Practical and Professional Clinical SkillsPaperback
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- Publisher: Oxford University Press
- Format: Paperback | 632 pages
- Dimensions: 196mm x 264mm x 28mm | 1,361g
- Publication date: 14 November 2011
- Publication City/Country: Oxford
- ISBN 10: 019958561X
- ISBN 13: 9780199585618
- Edition: 1
- Edition statement: New.
- Illustrations note: 150 colour drawings
- Sales rank: 585,523
Medical students are required to assimilate a huge amount of knowledge. However, to be effective practitioners, they must also be able to apply this knowledge in the context of patient care. Practical and Professional Clinical Skills sets out the full range of clinical skills that medicine students must be able to demonstrate. Compiled by editors with expertise in clinical skills education, the book has at its core a focus on professionalism, and on treating the patient with respect, dignity, and kindness. The book is divided into four suites: * History and Examination Skills * Procedural Skills * Emergency Skills * Professional Skills Taken together, these suites provide unrivalled coverage of the subject. The book: Provides step-by-step procedures: with a balance of guidance, rationale and illustrative content. Relates skills to relevant basic science, be this anatomical (e.g. sites of injection), physiological (reactions), or microbiological (maintaining a sterile environment). Encourages the blended development of practical flair and professional competence, promoting the importance of learning skills in the context of professional domains, including communication skills. Encourages students to take advantage of appropriate opportunities to improve their techniques, maximise their confidence and foster a safe learning environment for themselves, and a safe clinical environment for their patients. Ensures students are mindful of patient status, seeking appropriate opportunities to undertake skills, and raising awareness of the well / unwell patient Prepares students to encounter medical emergencies, with indications of important first line management, and detail on structured management as part of the medical team. Alongside clear, step-by-step guidance, the book uses OSCE-style competency assessment checklists throughout to encourage the student to verify that they can correctly implement the guidance and skills presented. Practical and Professional Clinical Skills is the one resource you won't want to be without to ensure mastery of all clinical skills - and to ensure professional success. Online Resource Centre For registered adopters of the text: Figures from the book, available to download. For all: Downloadable versions of the competency assessment checklists presented in the text.
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John Morrissey is Honorary Associate Clinical Professor at the Medical School, University of Warwick. Prior to his retirement from clinical practice he was Clinical Lead for Diabetes at the George Eliot Hospital, Nuneaton, Warwickshire. He has also worked in acute and general internal medicine and as a general practitioner. He now works full time in undergraduate and postgraduate medical education. His main interests in medical education are clinical skills teaching, medical humanities and professionalism.
Table of contents
SUITE 1 : HISTORY & EXAMINATION SKILLS UNIT 1 INTRODUCTION AND HISTORY TAKING 2 ; 1.1 History taking and examination skills: introduction 2 ; 1.2 Clinical history taking 5 ; SYSTEMS EXAMINATION 9 ; 2.1 General examination 9 ; 2.2 Cardiovascular examination 12 ; 2.3 Gastrointestinal examination 15 ; 2.4 Respiratory examination 19 ; 2.5 Neurology I: general and cranial nerves examination 22 ; 2.6 Neurology II: examination of the limbs 25 ; MUSCULOSKELETAL EXAMINATION 28 ; 9. GALS assessment 28 ; 10. Knee examination 32 ; 11. Hip examination 35 ; 12. Spine examination 38 ; 13. Hands examination 42 ; SPECIALITIES HISTORY AND EXAMINATION ; 21. Paediatric history and examination ; 22. Obstetric history and examination ; 23. Psychiatric history and examination ; 24. Diabetes history and examination ; 25. Endocrine history and examination ; 26. Dermatology history and examination ; THE FULL CONSULTATION ; 27. The full history and examination ; SUITE 2 : PROCEDURAL SKILLS ; GENERAL: INFECTION CONTROL ; 28. Hand washing ; 29. Infection control, safe disposal of waste and sharps, and surgical scrubbing up ; 30. Use of personal protective equipment ; DIAGNOSTIC ; 31. BP, Pulse, Temp, Oxygen Sats, B Glucose ; 32. Venepuncture, samples and blood cultures ; 33. Performing and interpreting 12-lead ECG and monitor ; 34. Peak flow measurement inhalers and nebs ; 35. Spirometry respiratory function test ; 36. Urinalysis and pregnancy testing ; 37. Microbiology sampling: MSU, throat and skin swabs ; 38. Nutritional assessment ; 39. Lumbar puncture ; 40. Arterial blood gases ; THERAPEUTIC ; 41. Oxygen therapy ; 42. Peripheral cannulation and setting up IVI ; 43. Making up drugs for parenteral administration ; 44. SC, IM, ID Injections ; 45. Blood transfusion ; 46. Urinary catheterisation: male and female ; 47. Use of local anaesthetics ; 48. Skin suturing ; 49. Wound care and dressing: pressure sores ; 50. Moving and handling ; 51. NG Tube ; SUITE 3 : EMERGENCY SKILLS ; EMERGENCY LIFE SUPPORT SKILLS ; 52. Assessment of the acutely ill patient: ABCDE ; 53. Adult basic life support ; 54. Paediatric basic life support ; 55. Adult advanced life support ; 56. Paediatric advanced life support ; 57. Cardiac arrest ; 58. Periarrest arrhythmias ; 59. Laryngeal mask airway ; 60. Nasopharyngeal airway and combitube ; GENERAL CLINICAL EMERGENCIES ; 61. Sepsis ; 62. Acute abdomen ; 63. Respiratory failure ; 64. Cardiac chest pain ; 65. Cardiac failure ; 66. Acute liver failure ; 67. Gastrointestinal bleeding ; 68. Acute renal failure ; 69. Thromboembolism ; 70. Chest infection ; 71. Coma ; 72. Stroke ; 73. DKA and metabolic emergencies ; 74. Acute single episode of headache ; 75. Trauma ; SUITE 4 : PROFESSIONAL SKILLS ; 76. Public health: health promotion and health inequalities ; PRESCRIBING ; 77. Legal prescribing ; 78. Ensuring patient safety ; 79. Prescribing bundles ; 80. Drug charts ; 81. Controlled drugs ; 82. IV rota ; 83. Anti-coagulation ; 84. Insulin prescribing and glucose monitoring ; CERTIFICATES AND FORMS ; 85. Consent Forms inc. capacity ; 86. Blood test requests and data interpretation ; 87. KMR Forms ; 88. Infectious disease notifications ; 89. Death certificate ; 90. Cremation form ; INFORMATION MANAGEMENT ; 91. Confidentiality and data protection ; 92. Ward notes ; 93. Surgical checklist and pre-clerking ; 94. Referral letters ; 95. Discharge and summary ; 96. Clinical knowledge, IT Skills, audit and EBM ; 97. Data Interpretation ; RADIOLOGY ; 98. Chest X-ray ; 99. Abdominal X-ray ; 100. Head CT and MRI ; ADVANCED CLINICAL SKILLS ; 101. Communication in special circumstances ; 102. Care of the dying patient ; 103. Clinical Leadership Skills ; CONCLUSION