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• W2889413241 abstract "Health policy changes from 1997 set out to modernise the NHS through thedelivery and continuous improvements of high-quality healthcare servicesthat was designed around the patients. As a result, demand-driven, highprofilservices such as emergency and urgent care, saw the implementationof national standards to reduce waiting times and improve access toemergency and urgency care services. This led to dramatic changes in newways of working, role redesign and changes in skill mix to redesign servicedelivery. Like the NHS, ambulance services in England are also playing anincreasingly wide role in the NHS in response to national policy changes.Traditionally, ambulance services have been designed around deliveringresuscitation, trauma care and cardiac care to patients who are criticallyill. Eighty percent of training to front-line ambulance clinicians hasbeen focused on this. Today, 90% of patients do not fi into this category.Ambulance services have changed their traditional approach and are nowmore embedded in urgent care as a whole to provide a mobile healthcareservice for the NHS. Added to this is an increase in public expectations,advanced medical and information technology, an ageing population andchronic conditions has put even greater pressure and demand on emergencyand urgent care services. This has been a positive move towards rolesof nurses and paramedics, perhaps politically driven but also out of thedesire to enhance patient care, improve access, reduce unnecessary attendanceto emergency departments, provide care closer to home and unlockand utilise nursing and paramedical potential.The current provision of emergency and urgent care services, roles andresponsibilities of nurses and paramedics are continuously evolving andincreasing in the UK. Patients are now accessing and seeking care at thepoint of delivery. As a result, the front-line practitioners have to consideroptions for referral and the use of alternative care pathways. Paramedicsand nurses working in this sector need to be educated and trained to dealwith the mixed case they see both at the pre-registration education andcontinuing professional development. They must have the underpinningknowledge and skills which will enable the correct clinical decisions to bemade, which are demonstrably in the patients’ best interest. This can onlybe achieved in a clinically safe, professional and lawful manner (Nursingand Midwifery Council 2008; Health & Care Professions Council 2012).This book is intended to provide the underpinning theoretical knowledgeof the issues that you encounter on a daily basis when workingin the pre-hospital, emergency and urgent care environment. This willhopefully enable you to develop a comprehensive theoretical understandingof the issues underpinning professional practice which is fundamentalto everyday clinical practice. The chapters will provide clinical exemplars,discussion points and critical thinking points throughout. This is intendedfor you to reflec on your own experiences in order for you to link and applythe theory to your own area of practice. Illustrations given will alsodemonstrate how the theory is applied in practice to increase your understandingof the concepts explored in this book.The firs three chapters are focused on patient assessment which includeshistory taking, consultation and communication skills and clinical decisionmaking. These three chapters are inextricably linked and cannot be viewedas separate subjects. Therefore, all three chapters should be read in conjunctionwith each other in order for you to gain a comprehensive theoreticalunderstanding that will enable to justify your decision making when assessingand managing patient care.For the remaining chapters, it is inevitable that the subject areasdiscussed and explored in this book are integrated with each other andtherefore there will be some overlap in each individual chapter. Whereverpossible, these have been cross-referenced to chapters where it is discussedmore in detail.As the book title suggests, it is intended for paramedics and nursesworking in pre-hospital, emergency and urgent care. Chapters 3, 6 and 7predominately focus on paramedic practice; however, the principles of professionalpractice are transferable and therefore can be applied to all areasof healthcare practice.Paramedics and paramedic practice is an emerging profession and thereforethe literature predominately relates to the clinical aspects of practicewith very little relating to the professional aspect of practice. Therefore,the literature used throughout this book has been drawn from other disciplines,predominately nursing. It is important to understand that regardlessof this, the theoretical knowledge and skills are transferable and willapply to all healthcare practitioners.It is hoped that this book will enable you to develop a broader and deeperknowledge base of the theoretical issues that underpin professional practiceand how this is applied to everyday clinical practice. I hope you enjoyreading this book as much as I have enjoyed writing and editing this book.Val Nixon" @default.
• W2889413241 created "2018-09-07" @default.
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• W2889413241 date "2017-08-23" @default.
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• W2889413241 title "Professional Practice in Paramedic, Emergency and Urgent Care, First Edition" @default.
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