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Continuous renal replacement therapy (CRRT) is an acute therapy for critically ill patients. There are many life-threatening complications that can occur; therefore, it is imperative that nurses are highly trained in the use and troubleshooting of CRRT. A structured simulation exercise was added to an existing CRRT education program by developing and implementing an annual assessment of knowledge, skills, and attitudes (KSAs) using high-fidelity simulation. The use of high-fidelity simulation as an intervention during annual evaluation of KSAs was shown to be effective in increasing nurse satisfaction, understanding of CRRT principles, and critical thinking skills with the operation of CRRT. Key Words: Continuous renal replacement therapy (CRRT), high-fidelity simulation, nurse satisfaction, critical thinking skills., Goal To describe a project that added high-fidelity continuous renal replacement therapy (CRRT) simulation to an existing education program that enhanced knowledge, skills, and attitudes (KSAs) of adult intensive care [...]

The concept of equal pay for equal work has not yet been established despite the presence of a 40-year old law in the United Kingdom. For example, the public sector's pay gap between part-time workers is at 18.3%. Dianah Worman of the Chartered Institute of Personnel and Development (CIPD) believes that it would be difficult to eliminate the gender pay gap completely.

Information about the new immigration system for skilled migrants in the United Kingdom is presented. The new rules, which cover migrants from outside the European Economic Arena and Switzerland, are intended to be more objective, transparent, and consistently applied than the old work permit system.

Multinational firms having e-HR software system are facing difficulties in sharing employee information in a worldwide business as it violates data protecting act of European directive. The various issues related to staff-privacy in e-HR software are discussed along with attempt to provide innovative solutions.

Free-living elderly people aged [is greater than or equal to] 65 y were recruited to assess riboflavin and vitamin B-6 intakes and status and the effect of riboflavin supplementation on biochemical indicators of these 2 vitamins. The status of riboflavin (erythrocyte glutathione reductase activation coefficient; EGRAC) and vitamin B-6 (plasma pyridoxal-5'-phosphate; PLP) were determined in a total sample of 92 subjects, from whom dietary intake data were obtained by using the diet history method (n = 83). Although dietary intakes of both vitamins were considered to be adequate according to current reference values, abnormal EGRAC and plasma PLP values were identified in 49% and 38% of subjects, respectively, with 21% having suboptimal status for both nutrients. A subgroup of subjects from the initial sample (n = 45) was assigned in a double-blind manner to receive either 1.6 or 25 mg riboflavin or placebo daily for 12 wk. In those subjects with a baseline EGRAC or plasma PLP value falling outside the currently accepted threshold value for adequacy, low-dose riboflavin supplementation improved status of the limiting nutrient significantly (P [is less than] 0.0001 and P = 0.020 for EGRAC and plasma PLP responses, respectively). We conclude that a high proportion of healthy elderly people may have suboptimal status for these nutrients despite apparently adequate dietary intakes. Furthermore, we showed that riboflavin supplementation at physiologic doses corrects biochemical abnormalities of not only EGRAC, but also plasma PLP, confirming the biochemical inter-dependency of these vitamins and suggesting that riboflavin is the limiting nutrient. Am J Clin Nutr 1998;68:389-95.

The Legal Services Act 2007 has allowed law firms to change their ownership so that up to a quarter of their partners are non-lawyers. The second phase of the legislation will soon allow law firms to join other professional practices and attract investment from external shareholders. The effects of this legislation on the human resource function are also discussed.

It is believed that employers could face financial penalties if they fail to comply with the new code of practice on disciplinary and grievance procedures. The code maintains that employees or their representatives should be involved in the development of rules and procedures. Information about the new code's training aspects is also provided.

It is believed that employers may be forced to re-examine how they structure their organizations as they face legal changes. These changes include the introduction of the Corporate Manslaughter and Corporate Homicide Act 2007, and updates to current laws such as the inclusion of smaller employers in the scope of the Information and Consultation of Employees Regulations 2004.

Information is presented on how sharing of files and instant messaging by employees via the Internet exposes business organizations to several risks, including viruses, hacking, and corporate spying. A report on misuse of the Internet by staff is included. The email and Internet policy at Crown Prosecution Service is overviewed.