The Nursing Associate's Handbook of Clinical Skills The Nursing Associate's Handbook of Clinical Skills provides evidence-based guidance for those undertaking the newly developed Nursing Associate (NA) role that bridges the gap between the Health Care Assistant (HCA) and the Registered Nurse (RN). Structured around the latest Nursing and Midwifery Council (NMC) Proficiencies, this invaluable handbook helps the prospective Nursing Associates develop the skills and core competencies required to succeed in a broad range of healthcare contexts-covering more than 90 procedures, and communication and relationship management skills.
This timely resource features contributions from a team of experienced clinicians and academics, addressing clinical procedures on topics including skin integrity, nutrition and hydration, mobility and safety, respiratory care, managing infection, administering medicine, and end of life care. Clear, accessible chapters contain a wealth of effective learning tools, including self-assessment tests, review questions, links to electronic resources, supporting evidence, and more. This must-have textbook:
Helps trainee Nursing Associates to develop and refine their skills, and demonstrate proficiency in offering care and support
Reflects current NMC annexes, providing practical guidance on a diverse range of communication skills, strategies and procedures
Covers the central elements of Nursing Associate care provision, including delivery, monitoring, and reviewing
Includes colour illustrations, photographs, tables, charts, graphs, and algorithms designed to develop skills and demonstrate the links between theory and practice
Presenting the principles of care essential for meeting the needs of patients in dynamic health and social care environments, The Nursing Associate's Handbook of Clinical Skills is an indispensable guide for trainee Nursing Associates, as well as for health and social care assistants and those returning to practice.
Contributors xi
Preface xvii
Acknowledgements xix
About the Editor xxi
About the Companion Website xxiii
Annexe A Communication and Relationship Management Skills 1
1 Theories and Models of Communication 2
2 Approaches to Effective Communication 9
3 Interpersonal Skills and Therapeutic Relationship Skills 18
4 Working in a Team 30
5 Listening Actively 37
6 Information Gathering 44
7 Escalating Concerns 53
8 Written Communication 61
9 Addressing Compliments and Complaints 70
Annexe B Procedures 77
Unit 1 Procedures to Enable Effective Monitoring of a Person's Condition 79
10 Vital Signs 80
11 Venepuncture 90
12 ECG Recording 98
13 Blood Glucose Assessment 107
14 Specimen Collection 114
15 Recognising and Escalating Signs of All Forms Abuse 123
16 Recognising and Escalating Signs of Self]harm and/or Suicidal Ideation 133
17 Basic Mental Health First Aid 144
18 Basic First Aid 152
Unit 2 Procedures for Provision of Person-Centred Nursing Care 161
19 Pain 162
20 Promoting Comfort in Bed 173
21 Maintaining Privacy and Dignity 185
22 Promoting Sleep 191
Unit 3 Provide Care and Support with Hygiene and The Maintenance of Skin Integrity 197
23 Reassessment of Skin 198
24 Supporting a Person's Skin Integrity 213
25 Reassessment of Hygiene Status, Supporting a Person's Hygiene Needs 225
26 Providing Oral and Dental Care 232
27 Providing Eye Care 240
28 Providing Nail Care 246
29 Monitoring of Wounds and Providing Wound Care 252
Unit 4 Provide Support with Nutrition and Hydration 263
30 Using Nutritional Assessment Tools 264
31 Assisting People with Feeding and Drinking 273
32 Fluid Balance 281
Unit 5 Provide Support with Maintaining Bladder and Bowel Health 291
33 Observing and Monitoring Urinary and Bowel Continence 292
34 Recognising Bladder and Bowel Patterns 300
35 Care and Management of People with Urinary Catheters 307
36 Assisting with Toileting, Choosing and Using Appropriate Continence Products 317
Unit 6 Provide Support with Mobility and Safety 323
37 Risk Assessment Tools Associated with Mobility and Falls 324
38 Using a Range of Moving and Handling Techniques, Aids and Equipment 336
Unit 7 Provide Support with Respiratory Care 359
39 Managing the Administration of Oxygen 360
40 Measuring Respiratory Status 370
41 Using Nasal and Oral Suctioning Techniques 383
42 Managing Inhalation, Humidifier and Nebulizer Devices 391
Unit 8 Preventing and Managing Infection 403
43 Recognising and Responding Rapidly to Potential Infection Risk 404
44 Using Aseptic Non-Touch Technique 412
45 Using Appropriate Personal Protective Equipment 419
46 Implementing Isolation Procedures 427
47 Using Hand Hygiene Techniques 436
48 Decontaminating Equipment and the Environment 444
49 Safely Handling Waste, Laundry and Sharps 455
Unit 9 Meeting Needs for Care and Support at the End of Life 463
50 Recognising and Responding to the Needs of Those at the End of Their Lives 464
51 Review of Care for People and Their Families at the End of Their Lives 469
52 Providing Care for the Deceased 475
Unit 10 Procedural Competencies for Administering Medicine Safely 483
53 Reviewing a Person's Ability to Administer Their Own Medicines 484
54 Undertaking Accurate Drug Calculations 491
55 Accountability in Ensuring the Safe Administration of Medicines 500
56 Administering Medicines 509
57 Managing the Effectiveness of Symptom Relief Medications 522
58 Recognising and Responding to Adverse Effects of Medications 529
59 Storage, Transportation and Disposal of Medicinal Products 540
Answers 547
Index 555
