You are working as an RN in an emergency department. A 10-year-old child has been admitted to the department with a diagnosis of exacerbation of asthma secondary to bronchitis. The patient has been prescribed salbutamol. What is the more effective method of delivery- a nebuliser or a spacer?

Task: You have been provided with three clinical scenarios. Each scenario indicates an area of clinical uncertainty. Select a scenario that interests you and using your evidenced based practice skills answer the question that follows.
Scenario 1:
In the course of your clinical placement in a surgical ward, you noted inconsistency in wound care. While some nurses use a sterile technique, others employ a clean dressing change technique.
Is clean wound dressing a safe option for dressing of surgical wounds?
Scenario 2:
You are working on a hospital ward where you encounter stroke patients. You notice that some doctors order compression stockings for prevention of deep venous thrombosis while others not.
Should antithrombotic stockings be routinely used for patients with stroke or not?
Scenario 3:
You are working as an RN in an emergency department. A 10-year-old child has been admitted to the department with a diagnosis of exacerbation of asthma secondary to bronchitis. The patient has been prescribed salbutamol.
What is the more effective method of delivery- a nebuliser or a spacer?