Pediatric Nursing Clinical Skills Manual

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

Edition:

3rd

ISBN13:

9780130483522

ISBN10:

0130483524

Format:

Paperback

Pub. Date:

1/1/2003

Publisher(s):

Prentice Hall

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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.

Preface

vii

Introduction

Informed Consent

(4)

Chapter Outline

(1)

General Guidelines for Obtaining Informed Consent

(1)

Pediatric Considerations for Obtaining Informed Consent

(2)

Positioning and Restraint

(7)

Chapter Outline

(1)

Human Restraint

(1)

Positioning a Child for Intravenous Access/Injection

(1)

Positioning a Child for Lumbar Puncture

(1)

Positioning a Child for an Otoscopic Examination

(1)

Mechanical Restraint

(1)

Applying a Papoose Restraint

(1)

Applying a Mummy Restraint

(1)

Applying Elbow Restraints

(2)

Transport

(4)

Chapter Outline

(1)

Transport of the Infant

(1)

Transport of the Toddler

(1)

Transport of the Child with Disability

(2)

Infection Control Methods

(4)

Chapter Outline

(1)

Infection Control Methods

(3)

Standard Precautions

(1)

Transmission-Based Precautions

(3)

Physical Assessment

(19)

Chapter Outline

(1)

Growth Measurements

(1)

Length

(1)

Height

(1)

Weight

(1)

Body Mass Index

(1)

Head Circumference

(1)

Chest Circumference

(1)

Abdominal Girth

(1)

Vital Signs

(1)

Heart Rate

(1)

Respiratory Rate

(1)

Blood Pressure

(3)

Body Temperature

(1)

Tympanic Route

(1)

Oral Route

(1)

Axillary Route

(1)

Rectal Route

(1)

Special Neurological Assessments

(1)

Glasgow Coma Scale

(1)

Neurovascular Assessment

(1)

Visual Acuity Screening

(1)

Snellen Letter Chart

(1)

Snellen E or Picture Chart

(1)

HOTV

(1)

Hearing Acuity Screening

(1)

Pure Tone Audiometry

(1)

Tympanometry

(1)

Fluid and Electrolyte Balance: Intake and Output

(1)

Intake and Output Measurement

(1)

Specimen Collection

(12)

Chapter Outline

(1)

Blood Samples

(1)

Performing a Capillary Puncture

(1)

Newborn Screening

(1)

Blood Glucose Meters

(1)

Performing a Venipuncture

(1)

Blood Cultures

(1)

Urine Samples

(1)

Applying a Urine Collection Bag (Infant)

(1)

Collecting a Clean-Catch Urine Specimen (Older Child)

(1)

Collecting a Catheter Specimen

(1)

Stool Culture

(1)

Obtaining a Stool Specimen

(1)

Wound Culture

(1)

Obtaining a Sample for Wound Culture

(1)

Wound Irrigation

(1)

Throat Culture

(1)

Obtaining a Sample for a Throat Culture

(1)

Respiratory Secretions

(1)

Collecting Respiratory Secretions from an Infant

(1)

Collecting Respiratory Secretions from a Child

(1)

Administration of Medication

(16)

Chapter Outline

(1)

Administration of Medication

(2)

Preparation

(1)

Documentation

(1)

Calculation

(1)

Oral Medication

(1)

Administering an Oral Medication

(1)

Intramuscular Injection

(2)

Administering an Intramuscular Injection

(1)

Subcutaneous Injection

(1)

Administering a Subcutaneous Injection

(1)

Intravenous Medication

(1)

Special Considerations

(1)

Administering an Intravenous Medication

(1)

Ophthalmic Medication

(1)

Administering an Ophthalmic Medication

(1)

Contact Lens Care

(1)

Eye Irrigation

(1)

Performing an Eye Irrigation

(1)

Otic Medication

(1)

Administering an Otic Medication

(1)

Ear Irrigation

(1)

Performing an Ear Irrigation

(1)

Nasal Medication

(1)

Administering a Nasal Medication

(1)

Aerosol Therapy

(1)

Administering Nebulizer Aerosol Therapy

(1)

Metered Dose Inhaler

(1)

Using a Metered Dose Inhaler

(1)

Topical Therapy

(1)

Burn Wound Care

(1)

Rectal Medication

(1)

Administering a Rectal Medication

(1)

Intravenous Access

(13)

Chapter Outline

(1)

Peripheral Vascular Access

(1)

Choice of Site

(1)

Accessing a Peripheral Vein

(1)

Medication Lock

(1)

Attaching a Medication Lock Cap to an IV Infusion

(1)

Infusing Medication: Medication Lock in Place

(1)

Administering an IV Push Bolus of Medication: Medication Lock in Place

(1)

Intravenous Infusion

(1)

Pumps

(1)

Administering IV Fluids

(2)

Guidelines for Infusion of IV Fluids

(1)

Blood Administration

(1)

Administering Blood or Blood Products

(2)

Total Parenteral Nutrition

(1)

Central Venous Catheters

(1)

Site Management

(1)

Managing a Central Venous Catheter Site

(1)

Accessing a Central Venous Catheter

(2)

Implanted Ports

(1)

Pain Assessment and Management

(7)

Chapter Outline

(1)

Pain Assessment

(1)

Selected Pediatric Pain Scales

(2)

Special Pain Management Techniques

(1)

Administering Patient-Controlled Analgesia (PCA) Pumps

(1)

Conscious Sedation Monitoring

(2)

Local Pain Blocks

(1)

Cardiorespiratory Care

(28)

Chapter Outline

(1)

Administration of Oxygen

(1)

Oxygen Delivery Systems

(1)

Using Oxygen Delivery Systems

(1)

Cardiorespiratory Monitoring Equipment

(1)

Oxygen Saturation: Pulse Oximetry

(1)

Cardiorespiratory or Apnea Monitor

(1)

Placement of Electrocardiogram Electrodes

(1)

Peak Expiratory Flow Rate Monitoring

(1)

Artificial Airways

(1)

Assisting with Oropharyngeal Airway Insertion

(1)

Assisting with Nasopharyngeal Airway Insertion

(1)

Tracheostomy General Guidelines

(1)

Tracheostomy Care

(1)

Endotracheal Tube Care

(1)

Assisted Ventilation

(1)

Bag-Valve-Mask Ventilation

(1)

Ventilator

(1)

Cardiopulmonary Resuscitation

(1)

Performing Cardiopulmonary Resuscitation

(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

Pediatric Nursing Clinical Skills Manual

9780130483522

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Summary

Table of Contents