Pediatric Nursing Clinical Skills Manual

by Bindler, Ruth C.; Ball, Jane W.

• ISBN13: 9780130483522
• ISBN10: 0130483524
• Edition: 3rd
• Format: Paperback
• Copyright: 2003-01-01
• Publisher: Prentice Hall

Summary

Washington State Univ., Spokane. Manual provides step-by-step instructions to more than 70 pediatric procedures. Features preparation, equipment, and supplies for each procedure, margin boxes with tips, and appendices presenting information on growth grids and calculation of body surface area. Full-color format included. Softcover.

Table of Contents

Preface	vii
Introduction	ix
Informed Consent	1	(4)
Chapter Outline	1	(1)
General Guidelines for Obtaining Informed Consent	2	(1)
Pediatric Considerations for Obtaining Informed Consent	3	(2)
Positioning and Restraint	5	(7)
Chapter Outline	5	(1)
Human Restraint	6	(1)
Positioning a Child for Intravenous Access/Injection	6	(1)
Positioning a Child for Lumbar Puncture	7	(1)
Positioning a Child for an Otoscopic Examination	7	(1)
Mechanical Restraint	8	(1)
Applying a Papoose Restraint	8	(1)
Applying a Mummy Restraint	9	(1)
Applying Elbow Restraints	10	(2)
Transport	12	(4)
Chapter Outline	12	(1)
Transport of the Infant	13	(1)
Transport of the Toddler	13	(1)
Transport of the Child with Disability	14	(2)
Infection Control Methods	16	(4)
Chapter Outline	16	(1)
Infection Control Methods	17	(3)
Standard Precautions	17	(1)
Transmission-Based Precautions	17	(3)
Physical Assessment	20	(19)
Chapter Outline	20	(1)
Growth Measurements	21	(1)
Length	21	(1)
Height	21	(1)
Weight	22	(1)
Body Mass Index	23	(1)
Head Circumference	23	(1)
Chest Circumference	24	(1)
Abdominal Girth	24	(1)
Vital Signs	25	(1)
Heart Rate	25	(1)
Respiratory Rate	26	(1)
Blood Pressure	26	(3)
Body Temperature	29	(1)
Tympanic Route	29	(1)
Oral Route	30	(1)
Axillary Route	30	(1)
Rectal Route	30	(1)
Special Neurological Assessments	31	(1)
Glasgow Coma Scale	31	(1)
Neurovascular Assessment	32	(1)
Visual Acuity Screening	32	(1)
Snellen Letter Chart	33	(1)
Snellen E or Picture Chart	33	(1)
HOTV	34	(1)
Hearing Acuity Screening	35	(1)
Pure Tone Audiometry	35	(1)
Tympanometry	36	(1)
Fluid and Electrolyte Balance: Intake and Output	37	(1)
Intake and Output Measurement	38	(1)
Specimen Collection	39	(12)
Chapter Outline	39	(1)
Blood Samples	40	(1)
Performing a Capillary Puncture	40	(1)
Newborn Screening	41	(1)
Blood Glucose Meters	41	(1)
Performing a Venipuncture	42	(1)
Blood Cultures	43	(1)
Urine Samples	44	(1)
Applying a Urine Collection Bag (Infant)	44	(1)
Collecting a Clean-Catch Urine Specimen (Older Child)	45	(1)
Collecting a Catheter Specimen	46	(1)
Stool Culture	46	(1)
Obtaining a Stool Specimen	46	(1)
Wound Culture	47	(1)
Obtaining a Sample for Wound Culture	47	(1)
Wound Irrigation	47	(1)
Throat Culture	48	(1)
Obtaining a Sample for a Throat Culture	48	(1)
Respiratory Secretions	49	(1)
Collecting Respiratory Secretions from an Infant	49	(1)
Collecting Respiratory Secretions from a Child	50	(1)
Administration of Medication	51	(16)
Chapter Outline	51	(1)
Administration of Medication	52	(2)
Preparation	53	(1)
Documentation	53	(1)
Calculation	53	(1)
Oral Medication	54	(1)
Administering an Oral Medication	54	(1)
Intramuscular Injection	55	(2)
Administering an Intramuscular Injection	57	(1)
Subcutaneous Injection	57	(1)
Administering a Subcutaneous Injection	57	(1)
Intravenous Medication	58	(1)
Special Considerations	58	(1)
Administering an Intravenous Medication	58	(1)
Ophthalmic Medication	59	(1)
Administering an Ophthalmic Medication	60	(1)
Contact Lens Care	60	(1)
Eye Irrigation	61	(1)
Performing an Eye Irrigation	61	(1)
Otic Medication	61	(1)
Administering an Otic Medication	62	(1)
Ear Irrigation	62	(1)
Performing an Ear Irrigation	62	(1)
Nasal Medication	63	(1)
Administering a Nasal Medication	63	(1)
Aerosol Therapy	63	(1)
Administering Nebulizer Aerosol Therapy	64	(1)
Metered Dose Inhaler	64	(1)
Using a Metered Dose Inhaler	64	(1)
Topical Therapy	65	(1)
Burn Wound Care	65	(1)
Rectal Medication	66	(1)
Administering a Rectal Medication	66	(1)
Intravenous Access	67	(13)
Chapter Outline	67	(1)
Peripheral Vascular Access	68	(1)
Choice of Site	68	(1)
Accessing a Peripheral Vein	68	(1)
Medication Lock	69	(1)
Attaching a Medication Lock Cap to an IV Infusion	69	(1)
Infusing Medication: Medication Lock in Place	70	(1)
Administering an IV Push Bolus of Medication: Medication Lock in Place	71	(1)
Intravenous Infusion	72	(1)
Pumps	72	(1)
Administering IV Fluids	72	(2)
Guidelines for Infusion of IV Fluids	73	(1)
Blood Administration	74	(1)
Administering Blood or Blood Products	74	(2)
Total Parenteral Nutrition	76	(1)
Central Venous Catheters	76	(1)
Site Management	77	(1)
Managing a Central Venous Catheter Site	77	(1)
Accessing a Central Venous Catheter	77	(2)
Implanted Ports	79	(1)
Pain Assessment and Management	80	(7)
Chapter Outline	80	(1)
Pain Assessment	81	(1)
Selected Pediatric Pain Scales	81	(2)
Special Pain Management Techniques	83	(1)
Administering Patient-Controlled Analgesia (PCA) Pumps	83	(1)
Conscious Sedation Monitoring	84	(2)
Local Pain Blocks	86	(1)
Cardiorespiratory Care	87	(28)
Chapter Outline	87	(1)
Administration of Oxygen	88	(1)
Oxygen Delivery Systems	88	(1)
Using Oxygen Delivery Systems	89	(1)
Cardiorespiratory Monitoring Equipment	89	(1)
Oxygen Saturation: Pulse Oximetry	89	(1)
Cardiorespiratory or Apnea Monitor	90	(1)
Placement of Electrocardiogram Electrodes	91	(1)
Peak Expiratory Flow Rate Monitoring	92	(1)
Artificial Airways	93	(1)
Assisting with Oropharyngeal Airway Insertion	93	(1)
Assisting with Nasopharyngeal Airway Insertion	94	(1)
Tracheostomy General Guidelines	94	(1)
Tracheostomy Care	95	(1)
Endotracheal Tube Care	96	(1)
Assisted Ventilation	97	(1)
Bag-Valve-Mask Ventilation	97	(1)
Ventilator	98	(1)
Cardiopulmonary Resuscitation	99	(1)
Performing Cardiopulmonary Resuscitation	99	(4)
Foreign Body Airway Obstruction	103	(1)
Removing a Foreign Body Airway Obstruction	103	(2)
Suctioning	105	(1)
Nasal/Oral Suctioning	105	(1)
Performing Nasal/Oral Suctioning	105	(1)
Suctioning a Conscious (Awake and Alert) Child	106	(1)
Suctioning a Child with Decreased Level of Consciousness	106	(1)
Tracheostomy Tube Suctioning	107	(1)
Endotracheal Tube Suctioning	108	(1)
Chest Physiotherapy/Postural Drainage	109	(1)
Performing Chest Physiotherapy/Postural Drainage	110	(3)
Incentive Spirometer	113	(1)
Using the Incentive Spirometer	113	(2)
Nutrition	115	(8)
Chapter Outline	115	(1)
Gastric Tubes	116	(1)
Orogastric Tubes	116	(1)
Inserting and Removing an Orogastric Tube	116	(1)
Nasogastric Tubes	117	(1)
Inserting and Removing a Nasogastric Tube	117	(2)
Gastrostomy Tubes	118	(1)
Gavage/Tube Feeding	119	(1)
Administering a Gavage/Tube Feeding	119	(3)
Gastric Suctioning	122	(1)
Performing Gastric Suctioning	122	(1)
Elimination	123	(6)
Chapter Outline	123	(1)
Urinary Catheterization	124	(1)
Performing a Urinary Catheterization	124	(1)
Double Diapering with a Stent in Place	125	(1)
Ostomy Care	126	(1)
Changing the Dressing for an Infant with an Ostomy	126	(1)
Changing an Ostomy Pouch for an Infant or Child	127	(1)
Enemas	127	(1)
Administering an Enema	128	(1)
Musculoskeletal Care	129	(5)
Chapter Outline	129	(1)
Casts	130	(1)
Providing Cast Care	130	(1)
Crutches	131	(1)
Setting Crutch Height	132	(1)
Braces	132	(1)
Traction	132	(1)
Applying Traction	133	(1)
Appendix A: Physical Growth Charts	134	(10)
Appendix B: West Nomogram-Body Surface Area	144	(2)
References	146	(1)
Index	147