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By J. A. Lunn

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Example text

The experience of dealing with the very real problems created by drug abuse amongst student nurses has provided the evidence upon which the view is expressed. Prescribing for Staff Many staff have opportunities to obtain prescriptions in their hospital from doctors who do not have clinical responsibility for them. In these situations there is considerable danger that through several uncoordinated "consultations" the patient will obtain treatment that is not necessarily in his best interests. Nowhere is this truer than amongst those who are suffering from anxiety and depression.

Any who have become positive, should be referred to the local chest clinic or chest physician within the hospital, after consultation with the general practitioner. G. G. site has been inspected six weeks later and a successful reaction demonstrated. This time will be approximately three months from the initial follow-up tuberculin testing, and when first informing the heads of department of the need for avoiding tuberculous patients, it is important to state that the restriction will be in force for three months.

Domestic and catering staff must also understand their responsibilities in seeking treatment for skin lesions. The respective heads of their departments are usually hard pressed for staff and they may not take kindly to having an able-bodied member of their staff taken off duty. The need for this will be more likely to be accepted if proper discussion and explanation takes place. It is recommended that a close working arrangement is established between the staff health department and the nursing, domestic and catering managers.

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