Trainee Advanced Clinical Practitioner, The Royal Wolverhampton NHS Trust, Wolverhampton.
Advanced Clinical Practitioner, The Royal Wolverhampton NHS Trust, Wolverhampton.
Br J Nurs. 2022 Jul 7;31(13):690-694. doi: 10.12968/bjon.2022.31.13.690.
Advanced clinical practitioners (ACPs) have largely been based within acute emergency areas such as emergency departments (EDs) and acute medical units. At The Royal Wolverhampton NHS Trust, ACPs are a new element within oncology services. The acute oncology triage unit sees patients who have received systemic anti-cancer therapy (SACT) presenting with a variety of side effects and symptoms including oncological emergencies, reducing the need for ED attendance. The trainee ACPs identified the neutropenic sepsis pathway as an area requiring urgent change. Through the creation of a new neutropenic sepsis screening tool, as well delivering educational sessions to nursing staff on the unit, the trainee ACPs were able to significantly improve door-to-needle times for patients as well as increasing the use of patient group directions (PGDs), thus reducing delays in antibiotic administration.
高级临床医生（ACPs）主要在急症领域工作，如急诊科（ED）和急性内科病房。在皇家伍尔弗汉普顿国民保健服务信托基金会，ACPs 是肿瘤学服务中的一个新元素。急性肿瘤分诊单元接待接受全身性抗癌治疗（SACT）后出现各种副作用和症状的患者，包括肿瘤急症，从而减少了对 ED 的就诊需求。实习 ACPs 确定中性粒细胞减少性脓毒症途径是需要紧急改变的领域。通过创建一个新的中性粒细胞减少性脓毒症筛查工具，并向该单位的护理人员提供教育课程，实习 ACPs 能够显著缩短患者的从门到针时间，同时增加患者群体指导（PGD）的使用，从而减少抗生素治疗的延迟。
