"rechecks the temp with a second thermometer and documents findings. Obtains blood cultures while at the same time siting an IV access device, in anticipation of receiving orders for IV fluids and anti-pyretics. Explains to the patients the need to also obtain sputum, stool, and urine specimens. Considers isolating the patients if symptoms justify this. Contacts the doctor to inform and also request prescriptions. Commences a fluid balance chart, and documents all actions."
Right I know I should probably leave well alone but feel the need to add my two pennorth. Skylark i'm old school but unlike you're anticipated response if my pt spiked a temp, in addition to re-checking the temp, I would do a full set of obs, prescribe the anti-pyretic myself, site two cannula's if obs indicated sepsis whilst taking blood for a baseline set, venous gas, and lactate, set up a request for chest xray, whip off a quick ECG and ask a Doc to review. Simple standard stuff.
I understand and sympathise with your comments on the failings in UK nurse training but feel your generalisations undermine the points you are making. My personal views are that the first year post-qualifying is the time that UK nurses learn most and feel that my role as a mentor is to fill the many gaps that new nurses have. I am proud to be a UK nurse.