2 results
An Audit to Assess the Level Pregnancy Screening Conducted on Admission for Female Inpatients on an Acute Psychiatric Ward
- Nikhita Handa, Jessica Quinlan, Mariam Mohammed
-
- Journal:
- BJPsych Open / Volume 8 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 20 June 2022, p. S155
-
- Article
-
- You have access Access
- Open access
- Export citation
-
Aims
Currently, practice is that if patients of childbearing age provide a urine sample on admission they will also be consented to test for pregnancy. As many new patients may refuse to provide a urine sample often due to their mental state or concerns about drug testing this results in some patients not being tested for pregnancy during admission unless required for medication or at patient request. Given the high level of vulnerability and the medication implications for pregnant patients, ascertaining pregnancy status early on in admission is beneficial to patients found to be pregnant. Therefore, we aimed to audit how pregnancy status is assessed and documented on admission and aim to improve the practice where areas for development are identified.
MethodsOver the 6 month period July-December 2021 there were 105 inpatient admissions on an acute female psychiatry ward. Using a random number generator 15 patients from this cohort were selected and their notes audited as to whether a urine pregnancy test or bHCG serum pregnancy test was completed on admission. If not, we searched the admission notes for documentation of ‘pregnancy, last menstrual period (LMP), sexually active status, contraceptive use’.
ResultsOf the 15 patients audited, 7 had a documented urine pregnancy test on admission (47%). Of the 8 patients that had not had testing only 1 patient had documentation of contraceptive use prior to admission, the other 7 non-tested patients had no notes regarding their LMP/contraception. 2 patients who did not have a pregnancy test had in fact had a urinary drug screen on admission, this coincided with a time of approximately 1 month when there were no urine pregnancy test strips available on the ward. At this time serum bHCG or LMP were not routinely used. One of these patients was found one month later to be pregnant.
ConclusionWe propose based on our findings that a more robust enquiry as to the risk of pregnancy should be conducted on admission for female acute inpatients. We have made recommendations that this should be in the form of a checklist to be conducted as part of the nursing admissions assessment such that if a urine sample is refused then a form detailing LMP, contraceptive use and any recent unprotected sexual activity will be completed. This can then be reviewed by the medical team prior to commencing medications. The use of this checklist will be reaudited between January-June 2022.
IX - The Fringes of Arthurian Fiction
- Edited by Elizabeth Archibald, David F. Johnson
-
- Book:
- Arthurian Literature XXIX
- Published by:
- Boydell & Brewer
- Published online:
- 14 February 2023
- Print publication:
- 20 December 2012, pp 191-242
-
- Chapter
- Export citation
-
Summary
In 1980, Beate Schmolke-Hasselmann published her groundbreaking study Der arthurische Versroman von Chrétien bis Froissart. According to its subtitle, the monograph was devoted to the ‘Geschichte einer Gattung’ (the history of a genre) – an indication repeated in the main title of the splendid English translation of the work. Although The Evolution of Arthurian Romance suggests a broad treatment of Arthurian literature, Schmolke-Hasselmann’s discussion is in fact limited to French texts. This equation of Arthurian literature with French Arthurian literature has been, as is well known, a widespread phenomenon in international Arthurian scholarship until quite recently. Norris Lacy has termed this emphasis on French texts ‘scholarly “gallocentrism”’. The publications listed yearly in the Bibliographical Bulletin of the International Arthurian Society convey the impression that the concept of Arthurian literature awakens in the Arthurian community first and foremost associations with the corpus of French romances, and, to a lesser degree, with English and German texts.
While the dominance of scholarship on French narratives is understandable in the light of the position of French literature at the beginning of the genre’s history and the sheer size of the corpus, the particular interest devoted to English and German texts over the years can in all probability be explained, at least in part, by the vast number of scholars involved. It is certainly true, however, that the inclusion of Arthurian texts written in the many other medieval languages is a prerequisite for a more balanced view on the evolution of Arthurian romance in Europe. In recent years, Arthurian scholarship has clearly moved in this direction. A case in point is the ‘Arthurian Archives’ series, which since 1998 has overseen the publication of authoritative editions of medieval texts with facing English translation. Alongside volumes presenting French and German texts, the series currently includes Dutch, Italian, Latin and Scandinavian romances, making a substantial number of texts originating from the lesser known literatures accessible to a wide readership. Further clear signs of the growing interest in Arthurian corpora other than French, English and German texts are issues 21 (2004) and 24 (2007) of Arthurian Literature, which are devoted to the Irish and Welsh literature and the European dimensions of Arthurian literature respectively. Finally, the latest publications in the ‘Arthurian Literature in the Middle Ages’ series, which updates Loomis’s 1959 milestone, deserve mention.