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Clinical Skills for Healthcare Assistants and Assistant Practitioners, 2nd Edition

Clinical Skills for Healthcare Assistants and Assistant Practitioners, 2nd Edition

Angela Whelan (Editor), Elaine Hughes (Editor)

ISBN: 978-1-118-25641-1

May 2016, Wiley-Blackwell

368 pages

In Stock

$39.99

Description

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.

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Preface  xi

Acknowledgements  xiii

Introduction  xv

Section 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  57

References  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  87

Korotkoff'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  166

10. 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  292

16. 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

- Now with a broader focus and market- applicable to Assistant Practitioners as well as Health Care Assistants

- Includes a wider variety of skills and procedures

- Improved and updated illustrations

- More information on continuing professional development

- Updated references and further reading

  • An essential handbook for all Assistant Practitioners and Health Care Assistants
  • Provides readers with the fundamentals skills integral to clinical practice
  • Accessible and user-friendly, with learning objectives, reflection points, illustrations, examples, case studies, and further reading in each chapter