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By Matthew Grundy-Bowers, Jonathan Davies

This booklet has been built to assist nurses who're in nurse practitioner roles by means of helping them to increase their ‘advanced perform skills’. This ebook is meant to construct on talents and data that nurses may have got at employees nurse point. it truly is meant that this e-book will enhance abilities and information which until eventually lately were extra within the clinical area, such sexual heritage taking and actual evaluate.

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In these circumstances, a chaperone may be useful, and the nurse must remember to maintain professional boundaries. It is important in these circumstances to employ your clinical and professional judgement when assessing the situation. , 2000). , 1999; Fuller & Schaller-Ayers, 2000). The exceptional case for not laying the patient down is when checking for scrotal hernias and varicoceles. In a standing position the groin or inguinal area should be examined for lymphadenopathy 36 ADVANCED CLINICAL SKILLS FOR GU NURSES (enlargement of lymph nodes and also noting any tenderness).

You may ask about willingness to be referred for support. ’ 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: for example, snorting coke can cause nose bleeding and lead to blood-to-blood transmission of hepatitis (Fieldhouse, 2005). ’ Record when and where, if it hasn’t been given in the response to any of the major health problems above.

DH, London DH (Department of Health) (2005) Nurse and Pharmacist Prescribing Powers Extended. Press Release Reference Number 2005/0395 DH, London Elcock K (1996) Consultant Nurse: an appropriate title for the advanced nurse practitioner? British Journal of Nursing Vol. 5(22) 1376–81 Gibson F, Bamford O (2001) Focus group interviews to examine the role and development of the clinical nurse specialist. Journal of Nursing Management Vol. 9(6) 331–42 (November) Health Select Committee (2003) Sexual Health Third Report of Session 2002–2003.

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