This best seller remains a comprehensive source of essential clinical skills presented within the nursing process framework to facilitate student success. Now in its Sixth Edition, Clinical Nursing Skills continues its high standards for skill presentation. The book provides over 650 basic, intermediate, and advanced skills presented in a clear, concise, and step-by-step format, supported by over 1100 photos and illustrations. Special Features NEW-Coverage of disaster nursing includes the latest information on: triage, smallpox vaccination, personal protection, and nursing interventions in case of an emergency. NEW-Pediatric and maternity assessments and selected skills round out students' knowledge of special populations. NEW-Cultural Competence and Evidence-Based Nursing Practice sections highlight their impact on nursing practice. NEW-Case studies present real-world scenarios for students. Expanded Theoretical Concepts open each chapter to offer students a base of knowledge. Clinical Alerts highlight critical aspects of client care. Expanded Management and Delegation Guidelines point out regulations of care. Critical Thinking strategies, with a focus on unexpected outcomes, help students apply skills in practice. Gerontologic Considerations provide variations for the older adult allowing students to identify the clear differences in this growing population.
Sandra F. Smith, RN, MS, ABD: President, National Nursing Review, Los Altos, California Donna J. Duell, RN, MS, ABD: Consultant to Deans and Directors of Nursing, California Barbara C. Martin, MS, APRN, BC: Professor of Nursing, The University of Tulsa, Oklahoma
Table of Contents
Preface. 1. Professional Nursing. 2. Nursing Process and Critical Thinking. 3. Client Care Plans and Documentation. 4. Managing Client Care: Communication and Delegation. 5. Admission and Discharge. 6. Client Education and Discharge Planning. 7. Safe Client Environment and Restraints. 8. Bathing and Bedmaking. 9. Personal Hygiene. 10. Vital Signs. 11. Physical Assessment. 12. Body Mechanics and Positioning. 13. Exercise and Ambulation. 14. Infection Control. 15. Bioterrorism—Disaster Nursing. 16. Pain Management. 17. Alternative Therapies. 18. Medication Administration. 19. Nutritional Management. 20. Specimen Collection. 21. Diagnostic Tests. 22. Urinary Elimination. 23. Bowel Elimination. 24. Heat and Cold Therapy. 25. Wound Care and Dressings. 26. Respiratory Care. 27. Circulatory Maintenance. 28. Intravenous Therapy. 29. Central Vascular Access Devices. 30. Orthopedic Interventions. 31. Perioperative Care. 32. End of Life Care. 33. Advanced Nursing Skills. 34. Community Based Nursing.
The sixth edition of Clinical Nursing Skills continues its high standards for skill presentation. This new edition is expanded to include new chapters as well as new sections of material relevant for the twenty-first-century nurse. The authors have strived to make this edition current, complete, and relevant for all nursing students, from those who are learning basic skills to senior students who are mastering critical care skills. The majority of skills in this text are also appropriate for the working clinical nurse. Because this text is so comprehensive, it has been adopted by many hospitals as their procedure manual. Clinical Nursing Skills is a performance-based text written for all levels of nursing education: baccalaureate, associate degree, and diploma. New skills, new photos and illustrations, and new introductory material have been added throughout the text. Also, the text has expanded its very popular Critical Thinking Application at the end of each unit and added Critical Thinking Strategies, with scenarios based on chapter material to stimulate critical thinking ability. Faculty feedback from prior editions confirms that the most effective way to utilize this text is to teach from the most basic to the more complex skills. The student will learn and perform each specific skill, while also learning how to assess the client, formulate nursing diagnoses, perform the procedure, evaluate the results, and document the pertinent data. ORGANIZING FRAMEWORK The Nursing Process continues to provide the organizing framework for this textbook. Within each of the 34 chapters, skills are grouped by unit. Nursing process data is then provided for each skill group or unit. Each procedure includes a list of equipment necessary to perform the skill, preparation, and step-by-step nursing interventions. Many steps include rationale for the nursing action. In order not to be redundant or repeat rationale time after time, we have limited these inserts to those most relevant. The clear and concise format enables the student to easily access key material for immediate reference in the clinical area. Extensive color photographs and drawings within each unit illustrate the concepts presented and enable the student to visualize each step that must be performed. NEW FEATURES More than 650 skills,new and updated, are included in this new edition, including basic, intermediate, and advanced skills. Presented in the Nursing Process framework, this text hasmore than 1,100 pieces of artto illustrate the skills. A new, extensive chapter entitled"Bioterrorism--Disaster Nursing"has been added to this edition. The impetus for including this material was a report by the American Hospital Association (AHA) entitledHospital Preparedness for Mass Casualties.This report emphasized that a major barrier to developing and implementing a weapon of mass destruction (WMD) response training program is that most schools of nursing do not include this content in their basic curricula and do not prepare the graduating nurse to become a high-level participant in a WMD response team. The authors have included this chapter to assist schools of nursing to quickly add this important content to their curricula, with the hope that in the future, nurses will be prepared (with knowledge and skills) to participate on a professional level with a response team. Two new sections, maternity and pediatrics,have been added to the physical assessment chapter, which makes this chapter an all-inclusive reference. Selected pediatric and maternity skills have also been added. Critical thinkingis found in two places throughout this edition.Critical Thinking Strategiesin the form of case studies have been added at the end of each chapter to assist students to practice application of critical thinking principles to clinical situations.Critical Thi