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Clinical Nursing Skills

Core And Advanced

Ruth Endacott, Phil Jevon, Simon Cooper


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 while developing clinical judgment and confidence. Therefore, it is vital that links are made 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 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, this text 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 color artwork, and selected video clips. Each skill draws on the available evidence base, which is updated regularly on the free accompanying Online Resource Center. 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 recognize 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.

1. Introduction
2. Communication Skills
3. The Patient Pathway
3.1: Principles of good record keeping
3.2: Completing an effective patient admission assessment
3.3: Planning an effective patient discharge
3.4: Last offices
4. Essential Skills
4.1: Infection prevention and control
4.2: Skin care
4.3: Eye care
4.4: Mouth care
4.5: Wound assessment and management
4.6: Pre-operative and post-operative assessment and care
4.7: Wound closure and drainage
5. Drug Administration
5.1: Principles of drug administration
5.2: Drug calculations
5.3: Patient self-administration
5.4: Nebulised drugs
5.5: Use of inhalers
5.6: Enteral tube administration of drugs
5.7: Administering a subcutaneous injection
5.8: Administering an intramuscular injection
5.9: Administering an intravenous injection
6. Cardiovascular System
6.1: Visual assessment of the cardiac patient
6.2: Recording pulse
6.3: Recording blood pressure
6.4: Recording capillary refill time
6.5: ECG monitoring
6.6: Recording fluid balance
6.7: Administering IV fluids
6.8: Administering a blood transfusion
6.9: Cardiopulmonary resuscitation
6.10: Venepuncture
6.11: Cannulation
6.12: Central venous catheter
6.13: Recording a 12 lead ECG
6.14: Cardiac auscultation
6.15: Anaphylaxis
7. Respiratory System
7.1: Visual respiratory assessment
7.2: Monitoring oxygen saturation using pulse oximetry
7.3: Measuring peak expiratory flow rate
7.4: Non-invasive respiratory support and oxygen therapy
7.5: Tracheostomy management
7.6: Oropharyngeal, tracheal and endotracheal suctioning
7.7: Lung auscultation
7.8: Intrapleural drainage
7.9: Endotracheal intubation
8. Neurological System
8.1: Assessing conscious level
8.2: Care of the unconscious patient
8.3: Preparing the patient for lumbar puncture
8.4: Pain assessment and management
8.5: Assessing cognitive level
9. Renal System
9.1: Insertion of urinary catheter
9.2: Removal of urinary catheter
9.3: Bladder washout
9.4: Renal replacement therapy
10. Gastrointestinal System
10.1: Nutritional assessment
10.2: Blood glucose measurement
10.3: Insertion of nasogastric tube
10.4: Administering enteral nutrition
10.5: Insertion of suppositories and enemas
10.6: Stoma care
10.7: Administering parenteral nutrition
10.8: Abdominal palpatation
10.9: Abdominal paracentesis
11. Musculoskeletal System
11.1: Moving and handling patients
11.2: Passive movements
11.3: Application of c-spine collars
11.4: Application of slings

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.

"I really understood why the skills should be carried out... Offers all the relevant information and guidance...finally one book to use instead of two or three. The reflection and reminders of all of the skills offer good tips and information." - Emma-Jane Muir, Student, Oxford Brookes University

"Logically ordered and comprehensive... The unique strength is in the links to physiological theory, which foster a deep understanding of the rationale behind various clinical skills. Updating the text by Internet resource is excellent...a lasting resource and therefore an excellent investment for any pre-reg student or qualified practitioner." - Ruth Millett, Newly-qualified Staff Nurse, Acute Trauma

"Encourages students to question and reflect on their prior knowledge and clinical judgement before implementing the skill in the clinical setting... A very useful guide for the transition from student nurse to registered practitioner." - Juliet Whitehead, Professional Development Sister, University Hospital Birmingham

"This structured approach gives students a framework to order their thinking. Hopefully, as it is repeated in each chapter, it will be reinforced and become second nature. A very positive prospect - real "value added"." - Maxine Robshaw, Lecturer and Programme Manager, Advanced Adult Diploma, University of Leeds

"I have several key books similar to this and I have found this the easiest to read and digest. The information is clear, factual and to the point." - Katrina Wilson, Student, University of Teeside

On the Online Resource Centre:
For registered lecturers:
- Tips for teaching and assessing clinical skills
- Figures from the book, ready to download and use in teaching material
On the Online Resource Centre:
- 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
- Links to useful websites