Consequently key requirement when using a stethoscope is an ability to demonstrate communication skills. This is not only a professional stipulation but also helps develop a positive therapeutic relationship. The NMC’s Code of Professional Conduct emphasises that before, for example, conducting respiratory auscultation, consent should be sought and explanations offered. The personal safety of nursing staff should be a central priority when delivering direct care. Placing stethoscopes around the neck, hanging loosely and freely, should be avoided. Specifically in relation to stethoscope use there are documented incidents of healthcare workers being assaulted and experiencing attempted strangulation with stethoscope tubing (Keep and Glibert, 1995). The basic life support algorithm (Resuscitation Council UK, 2000) states that assessing areas for safety/danger is the first consideration when approaching patients. Issues related to personal safety in the acute setting require the same degree of attention as client assessment and management. Ensure all required equipment is clean and ready to use Position yourself and the patient optimally Wash your hands, put on gloves and an apron Auscultation of the lungs should be carried out for baseline assessments, for patients in acute respiratory distress and for patients with known lung disease (Docherty, 2002).Īuscultation of the respiratory system fits within Hudak et al’s (1998) guidelines on conducting physical assessments: A fundamental ability to use a stethoscope comes with many nursing roles ranging from respiratory nurse specialist and outreach roles to intensive care nursing, A&E nursing and when practising in operating theatres.Īuscultation of the lungs should form part of the respiratory assessment as the stethoscope allows the practitioner to assess a patient’s cardiac, respiratory and intestinal state (O’Neill, 2003). Competently utilising a stethoscope in clinical practice is one such skill. The role of the nurse has continued to evolve and tasks traditionally associated with the medical profession are increasingly being adopted by nursing staff. Terry Ferns, MA, BSc, DipHE, RGN, is senior lecturer at the School of Health and Social Care, University of Greenwich, London
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