By Matthew Grundy-Bowers, Jonathan Davies
This ebook has been constructed to aid nurses who're in nurse practitioner roles by way of helping them to boost their ‘advanced perform skills’. This ebook is meant to construct on abilities and information that nurses can have received at employees nurse point. it really is meant that this publication will improve talents and data which till lately were extra within the scientific area, such sexual historical past taking and actual overview.
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Additional info for advanced clinical skills for gu nurses
You would need to know who the key workers are and how to contact them to make a referral. ’ Record yes/no, when and the result: this helps with the risk assessment if another test is to be done at this visit. ’ Record yes or no. In many clinics at this point the history-taking would be terminated and the next phase of the process would be the examination. But increasingly the primary worker would continue and undertake the pre-HIV test discussion if the person is deemed to be low-risk and they are comfortable to continue.
Are there any systemic symptoms? ) If it has happened before, is it the same as before? ’ (If yes – did it ever go away? ’ (If so, what have they tried and what was the outcome? This will give you a good idea of why the person has come and give you some clues as to the potential infection and your subsequent management. ’ This will guide your questioning and assist you in the risk assessment. Please remember that if the client is female and having sex with another woman this doesn’t necessarily mean that they are not at risk: that other woman may have had male relationships in the past and may have acquired chlamydia, genital warts or HIV.
If yes, you want to know if it was professionally done in this country or if it was done outside of a regulated facility, as there is an increased risk of blood-borne infections if it was done in a nonregulated facility. ’ If yes, you want to know if they have ever shared, and when was the last time that they used/shared. Which drugs did/do they use? Be aware that you may not get this information if they do not trust you and/or the use that may be made of this information in the future. Regular use of drugs may increase the risk for HIV and hepatitis and the ability to practise/negotiate safer sex.
advanced clinical skills for gu nurses by Matthew Grundy-Bowers, Jonathan Davies
Categories: Clinical Medicine