Clinical Nursing Skills Core and Advanced

by Endacott, Ruth; Jevon, Phil; Cooper, Simon

• ISBN13: 9780199237838
• ISBN10: 0199237832
• Edition: 1st
• Format: Paperback
• Copyright: 2009-07-01
• Publisher: Oxford University Press

Summary

Adult and General Nurses require excellent clinical skills to provide high quality care to patients. After the first year of their training, nursing students must master skills of increasing complexity whilst developing clinical judgement and confidence. Therefore, it is vital that links aremade to underlying biology, holistic care and problem solving but until now, it has been hard to find all this in one place. Clinical Nursing Skills : Core and Advanced is designed for adult and general nursing students in second year onwards to facilitate the transition from closely supervised beginners, to qualified professionals. By clearly explaining essential principles, evidence and special considerations, thistext helps students to build up their confidence, not just in performing skills, but also in decision-making in readiness for registration and beyond. Step-by-step guides to performing core and advanced procedures are presented in tables for easy comprehension and revision, illustrated by colour artwork and selected video clips. Each skill draws on the available evidence base, which is updated regularly on the free accompanying Online ResourceCentre. Relevant to both hospital and primary care settings, quick reminders help prevent readers from making common mistakes. Uniquely, this text develops students' decision-making and problem-solving skills by providing over 250 realistic scenarios, alternative interventions to consider, and guidance on how to recognise patient deterioration. Clearly reflecting the Nursing and Midwifery Council's Essential Skills Clusters for registration and beyond, Clinical Nursing Skills is designed to support student nurses develop into competent practitioners. Supported by a dedicated Online Resource Centre with up-to-date evidence, realisticscenarios, videos and a wealth of other tools. On the Online Resource Centre:For registered lecturers and mentors:- Tips for teaching and assessing clinical skills - Figures from the book, ready to download and use in teaching material For students:- Evidence, guidelines and protocols, reviewed and updated every 3 months - Video demonstration of key skills - Over 300 interactive self-test questions and 130 additional scenarios - Active web links provide a gateway to the articles cited in the book - Flashcard glossary to help learn key terms- Additional photos of common equipment- Links to useful websites

Author Biography

Ruth Endacott is Professor of Clinical Nursing and Associate Dean (Research and Enterprise) at the University of Plymouth, and holds a Professorship at La Trobe University, Australia. She has extensive experience in critical care practice, education and research. Ruth is a member of the Executive Council of the European Society of Intensive Care Medicine and a Trustee of the British Lung Foundation.
Phil Jevon is Resuscitation Officer and Clinical Skills lead at Manor Hospital, Walsall and an Honorary Clinical Lecturer at Birmingham University. He is Editor of the British Journal of Resuscitation and author of many books and articles. Simon Cooper is Associate Professor at Monash University, Australia. He was formerly Principal Lecturer for the Masters in Advanced Practice at the University of Plymouth (UK), where he specialized in the study of patient deterioration and early warning systems. He has published widely in the field of acute and emergency care. Simon previously worked as an Intensive Care Nurse, a Resuscitation Officer, and Head of Education for an ambulance service.

Table of Contents

1. Introduction2. Communication Skills3. The Patient Pathway3.1. Principles of good record keeping3.2. Completing an effective patient admission assessment3.3. Planning an effective patient discharge3.4. Last offices4. Essential Skills4.1. Infection prevention and control4.2. Skin care4.3. Eye care4.4. Mouth care4.5. Wound assessment and management4.6. Pre-operative and post-operative assessment and care4.7. Wound closure and drainage5. Drug Administration5.1. Principles of drug administration5.2. Drug calculations5.3. Patient self-administration5.4. Nebulised drugs5.5. Use of inhalers5.6. Enteral tube administration of drugs5.7. Administering a subcutaneous injection5.8. Administering an intramuscular injection5.9. Administering an intravenous injection6. Cardiovascular System6.1. Visual assessment of the cardiac patient6.2. Recording pulse6.3. Recording blood pressure6.4. Recording capillary refill time6.5. ECG monitoring6.6. Recording fluid balance6.7. Administering IV fluids6.8. Administering a blood transfusion6.9. Cardiopulmonary resuscitation6.10. Venepuncture6.11. Cannulation6.12. Central venous catheter6.13. Recording a 12 lead ECG6.14. Cardiac auscultation6.15. Anaphylaxis7. Respiratory System7.1. Visual respiratory assessment7.2. Monitoring oxygen saturation using pulse oximetry7.3. Measuring peak expiratory flow rate7.4. Non-invasive respiratory support and oxygen therapy7.5. Tracheostomy management7.6. Oropharyngeal, tracheal and endotracheal suctioning7.7. Lung auscultation7.8. Intrapleural drainage7.9. Endotracheal intubation8. Neurological System8.1. Assessing conscious level8.2. Care of the unconscious patient8.3. Preparing the patient for lumbar puncture8.4. Pain assessment and management8.5. Assessing cognitive level9. Renal System9.1. Insertion of urinary catheter9.2. Removal of urinary catheter9.3. Bladder washout9.4. Renal replacement therapy10. Gastrointestinal System10.1. Nutritional assessment10.2. Blood glucose measurement10.3. Insertion of nasogastric tube10.4. Administering enteral nutrition10.5. Insertion of suppositories and enemas10.6. Stoma care10.7. Administering parenteral nutrition10.8. Abdominal palpatation10.9. Abdominal paracentesis11. Musculoskeletal System11.1. Moving and handling patients11.2. Passive movements11.3. Application of c-spine collars11.4. Application of slings