The Advanced Practitioner in Acute, Emergency and Critical Care

Dedicated text for trainee and newly-qualified Advanced Practitioners specialising in acute, emergency and critical care

Aligned with the Nursing and Midwifery Council (NMC) and the Health and Care Professions Council (HCPC) regulatory body requirements, this formative text is the first of its kind, covering a variety of key topics for advanced practitioners working in acute, emergency and critical care.

Written by experienced advanced practitioners and academics closely involved in the delivery of both the clinical and academic components of advanced practice training programmes, The Advanced Practitioner in Acute, Emergency and Critical Care presents:

• Complex decision making, covering legal and ethical frameworks (including patient safety), communication skills and breaking bad news, and end of life care
• Diagnosis and management of patients, covering radiology, principles of point of care ultrasound (PoCUS), laboratory tests and prescribing
• Resuscitation and first stage management of the critically unwell, advanced resuscitation skills, shock, intra- and inter-hospital transfers, and organ donation
• History taking, physical examination, and consultation models
• Learning support with accreditation considerations boxes, clinical investigations, examination scenarios, pharmacology boxes, pathological and psychological considerations, social and cultural considerations, case studies, self-assessment questions, and more

Utilising a multi-professional and inclusive framework of advanced level practice, this is an essential resource for all trainee and newly-qualified advanced practitioners. The text also serves as an excellent classroom aid for lecturers teaching advanced practice courses.

Sadie Diamond Fox is an Advanced Critical Care Practitioner (FICM member) at Newcastle upon Tyne Hospitals and Strategic Lead for Advanced Practice Programmes; Assistant Professor in Advanced Critical Care Practice (Fellow - HEA), and a PhD Candidate ('ImpACCPt' Study) at Northumbria University, UK.

Barry Hill is an Associate Professor of Nursing Science and Critical Care at Northumbria University, UK. He is a certified Advanced Practitioner (MSc), Independent and Supplementary Prescriber (V300), and Senior Fellow (SFHEA) with AdvanceHE. Barry is a Commissioning Editor for the British Journal of Nursing, and a Consultant Editor for the International Journal for Advancing Practice.

Sonya Stone BSc (Hons), MSc, RN, mFICM, FHEA, NMC V300. Sonya is an Associate Professor of Advanced Clinical Practice and Director of Postgraduate Education and CPD in the School of Health Sciences at the University of Nottingham. She is an Advanced Clinical Practitioner in Cardiac Intensive Care at Nottingham University Hospitals NHS Trust and Clinical Lead for eICM at the Faculty of Intensive Care Medicine.

Caroline McCrea BN (Hons), MSc, RN, mFICM, NMC V300. Caroline is an Advanced Critical Care Practitioner at Portsmouth University Hospital Trust.

Natalie Gardner MSc Critical Care, MFICM, BSc (Hons) Physiotherapy, PG Cert Clinical Education, FHEA, MAcadMEd, and V300. Natalie is the Trust Clinical Lead for Advanced Clinical Practice and Non-Medical Prescribing at King’s College Hospital in London and works clinically as an Advanced Critical Care Practitioner. Natalie is the Co-Chair for the Faculty of Intensive Care Medicine ACCP Sub-Committee, and also serves as an Officer in the British Army Reserves.

Angela Roberts BSc, MSc, RN, mFICM, DPP. Angela is an Advanced Nurse Practitioner within Southern Health NHS Trust. She is a certified ACCP (mFICM), Independent and Supplementary Prescriber and Designated Prescribing Practitioner (DPP).

Contributors

Preface

Acknowledgments

How to use your text book

Unit 1: CPD, Appraisal & Revalidation

Chapter 1 Governance

Ollie Phipps

Chapter 2 CPD, Appraisal & Revalidation

Vikki-Jo Scott

Unit 2: Complex Decision Making

Chapter 3 Legal and ethical frameworks

Nick Fox

Chapter 4 Communication skills & breaking bad news

Phil Broadhurst and Emma Underdown

Chapter 5 Advanced decision making and End of life Care

Rachel Allen-Ashcroft and Victoria Metaxa

Unit 3: HT&PE for AECC

Chapter 6 Consultation Models & Diagnostic Reasoning

Sadie Diamond-Fox, Rebecca Connolly, Alexandra Gatehouse, John Wilkinson, Sonya Stone, Angela Roberts and Caroline McCrea

Chapter 7 AECC Respiratory Presentations

Andrew Lee, Rebecca Chamoto, Rebecca Kurylec, Kirsty Laing, Kathryn Thomas, Emma Toplis, Padma Parthasarathy and Rebecca Stacey

Chapter 8 AECC Cardiac Presentations

Rachel Wong

Chapter 9 AECC Neurological & Endocrine Presentations

Rebecca Connolly and Sonya Stone

Chapter 10 AECC Renal & Genitourinary Presentations

Rachel Allen-Ashcroft and Sonya Stone

Chapter 11 AECC Gastrointestinal & Hepatobiliary Presentations

Angela Roberts

Chapter 12 AECC Haematological & Oncology Presentations

Barry Hill

Chapter 13 AECC Rheumatological & Immunological Presentations

Caroline McCrea, Barry Hill, Sonya Stone and Sadie Diamond-Fox

Chapter 14 AECC Mental Health Presentations

Clare Allabyrne

Unit 4: Diagnosis & Mx in AECC

Chapter 15 Radiology

Joe Wood, Stephanie Shea and Tracey Maxfield

Chapter 16 Principles of Point of Care Ultrasound

Hannah Conway

Chapter 17 Laboratory Tests

Sarah Henry and Natalie Gardner

Chapter 18 Pharmacology and prescribing for the AECC populations

Jill Bentley, Dave Thom and Joseph Tooley

Chapter 19 Advanced & Extended procedures for AECC populations

Phil Evans and Sean Buchanan

Unit 5: Resus & 1st Stage Mx of the Critically Unwell

Chapter 20 Advanced Life Support

Sadie Diamond-Fox and Alexandra Gatehouse

Chapter 21 Shock

Phil Broadhurst and Francesca Riccio

Chapter 22 Intra/Inter Hospital Transfers

Stu Cox, Mark Cannan and Kirstin Geer

Chapter 23 Organ Donation & Optimisation

Jill Featherstone and Stevie Park

Prefixes & Suffixes

Normal values

Index

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