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Subject:

Re: Screening of nursing and midwifery students

From:

Cynthia Atwell <[log in to unmask]>

Reply-To:

Cynthia Atwell <[log in to unmask]>

Date:

Thu, 15 Nov 2001 17:33:58 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (102 lines)

Catherine

I am not working in your area of work now. However, following the Allitt
enquiry and Bullock report I thought fitness standards had been produced for
pre-employment assessment of student nurses and midwives? or have I got this
wrong?
Information on this would be available I think though the DOH.

Hope this helps.   Cynthia Atwell


----- Original Message -----
From: "Greta Thornbory" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 15, 2001 4:27 PM
Subject: Re: Screening of nursing and midwifery students


> Dear Catherine
> To re-iterate what Cynthia Atwell said the other day about screening - why
> are you doing it?
>
> Firstly: should university students be screened by OH? - there should be a
> student health centre. They are not 'at work' so they are not part of
> 'occupational health.
>
> Secondly: what does this screening of ht/wt etc tell you? You are right,
it
> is costly and for what? It would be cheaper to ask their own GP to give a
> report on the state of their health and their suitability to undertake a
> higher education course, highlighting any special hazards they may
encounter
> as students e.g. working a laboratory. Then, if their course has a special
> requirement, such as chemical handling, then the University should have a
> COSHH policy which outlines the health surveillance required by those who
> handle such things. It cannot be done alone and needs human
> resources/personnel involved in developing policies which are safe for the
> staff as well as the students.  This will include the policy on
vaccination
> status and how this is addressed and is not necessarily confidential
> information.
>
> Thirdly: with regard to the students from abroad there is a public health
> issue here which should be addressed by the public health physician.
>
> Hope this helps, I must say I am surprised by the number of people who are
> still religiously carrying out programmes which include the routine
height;
> weight; urinalysis and one off, opportunistic blood pressure when research
> has shown that this is not a cost effective or worthwhile exercise, in
fact,
> it can be quite the opposite for people who are put under stress by a
> slightly abnormal result and all that entails of waiting to get an
> appointment to see a GP etc. The research for my masters dissertation 10
> years ago showed the amount of indiscriminate screening going on and yet
> there is so much research into screening that says 'think about what you
are
> doing'.
>
> Greta Thornbory
> Education & Health Care Consultant
> 01235 770156 phone
> 01235 765797 fax
> 07778 518 027 mobile
>
>
> ----- Original Message -----
> From: Catherine Paget <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, November 15, 2001 1:17 PM
> Subject: Screening of nursing and midwifery students
>
>
> > I am responsible for the health screening of all prospective nursing and
> > midwifery students within Anglia Polytechnic University and would be
very
> > interested to hear from others involved in screening this group and of
> your
> > screening procedures.
> > At APU all students are seen individually by our OH Screening nurse who
> > after reviewing their questionnaire performs basic screening tests ie
BP,
> > Pulse, Ht, Wt, Keystone vision screening & Urinalysis.  Not only is this
> > costly but is also very time consuming and I see little relevance in
it.I
> > am anxious to streamline this process and believe we should just be
> > reviewing their questionnaires and vaccination history.
> > We request all prospective students provide us with HBsAg & Rubella
blood
> > test results, and VZV in the absence of a history of chickenpox.
> > I have recently been told that we should now be referring all students
> > arriving from countries where there is a high prevalence of TB for chest
> X-
> > rays.  We currently follow BTS guidelines and refer those with Heaf
Grades
> > 3 & 4 for further assessment.
> > I would be very grateful if you could spare the time to tell me your
> > screening procedures and of your opinions as to what we should be
> screening
> > these students for.
> > Thank you.

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