissions Unit where I identity the Consultant and have a quick chat about eligibility, good news!!! This patient could be the first to be recruited in Edinburgh.
My duty is to provide all information regarding the trial to a patient in an unbiased, understandable and appropriate way. Patients should never feel pressured to recruit onto a study, or feel that they have no choice in the decision. As Research Nurses we provide information and answer any questions which may arise and support patients in their decisions.
The EMeRGE Research Fellow and I gather our essential paperwork and approach our potential patient, a 93 year old lady with acute heart failure. This is a randomized, double-blinded, placebo-controlled phase IIIb study and comes with a 12 page patient information document. After a lengthy discussion patient number 001 gives her consent for the first part of the trial! We take an additional blood sample and analyse it to determine whether or not this patient is suitable for our study. She is! Now we have to randomise patient number 001 and make up the drug or placebo. We contact our bed manager to organise a bed in the Coronary Care Unit so our CCU Research colleagues can take over her care. I stay with patient 001, religiously checking observations and documenting everything meticulously until the ward is ready, I then transfer to her to CCU, where she’ll stay whilst receiving the study drug.
Meanwhile back at the office we arrange follow-up appointments at various intervals and commence the mountain of paperwork involved in such an important study. It’s home time for me, my colleagues take over the care of patient 001, I’ll catch up with her in the morning.
Without research, no advances or improvements can be made to existing care. Although it is a long process, it is so very worthwhile when it has a positive impact on the lives of thousands of patients
10 Aug 2017 | Miranda Odam
Nelson Mandela once said: “What counts in life is not the mere fact that we have lived. It is the difference we have made to the lives of others that will determine the significance of the life we lead.” So what does that mean to us in the Emergency Department? How can we make a difference? There are two factors that I think are really important: purpose and mindset. As clinicians, our purpose is to improve the health and wellbeing of our patients. We all know that this can be harder than it sounds, and that looking after ourselves is also important. Getting the right balance is extremely rewarding, and often requires a degree of support as well as “stretch”. It also requires understanding the effects our decisions, our care, and our treatments have on our patients. How do we really know if something has worked? Could we do this any better? This is where we need the right mindset. The mindset of learners. The GROWTH mindset. Teams with the growth mindset embrace challenges, learn from feedback, persist in the face of setbacks, learn from failure and are inspired by successes, are persistent and want to keep learning. These teams GROW, and individuals develop within them. Teams like this ask the right questions to fulfil their purpose, to improve their understanding and further their knowledge to make a bigger difference to the lives of others and themselves. EMERGE help us in the ED to do this. They help drive our curiosity, stimulate our thinking, stretch our perspectives, and contribute to our growth mindset. There is a Maori saying: “Learning brings greater knowledge, Knowledge brings greater understanding, Understanding brings greater wisdom, Wisdom brings greater wellbeing.” Learning is good for us all.Read more
8 Aug 2017 | Miranda Odam
When: Tuesday 15th August 2017 Time: 2pm - 8pm (drop in or stay) Where: Lecture Theatre B, Chancellors Building RIE TEDxNHS is a an event for those who work in the NHS live streamed in all four nations of the UK. The ebvent is independently organised and under license from TED. EMERGE (Emergency Medicine Resarch group of Edinburgh) are hosting on behalf of NHS Lothian and we would love you to join us to be inspired by a huge variey of speakers from a blind autistic savant and musical prodigy to a European Space Agency research doctor by way of a clinical entrepreneur and renaissance surgeon. Please contact Emma.Ward@nhslothian.scot.nhs.uk or call 0131 242 3863 to reserve your seat Looking forward to seeing you there!!Read more