Оглавление
Группа авторов. Clinical Nursing Skills at a Glance
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
Clinical Nursing Skills at a Glance
List of contributors
Acknowledgement
About the companion website
Part 1. Chapter
1 Introduction: the setup of this book and how to use it
References
Part 2 Principles of skills. Chapters
2 Care planning and the nursing process
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Assessment
Procedure – Diagnosis
Procedure – Care Planning
Procedure – Implementation
Procedure – Evaluation
Red Flag
References
3 Communication – fundamentals
Background
Influencing Factors
Professional Approach
Procedure: Verbal Communication
Procedure: Non‐verbal Communication
Written Communication
Red Flags
References
4 Record keeping
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Standard Documentation
Procedure – Writing a Statement
Red Flag
References
5 Communication – de‐escalation
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flag
References
Note
6 Communication – difficult conversations. Background
Professional Approach: Preparing Your Self
Influencing Factors: What Conversations Might Be Considered Difficult?
Influencing Factors: Requisite Qualities and Skills
Procedure: Breaking Bad News
Procedure: Be PREPARED
Procedure: Balancing Hope and Realism
References
7 Informed consent
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Informed Consent
Red Flag
References
Note
8 Privacy and dignity
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Key Considerations
Procedure – Social Media
Red Flag
References
Part 3 Mandatory skills. Chapters
9 Moving and handling
Background
Influencing Factors
Procedure – Key Points to Remember. Avoid
Assess and Plan
Spine in Line
Load Close
Stable Base, Soft knees
Centre of Gravity
Professional Approach
Moving and Handling Techniques
Sit to Stand
Walking with Assistance of One
Walking with Assistance of Two
Walking with a Frame
Standing to Sitting
Red Flags
References
Note
10 Moving and handling: turning in bed, transfers, and hoisting
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Turn in Bed
Procedure – Moving in Bed Using a Slide Sheet
Procedure – Lateral Transfers
Procedure – Hoisting
Red Flags
References
11 Basic life support
Background
Influencing Factors – Chain of Survival
Professional Approach
Procedure – Basic Life Support
Procedure – Automated External Defibrillators
Signs of Regaining Consciousness
Red Flags
References
12 The choking patient; the recovery position
Background
Professional Approach
Procedure – Choking Assessment
Procedure – Back Slaps (5)
Procedure – Abdominal Thrusts (5)
Recovery Position
Red Flags
References
13 Infection control
Background
Influencing Factors
Professional Approach
Professional Approach – Dress Code
Procedure – Hand Hygiene
Procedure – Hand Washing
Procedure – Use of Hand Rubs
Personal Protective Equipment
Procedure – Waste Disposal
Isolation
Red Flags
References
14 Medicine management
Background
Pharmacodynamics and Pharmacokinetics
Professional Approach
Procedure
Controlled Drugs
Classes of Medication
Medication Supplying Methods
Self‐administration
Patient‐specific Medications
Patient Group Directions
Key Legislation in Medication Administration
Red Flags
References
15 Injection technique
Background
Professional Approach
Influencing Factors
Equipment
Procedure
Procedure – Which Intramuscular Site
Red Flags
References
16 National early warning score (NEWS) track and trigger system
Background
Professional Approach
Influencing Factors
Equipment
Procedure
Red Flags
References
Part 4 Neurological skills. Chapters
17 Assessing level of consciousness
Background
Influencing Factors
Professional Approach
Equipment – The ACVPU Tool
Procedure – The ACVPU Tool
Equipment – Glasgow Coma Scale
Procedure – Glasgow Coma Scale
Procedure
Red Flags
References
18 Assessing pupil reaction and limb strength
Background
Influencing Factors
Professional Approach
Procedure – Assessing Pupil Reactivity Score
Procedure – Assessing Limb Strength
Red Flags
References
19 Assessing cognition
Background
Influencing Factors
Professional Approach
Equipment – MMSE
Procedure – MMSE
Equipment – CAM – Short Form
Procedure – CAM – Short Form
Equipment – The Mini‐Cog
Procedure – The Mini‐Cog
Red Flags
References
20 Pain assessment
Background
Influencing Factors
Professional Approach
Equipment – All Scoring Systems
Procedure – Self‐Assessment Scale
Procedure – PQRST Pain Assessment
Procedure – Assessing Pain in Individuals with Reduced Cognition
Red Flags
References
21 Neurovascular assessment
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
22 Assessing and managing seizures
Background
Influencing Factors
Professional Approach
Equipment – Managing all Seizures
Procedure – Generalised Tonic‐Clonic Seizure
Procedure – Status Epilepticus
Procedure – Focal Seizures and Absences
Red Flags
References
Part 5 Respiratory skills. Chapters
23 Assessing and managing the airway
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Assessing the Airway
Procedure – Managing the Airway
Procedure – Inserting an Oropharyngeal Airway
Red Flags
References
24 Respiratory assessment
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Inspection
Procedure – Sputum Assessment
Procedure – Assessing Respirations
Rate
Depth
Pattern
Pain
Red Flags
References
25 Monitoring oxygen saturations
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
26 Arterial blood gas analysis
Background
Influencing Factors
Professional Approach
Equipment
Procedure – ABG Sampling
Procedure – ABG Analysis
Red Flags
References
27 Chest auscultation
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
28 Peak expiratory flow rate
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
29 Administering oxygen
Background
Influencing Factors – Indications for Oxygen Therapy
Professional Approach
Equipment
Procedure
Humidification
Red Flags
References
30 Nebulisers and inhalers
Background
Influencing Factors
Professional Approach
Equipment – Inhaler
Equipment – Nebulisation
Procedure – Administering a nebuliser
Procedure – Administering a Nebuliser
Red Flags
References
31 Tracheostomy care
Background
Influencing Factors – Indications for a Tracheostomy
Influencing Factors – Complications Associated with Tracheostomies
Professional Approach
Equipment – Tracheostomy Tubes
Procedure – Tracheostomy Care
Procedure – Communication
Procedure – Nutrition
Procedure – Suctioning
Red Flags
References
32 Chest drain management
Background
Influencing Factors
Professional Approach
Procedure – Chest Drain Management
Equipment – Chest Drain Removal
Procedure – Chest Drain Removal
Red Flags
References
Part 6 Cardiovascular skills. Chapters
33 Taking a pulse
Background
Pulse Sites
Influencing Factors
Professional Approach
Equipment
Procedure
Interpreting a Pulse
Red Flags
References
Note
34 Blood pressure
Background
Influencing Factors
Equipment (Figure 34.1)
Procedure – Manual BP
Procedure – Electronic BP
Professional Approach
Red Flags
References
Note
35 Temperature assessment
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
36 Non‐invasive circulatory assessment
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Peripheral Assessment
Procedure – CRT
Interpreting Results
Red Flags
References
37 Central venous pressure monitoring
Background
Influencing Factors
Professional Approach
Equipment – CVC Monitoring and Site Care
Procedure – CVP Monitoring
Equipment – CVC Removal
Procedure – CVC Removal
Red Flags
References
38 Electrocardiogram
Background
12‐Lead Electrocardiogram (ECG)
Influencing Factors – ECG Indications
Professional Approach
Equipment
Procedure
Procedure – 3‐Lead ECG/5‐Lead ECG
Red Flags
References
Part 7 Gastrointestinal skills. Chapters
39 Nutritional screening
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Initial Assessment
Procedure – the MUST Tool
Red Flags
References
40 Supporting eating and drinking
Background
Influencing Factors
Professional Approach
Professional Approach – Strategies to Support Eating and Drinking. Modification of Food and Fluids
Swallowing Strategies
Protected Mealtimes
The Use of Red Trays (Figure 40.1)
Preparation
Equipment
Procedure – Feeding an Adult Patient
Red Flags
References
41 Nasogastric tube insertion
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Procedure – Checking Tube Placement
Procedure – If Unable to Gain Aspirate
Red Flags
References
42 Enteral feeding
Background
Influencing Factors
Professional Approach
Equipment – Flushing Feeding Tube
Procedure – Flushing Feeding Tubes
Equipment – Administering Feed or Flush via Enteral Feeding Tube
Procedure for Administration of Feed or Flush Via Enteral Feeding Tube
Procedure – Administering Medication via Enteral Feeding Tube
Red Flags
References
43 Management of diarrhoea
Background
Definition of Diarrhoea
Influencing Factors – Pharmacological Interventions
Professional Approach
Equipment
Procedure – Assessment
Red Flags
References
44 Management of constipation
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Assessment
Procedure – Nursing Management
Bowel Sounds
Procedure – Listening to Bowel Sounds
Red Flags
References
45 Administration of suppositories and enemas
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Administering a Suppository
Procedure – Administering an Enema
Red Flags
References
46 Stoma care
Background
Influencing Factors
Professional Approach
Equipment
Types of Appliances
Procedure – Changing an Appliance
Procedure – Managing Complications
Red Flags
References
Part 8 Genitourinary skills. Chapters
47 Urinalysis
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
Note
48 Continence assessment
Background
Influencing Factors
Professional Approach
Procedure
Managing Urinary Incontinence
Red Flags
References
49 Urinary catheterisation
Background
Influencing Factors
Professional Approach
Catheter Sizes
Equipment
Procedure
Red Flags
References
50 Catheter care
Background
Influencing Factors
Professional Approach
Equipment – Catheter Care
Procedure – Catheter Care
Equipment – Emptying a Catheter Bag
Procedure – Emptying a Catheter Bag
Equipment – Changing a Catheter Bag
Procedure – Changing a Catheter Bag
Red Flags
References
51 Catheter removal
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
Part 9 Musculoskeletal skills. Chapters
52 Assessing tone and ability to mobilise
Background
Influencing Factors
Professional Approach
Procedure – History‐taking
Procedure – Preparing to Mobilise
Procedure – Assessing Tone
Procedure – Assessing Muscle Strength
Procedure – Assessing Gait and Power
Frailty
Red Flags
References
Note
53 Venous thromboembolism assessment and risk reduction
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
54 Anti‐embolic stockings
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Measuring the Legs
Procedure – Applying the Stockings
Red Flags
References
55 Musculoskeletal minor injuries: assessment and treatment
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Clinical Consultation
Procedure – Clinical Examination
Procedure – First Aid Treatment
Procedure – Limb and/or Joint Support
Procedure – Advice for Patients
Red Flags
References
56 Falls – prevention, assessment and management
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Falls Prevention
Procedure – Post‐Fall Procedure
Procedure – Post‐Fall Interventions
Procedure – Backward Chaining
Procedure – Rolling a Person on the Floor to Position Handling Equipment
Procedure – Managing a Confined Space Fall
Red Flags
References
57 Stabilisation: neck collar
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Application of a One‐Piece Collar
Procedure – Application of a Two‐Piece Collar
Procedure – Adapted Advanced Trauma Life Support Head Hold for Actual or Potential Cervical Spinal Injury
Red Flags
References
58 Care of the patient with spinal cord injuries – log roll
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Acute Tetraplegic Spinal Log Roll
Procedure – Acute Paraplegic Spinal Log Roll
Red Flags
References
Part 10 Integumentary skills. Chapters
59 Personal hygiene
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Bed Bath
Red Flags
References
Note
60 Personal hygiene – mouth and hair care
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Oral Hygiene
Procedure – Hair Care
Procedure– Shaving
Red Flags
References
Note
61 Pressure ulcer – prevention and management
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Preventing Pressure Ulcer Development
Procedure – Skin Assessment
Procedure – Assessing the Blanching Response
Procedure – Pressure Ulcer Classification and Management
Red Flags
References
62 Venous ulcer assessment
Background. Venous Ulceration
Arterial Aetiology
Influencing Factors
Professional Approach
Procedure – Assessment
Procedure – Ankle‐Brachial Pressure Index (ABPI) Measurement (Figure 62.2)
Leg Ulcer Management
Red Flags
References
Note
63 Wound dressing using aseptic non‐touch technique (ANTT)
Background
Influencing Factors
Professional approach
Equipment
Procedure
Procedure – Redressing a Wound using ANTT
Procedure – Clean Technique
Red Flags
References
64 Burns management
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Immediate First Aid
Procedure – Assessment
Procedure – Wound Dressing
Red Flag
References
65 Care after death
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
66 Management of surgical drains
Background
Influencing Factors
Professional Approach
Procedure – Management of Drains
Procedure – Dressing a Site
Procedure – Changing a Closed Active Drainage System
Procedure – Removing a Closed Drain
Red Flags
References
67 Suture and staple removal
Background
Sutures
Staples
Skin adhesive (“liquid stitches” or glue)
Adhesive wound closure strips (“butterfly /paper stitches” or “SteriStrips”)
Influencing Factors – Types of Skin Closure
Professional Approach
Procedure
Procedure – Removal of Sutures
Procedure – Removal of Staples
Red Flags
References
Part 11 Endocrine skills. Chapter
68 Capillary blood glucose monitoring
Background
Influencing Factors
Professional Approach
Equipment (Figure 68.2)
Procedure
Significance of Results
Red Flags
References
Part 12 Circulatory Skills. Chapters
69 Venepuncture
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
Notes
70 Cannulation
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
Notes
71 Intravenous fluid therapy
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
Notes
72 Fluid balance monitoring
Background
Influencing Factors
Professional Approach
Equipment
Procedure
Red Flags
References
Note
73 Blood transfusions
Background
Influencing Factors
Professional Approach
Equipment
Procedure – Safety Check
Procedure – Administration of Blood Products
Red Flags
References
Index
WILEY END USER LICENSE AGREEMENT
