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And to enhance your bedtime reading still further, Barbara Phillips' 
Working Party report has also just been released looking at current 
arrangements for A&E services for children and young people, making 
recommendations for future provision of these services, addressing 
consequent training issues and considering an inter-collegiate advisory 
structure.

Any skimmed it so far, but they want a complete separation of adult and 
child waiting and facilities, a play area supervised by a play specialist, 
sufficient RSCNs to ensure that one such nurse is on duty at all times 
children are nursed and each department must recruit a Consultant who has 
undertaken a recognised training programme in paediatric A&E medicine. 
Only A&E departments that are on the same site as inpatient paediatric 
facilities should accept children except those with trivial injury. A ward 
taking direct admissions must have an emergency room with facilities for 
reception, triage and resuscitation appropriately equipped and staffed 24 
hours a day.

Best wishes,


Rowley Cottingham

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There are three kinds of men. The one that learns by
reading. The few who learn by observation. The rest of them have to pee on
the electric fence for themselves.



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