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Clinical Skills Manual for Pediatric Nursing : Caring for Children

by ;
Edition:
4th
ISBN13:

9780136135548

ISBN10:
0136135544
Format:
Paperback
Pub. Date:
4/11/2007
Publisher(s):
Prentice Hall

Questions About This Book?

What version or edition is this?
This is the 4th edition with a publication date of 4/11/2007.
What is included with this book?
  • The Used copy of this book is not guaranteed to include any supplemental materials. Typically, only the book itself is included.

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Summary

This portable reference to step-by-step pediatric nursing procedures guides the reader through 129 pediatric skills using full-color photographs and rationales. Coverage includes physical assessment, special pain management techniques, cardiorespiratory care, administration of medications (including intravenous access), and other information useful to nurses in the clincal setting.

Author Biography

Ruth C. McGillis Bindler is Professor in the Intercollegiate College of Nursing at Washington State University.

Table of Contents

Prefacep. vii
Introductionp. ix
Protective Methodsp. 1
Chapter Outlinep. 1
Infection Control Methodsp. 2
Standard Precautionsp. 2
Transmission-Based Precautionsp. 2
Latex Precautionsp. 4
Visitor Identification and Health Insurance Portability and Accountability Act (HIPAA)p. 5
Informed Consentp. 7
Chapter Outlinep. 7
General Guidelines for Obtaining Informed Consentp. 8
Pediatric Considerations for Obtaining Informed Consentp. 8
Newbornp. 10
Chapter Outlinep. 10
Nasal Pharyngeal Suctioningp. 11
Performing Nasal Pharyngeal Suctioningp. 11
Newborn Apgarp. 11
Assigning Newborn Apgar Scoresp. 12
Thermoregulation of the Newbornp. 12
Thermoregulation of the Newbornp. 13
Umbilical Cord Carep. 14
Umbilical Cord Clamp: Application, Care, and Removalp. 14
Circumcision Carep. 15
Assisting with Circumcision and Providing Circumcision Carep. 15
Newborn Bathp. 16
Initial Newborn Bathp. 17
Jaundice/Bilirubinp. 17
Phototherapyp. 18
The Infant Receiving Phototherapyp. 18
Positioning and Restraining Therapiesp. 20
Chapter Outlinep. 20
Human Restraintp. 22
Positioning a Child for Injections or Intravenous Accessp. 22
Positioning a Child for Lumbar Puncturep. 22
Positioning a Child for an Otoscopic Examinationp. 23
Mechanical Restraining Therapiesp. 24
Applying a Papoose Board Immobilizerp. 24
Applying a Mummy Immobilizerp. 25
Applying Elbow Immobilizersp. 26
Transporting the Childp. 27
Chapter Outlinep. 27
Transport of the Infantp. 28
Transport of the Toddlerp. 28
Transport of the Child with a Disabilityp. 29
Physical Assessmentp. 31
Chapter Outlinep. 31
Growth Measurementsp. 32
Lengthp. 32
Heightp. 33
Weightp. 33
Body Mass Indexp. 34
Head Circumferencep. 34
Chest Circumferencep. 35
Abdominal Girthp. 35
Vital Signsp. 36
Heart Ratep. 36
Respiratory Ratep. 36
Blood Pressurep. 37
Body Temperaturep. 39
Oral Routep. 39
Rectal Routep. 39
Axillary Routep. 40
Tympanic Routep. 40
Special Neurologic Assessmentsp. 41
Glasgow Coma Scalep. 41
Neurovascular Assessmentp. 41
Intracranial Pressure Monitoring and Daily Carep. 42
Visual Acuity Screeningp. 44
Snellen Letter Chartp. 44
HOTV, Snellen E, or Picture Chartp. 44
Hearing Acuity Screeningp. 45
Pure Tone Audiometryp. 46
Tympanometryp. 47
Fluid and Electrolyte Balance: Intake and Outputp. 48
Output Measurementp. 48
Specimen Collectionp. 49
Chapter Outlinep. 49
Blood Samplesp. 50
Performing a Capillary Puncturep. 50
Newborn Screeningp. 51
Blood Glucose Metersp. 52
Performing a Venipuncturep. 53
Blood Culturesp. 54
Arterial Blood Gasesp. 54
Urine Samplesp. 55
Applying a Urine Collection Bag (Infant)p. 56
Routine Urine Collection (Older Child)p. 56
Collecting a Clean-Catch Midstream Urine Specimen (Older Child)p. 56
Collecting a Sterile Urinary Catheter Specimenp. 57
Collecting an Indwelling Catheter Urine Specimenp. 58
Collecting a 24-Hour Urine Specimenp. 59
Stool Culturep. 59
Obtaining a Stool Specimenp. 60
Wound Culturep. 60
Obtaining a Sample for Wound Culturep. 60
Throat Culturep. 61
Obtaining a Sample for a Throat Culturep. 61
Respiratory Secretionsp. 61
Collecting Respiratory Secretions from an Infantp. 61
Collecting Respiratory Secretions from a Childp. 62
Bone Marrow Aspirationp. 62
Assisting with Bone Marrow Aspirationp. 62
Administration of Medication and Irrigationsp. 64
Chapter Outlinep. 64
Administration of Medicationp. 65
Preparationp. 66
Documentationp. 66
Calculationp. 67
Oral Medicationp. 67
Administering an Oral Medicationp. 68
Intramuscular Injectionp. 68
Administering an Intramuscular Injectionp. 70
Subcutaneous Injectionp. 71
Administering a Subcutaneous Injectionp. 71
Intravenous Medicationp. 71
Special Considerationsp. 71
Administering an Intravenous Medicationp. 72
Ophthalmic Medicationp. 73
Administering Neonatal Ophthalmic Ointmentp. 73
Administering an Ophthalmic Medicationp. 74
Contact Lens Carep. 75
Eye Irrigationp. 75
Performing an Eye Irrigationp. 76
Otic Medicationp. 76
Administering an Otic Medicationp. 76
Ear Irrigationp. 77
Performing an Ear Irrigationp. 77
Nasal Medicationp. 78
Administering a Nasal Medicationp. 78
Aerosol Therapyp. 78
Administering Nebulizer Aerosol Therapyp. 79
Metered Dose Inhaler (MDI)p. 79
Using a Metered Dose Inhaler (MDI)p. 79
Topical Medicationp. 80
Administering Topical Medicationp. 80
Rectal Medicationp. 80
Administering a Rectal Medicationp. 81
Intravenous Accessp. 82
Chapter Outlinep. 82
Peripheral Vascular Accessp. 83
Choice of Sitep. 83
Accessing a Peripheral Veinp. 84
Medication Lockp. 86
Attaching a Medication Lock Cap to an IV Infusionp. 86
Infusing Medication: Medication Lock in Placep. 87
Administering an IV Push Bolus of Medication: Medication Lock in Placep. 87
Intravenous Infusionp. 88
Pumpsp. 88
Administering IV Fluidsp. 89
Guidelines for Infusion of IV Fluidsp. 90
Blood Administrationp. 90
Administering Blood or Blood Productsp. 90
Total Parenteral Nutritionp. 92
Central Venous Cathetersp. 93
Site Managementp. 93
Caring for a Central Venous Catheter Sitep. 93
Accessing a Central Venous Catheterp. 94
Implanted Portsp. 95
Pain Assessment and Managementp. 96
Chapter Outlinep. 96
Pain Assessmentp. 97
Selected Pediatric Pain Scalesp. 97
Special Pain Management Techniquesp. 100
Administering Patient-Controlled Analgesia (PCA) Pumpsp. 100
Sedation Monitoringp. 101
Local Pain Blocksp. 103
Cardiorespiratory Carep. 104
Chapter Outlinep. 104
Administration of Oxygenp. 105
Oxygen Delivery Systemsp. 105
Using Oxygen Delivery Systemsp. 106
Cardiorespiratory Monitoringp. 107
Oxygen Saturation: Pulse Oximetryp. 107
Cardiorespiratory or Apnea Monitorp. 108
Placement of Electrocardiogram Electrodesp. 108
Peak Expiratory Flow Rate (PEFR) Monitoringp. 109
Central Venous Pressure Monitoringp. 110
Arterial Pressure Monitoringp. 111
Artificial Airwaysp. 112
Assisting with Oropharyngeal Airway Insertionp. 112
Assisting with Nasopharyngeal Airway Insertionp. 113
Tracheostomy General Guidelinesp. 114
Tracheostomy Carep. 114
Endotracheal Tube Carep. 116
Assisted Ventilationp. 117
Bag-Valve-Mask (BVM) Ventilationp. 117
Ventilatorp. 118
Chest Tubesp. 119
Assisting with Placement of Chest Tubesp. 119
Care of the Chest Tubep. 120
Assisting with Chest Tube Removalp. 122
Cardiopulmonary Resuscitationp. 122
Performing Cardiopulmonary Resuscitationp. 123
Foreign Body Airway Obstructionp. 125
Removing a Foreign Body Airway Obstructionp. 126
Suctioningp. 127
Nasal/Oral Suctioningp. 127
Performing Nasal/Oral Suctioningp. 127
Suctioning a Conscious (Awake and Alert) Childp. 128
Suctioning a Child with a Decreased Level of Consciousnessp. 129
Tracheostomy Tube Suctioningp. 130
Endotracheal (ET) Tube Suctioningp. 131
Chest Physiotherapy/Postural Drainagep. 132
Performing Chest Physiotherapy/Postural Drainagep. 132
Incentive Spirometryp. 136
Using the Incentive Spirometerp. 136
Nutritionp. 138
Chapter Outlinep. 138
Gastric Tubesp. 139
Orogastric Tubesp. 139
Inserting and Removing an Orogastric Tubep. 139
Nasogastric Tubesp. 140
Inserting and Removing a Nasogastric Tubep. 140
Gastrostomy Tubesp. 142
Gavage/Tube Feedingp. 142
Administering a Gavage/Tube Feedingp. 143
Gastric Suctioningp. 145
Performing Gastric Suctioningp. 145
Eliminationp. 146
Chapter Outlinep. 146
Urinary Catheterizationp. 147
Performing an Indwelling Urinary Catheterizationp. 147
Double Diapering with a Stent in Placep. 148
Ostomy Carep. 149
Changing the Dressing for an Infant with an Ostomyp. 149
Changing an Ostomy Pouch for an Infant or Childp. 149
Enemasp. 150
Administering an Enemap. 150
Skin and Musculoskeletal Carep. 152
Chapter Outlinep. 152
Skinp. 153
Wound Irrigationp. 153
Burn Wound Carep. 153
Suture and Staple Removalp. 154
Castsp. 156
Providing Cast Carep. 156
Crutchesp. 158
Setting Crutch Heightp. 158
Bracesp. 158
Tractionp. 159
Applying and Monitoring Skin Tractionp. 159
Monitoring Skeletal Traction and Performing Pin Carep. 160
Physical Growth Chartsp. 161
Blood Pressure Values by Age, Sex, and Height Percentilesp. 171
West Nomogram-Body Surface Areap. 175
Citations and General Referencesp. 177
Indexp. 178
Table of Contents provided by Ingram. All Rights Reserved.


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