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The influence of Sheffield's occupational health nurses spreads into the most unlikely corners, from all the city's schools to the local crematorium. As Principal Occupational Health Nurse for the City and [Illegible Word] Metropolitan Area, Jean Raper works with a team of three nurses offering a service to all local authority employees.

Clinical nurse specialists should consider that an evidence-based algorithm for determining SL need may improve patient outcomes and reduce SL-associated complication and infection rates.