Clinical Nursing Skills at a Glance

– 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

20 End User License Agreement

1 Chapter 3 Table 3.1 Examples of paraphrasing. Table 3.2 Clarification questions. Table 3.3 SOLER – a tool to build rapport Identified by Egan (2014).

2 Chapter 5 Table 5.1 Signs of aggression.

3 Chapter 8 Table 8.1 Specific laws that relate to reportable activities. Table 8.2 Human rights articles relating to healthcare. Table 8.3 The six Ps of social media.

4 Chapter 9 Table 9.1 Using TILEO for safety in manual handling.

5 Chapter 13Table 13.1 Personal protective equipment.

6 Chapter 15Table 15.1 Intramuscular injection sites.

7 Chapter 17Table 17.1 The ACVPU assessment tool.Table 17.2 Structured assessment of Glasgow Coma Scale (GCS).Table 17.3 The Glasgow Coma Scale (GCS) assessment tool.

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