Читать книгу Clinical Nursing Skills at a Glance - Группа авторов - Страница 2
Table of Contents
Оглавление1 Cover
7 Part 1: 1 Introduction References
8 Part 2: Principles of skills 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 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 8 Privacy and dignity Background Influencing Factors Professional Approach Equipment Procedure – Key Considerations Procedure – Social Media Red Flag References
9 Part 3: Mandatory skills 9 Moving and handling Background Influencing Factors Procedure – Key Points to Remember Professional Approach Moving and Handling Techniques Red Flags References 10 Moving and handling 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
10 Part 4: Neurological skills 17 Assessing level of consciousness Background Influencing Factors Professional Approach Equipment – The ACVPU Tool Equipment – 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
11 Part 5: Respiratory skills 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 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 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
12 Part 6: Cardiovascular skills 33 Taking a pulse Background Pulse Sites Influencing Factors Professional Approach Equipment Procedure Interpreting a Pulse Red Flags References 34 Blood pressure Background Influencing Factors Equipment (Figure 34.1) Procedure – Manual BP Procedure – Electronic BP Professional Approach Red Flags References 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 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
13 Part 7: Gastrointestinal skills 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 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
14 Part 8: Genitourinary skills 47 Urinalysis Background Influencing Factors Professional Approach Equipment Procedure Red Flags References 48 Continence assessment Background Influencing Factors Professional Approach Procedure Managing Urinary Incontinence Red Flags References 49 Urinary catheterisation Background Influencing Factors Professional Approach 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
15 Part 9: Musculoskeletal skills 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 Red Flags References 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 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 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
16 Part 10: Integumentary skills 59 Personal hygiene Background Influencing Factors Professional Approach Equipment Procedure – Bed Bath Red Flags References 60 Personal hygiene – mouth and hair care Background Influencing Factors Professional Approach Equipment Procedure – Oral Hygiene Procedure – Hair Care Procedure– Shaving Red Flags References 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 Influencing Factors Professional Approach Procedure – Assessment Procedure – Ankle‐Brachial Pressure Index (ABPI) Measurement (Figure 62.2) Leg Ulcer Management Red Flags References 63 Wound dressing using aseptic non‐touch technique (ANTT) Background Influencing Factors 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 Influencing Factors – Types of Skin Closure Professional Approach Procedure Procedure – Removal of Sutures Procedure – Removal of Staples Red Flags References
17 Part 11: Endocrine skills 68 Capillary blood glucose monitoring Background Influencing Factors Professional Approach Equipment (Figure 68.2) Procedure Significance of Results Red Flags References
18 Part 12: Circulatory Skills 69 Venepuncture Background Influencing Factors Professional Approach Equipment Procedure Red Flags References 70 Cannulation Background Influencing Factors Professional Approach Equipment Procedure Red Flags References 71 Intravenous fluid therapy Background Influencing Factors Professional Approach Equipment Procedure Red Flags References 72 Fluid balance monitoring Background Influencing Factors Professional Approach Equipment Procedure Red Flags References 73 Blood transfusions Background Influencing Factors Professional Approach Equipment Procedure – Safety Check Procedure – Administration of Blood Products Red Flags References
19 Index
