Details

Clinical Skills for Healthcare Assistants and Assistant Practitioners


Clinical Skills for Healthcare Assistants and Assistant Practitioners


2. Aufl.

von: Angela Whelan, Elaine Hughes

27,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 28.04.2016
ISBN/EAN: 9781118281970
Sprache: englisch
Anzahl Seiten: 368

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Beschreibungen

Clinical Skills for Healthcare Assistants and Assistant Practitioners is an accessible, easy-to-read guide, outlining the fundamental and core skills integral to clinical practice. Fully updated in its second edition, this book is divided into three sections; the first looks at fundamental skills applicable to all staff, such as accountability, communication and record keeping. Section two explores core clinical skills such as respiratory care, pulse, blood glucose management and catheter care. Section three outlines complex clinical skills that require more in-depth training, such as medication and intravenous cannulation. An invaluable resource for healthcare assistants and assistant practitioners, this book will also be of use to newly qualified practitioners, and students in health and social care.
Preface  xi Acknowledgements  xiii Introduction  xvSection I Fundamental skills 1. Accountability  3 Aim of this chapter  3 Regulation and Registration  3 Health Care Assistants and Assistant Practitioners  4 Responsibilities and Accountability  5 Delegation  8 Related aspects and terminology  10 Summary  16 References  17 2. Communication in healthcare  19 Aim of this chapter  19 Defining Communication  20 Why good communication is important  19 Communication methods  22 Strategies to improve communication  27 Related aspects and terminology  27 Skills for Health Care Certificate  31 Summary  31 References  32 Addendum  33 3. Psychological well-being  34 Aim of this chapter  34 What is meant by psychological care?  34 Psychological assessment in the healthcare setting  35 The importance of psychological care in the healthcare setting  37 Strategies to optimise psychological wellbeing  41 Pharmacological (drug-related) options  43 Non-pharmacological options  44 Therapeutic sense of self  44 Common problems  45 Summary  46 References 47 4. Documentation and record keeping  49 Aim of this chapter  49 The importance and purpose of documentation in relation to clinical skills  49 Confidentiality in records and documentation  52 Types of documentation  52 Legal aspects relating to documentation  53 Common problems  56 Related aspects and terminology  56 Strategies to improve standards of record keeping  56 Summary  57References  59 Section II Core clinical skills  5. Pulse  63 Aim of this chapter  63 What is a pulse?  63 Relevant anatomy and physiology  64 Related aspects and terminology  66 Factors affecting the pulse rate  67 Terminology  68 Automated devices  70 Fetal heartbeat  73 Documentation  75 Common problems  76 Summary  79 References  80 6. Blood pressure monitoring  81 Aim of this chapter  81 What is blood pressure?  81 Reasons for monitoring blood pressure  81 Who requests the test?  81 Who can take a BP reading?  82 What is done with the readings/information?  82 Relevant anatomy and physiology  82 Related aspects and terminology  86 Terminology  87Korotkoff's sounds  88 Equipment  89 Sites for recording blood pressure  93 Taking blood pressure  94 Documentation  96 Common problems  96 Summary  102 References  103 7. Temperature  105 Aim of this chapter  105 What is temperature?  105 Reasons for measuring temperature  105 Normal limits  106 Relevant anatomy and physiology  107 Related aspects and terminology  107 Terminology  113 Taking a temperature reading  119 Route  119 Taking a temperature reading  119 Documentation  121 Common problems  124 Summary  125 References  128 8. Pulse oximetry  130 Aim of this chapter  130 What is an oxygen saturation reading?  130 Who can perform the test?  130 Reasons for recording an oxygen saturation level  131 Relevant anatomy and physiology  132 Related aspects and terminology  132 The mechanics of pulse oximetry  132 Equipment  134 Normal readings  134 Using a pulse oximeter  136 Documentation  137 Common problems  137 Summary  141 References  142 9. Respiratory care  143 Aim of this chapter  143 What is respiratory care?  143 Relevant anatomy and physiology  144 Upper respiratory system  144 Lower respiratory system  145 Recording a respiratory rate  147 How to measure and record a respiratory rate accurately  151 Measuring and recording a peak expiratory flow rate  151 Performing suctioning  154 Related aspects and terminology  156 Common problems  157 Summary  158 References  162 Addendum  163 Reference  16610. Urinalysis and faecal occult blood testing  167 Aim of this chapter  167 Reasons for performing urinalysis and FOB tests  167 Relevant anatomy and physiology  168 Urinalysis testing  170 Faecal occult blood testing  175 Related aspects and terminology  178 Common problems  178 Summary  179 References  183 Addendum  183 11. Urinary catheterisation and catheter care  185 Aim of this chapter  185 Urinary catheterisation  185 Relevant anatomy and physiology  186 Types of catheterisation  188 Patient preparation for catheterisation  193 Insertion technique  194 Catheter care  198 Sampling  199 Removal of catheter  200 Related aspects and terminology  208 Terminology  210 Common problems  210 Summary  210 References  212 12. Venepuncture  214 Aim of this chapter  214 Reasons for performing venepuncture  214 Relevant anatomy and physiology  214 Common sites for venepuncture  215 Infection  215 Hand hygiene  218 Aseptic (sterile) technique  219 Health and Safety  219 Environment  220 Performing the skill: requirements and technique  220 Related aspects and terminology  227 Common problems  229 Summary  232 References  233 13. Blood glucose monitoring  235 Aim of this chapter  235 What causes diabetes?  235 Reasons for performing blood glucose measurement  235 Relevant anatomy and physiology  236 Related aspects and terminology  237 Blood glucose levels  241 Hypoglycaemia  247 Hyperglycaemia  248 Common problems  249 Summary  251 References  254 14. Fluid balance and intravenous maintenance  256 Aim of this chapter  256 Reasons for monitoring fluid balance  256 Related anatomy and physiology  256 Electrolytes  258 Related aspects and terminology  259 Fluid balance charts  261 The intravenous route  263 Care of the cannula  267 Discontinuing an IV infusion  267 Common problems  268 Summary  269 References  273 Section 3: Complex clinical skills 15. Medicines  277 Aim of this chapter  277 The role of the Healthcare Assistants and Assistant Practitioner in relation to medicine administration  277 Types of medicines  278 Medication prescribing and legal aspects  279 Related aspects and terminology  281 Common medications  286 Errors in administration and adverse reactions  291 Summary  292 References  29216. Peripheral intravenous cannulation  294 Aim of this chapter  294 Reasons for cannulation  294 Why perform peripheral IV cannulation  295 Relevant anatomy and physiology  295 How to insert and remove a peripheral IV cannula  296 Environment  301 Performing peripheral IV cannula: requirements and technique  301 Patient education for peripheral IV cannulation  303 Related aspects and terminology  308 Common problems/potential complications of peripheral IV cannulation  309 Summary  314 References 17. Recording a 12-lead Electrocardiograph (ECG)  319 Aim of this chapter  319 Relevant anatomy and physiology  320 The cardiac conduction system  320 Reasons for recording a 12-lead ECG  322 How to perform a 12-lead ECG  323 Related aspects and terminology  330 Common problems and actions  331 Summary  332 References  335 Index  337
Angela Whelan is a Senior Lecturer, Teaching and Learning Fellow, and Programme Lead, in the Faculty of Health and Social Care at Edge Hill University, UK. Elaine Hughes is a Senior Lecturer in Adult Nursing, Deputy Programme Co-ordinator BSc(Hons), and a SOLSTICE Fellow, in the Faculty of Health at Edge Hill University, UK.

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