Clinical Nursing Skills A Concept-Based Approach Volume III

by Callahan, Barbara

• ISBN13: 9780133351798
• ISBN10: 0133351793
• Edition: 2nd
• Format: Paperback
• Copyright: 2014-07-02
• Publisher: Pearson

Summary

The only skills book of its kind!

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Clinical Nursing Skills: A Concept-Based Approach, Volume III, 2^nd edition is designed to meet the specific needs and approach of concept-based nursing programs in teaching key nursing skills. Clinical Nursing Skills: A Concept-based Approach is the third volume in a three-volume concept-based textbook series and presents more than 435 of the most important skills performed by nurses including common variations. This second edition has been revised, restructured, and updated to reflect the most current nursing practices and standards.

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Each skill is characterized by an overarching concept and is presented in exceptional step-by-step detail with beautiful, real-life illustrations, which help students visualize exactly how each skill is completed.

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Clinical Nursing Skills: A Concept-based Approach is available packaged with MyNursingLab® for Concepts. MyNursingLab is an online homework, tutorial, and assessment program that truly engages students in learning. It helps students review, remember, and apply key concepts—resulting in better performance in the course—and provides educators with a dynamic set of tools for gauging individual and class progress.

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Students, if interested in purchasing this title with MyNursingLab, ask your instructor for the correct package ISBN. Instructors, contact your Pearson representative for more information.

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Teaching and Learning Experience

To provide a better teaching and learning experience, for both instructors and students, this program will help:

• Improve Results: MyNursingLab better prepares students for the classroom, skills lab and beyond.
• Develop Clinical Reasoning Skills for Today and Tomorrow: Students are encouraged to think creatively and critically about nursing care.
• Teach Evidence-based Nursing Skills: Nursing skills are taught using an easy-to-follow approach based on the most updated research and nursing standards.

Author Biography

Barbara Callahan, MEd, RN, NCC, CHSE

Barbara Callahan is currently an Associate Degree Nursing Lead Instructor and coordinates simulation lab and clinical throughout the nursing curriculum at Lenoir Community College in Kinston, North Carolina. Her clinical background is concentrated in critical care and emergency care. As a Nurse Educator, she has been the North Carolina State Training and Education Coordinator with the North Carolina Public Health Office of Preparedness and Response, the Continuing Education Coordinator for the Southwest Georgia AHEC, a Critical Care Transport clinician and the educator for a network of hospitals in southwest Georgia, and the Hospital Education Coordinator for the Medical Nursing Division at the University of Alabama Hospital. As a Nurse Manager, she has provided leadership for a Medical/Surgical Department, an Emergency Department, and a Respiratory Intensive Care Unit. She maintains licensure/certification as a professional mental health counselor. As a speaker, she has provided a variety of presentations at state, regional, and local conferences in Florida, Virginia, Alabama, Georgia, and North Carolina. She has participated in research projects targeting quality improvement of programs available for ongoing continuing education and nurses returning to active practice. Through pairing imagination and creativity with simulation technology, she has developed and implemented an assortment of educational activities and clinical experiences for nursing students including a simulation clinical site for all levels of students each semester, an emergency shelter site exercise, and a Within Prime Time rapid recognition and response program.

Table of Contents

Chapter 1   Assessments    

 

(General Assessment)

SKILL 1.1   Assessing Appearance and Mental Status

SKILL 1.2   Measuring Height for Child and Adult

VARIATION Measuring Length of an Infant or Small Child

SKILL 1.3   Measuring Weight for Child and Adult

SKILL 1.4   Measuring Body Mass Index

SKILL 1.5   Measuring the Newborn’s Head, Chest, and Abdomen

 

(Vital Signs)

SKILL 1.6   Assessing Body Temperature

VARIATION Measuring an Infant or Child’s Temperature

VARIATION Using an Infrared Thermometer for Tympanic Temperature

VARIATION Using an Infrared Scanner Thermometer

VARIATION Using a Heat-Sensitive Wearable Thermometer

SKILL 1.7   Assessing an Apical Pulse

SKILL 1.8   Assessing Peripheral Pulses

VARIATION Using a Doppler Ultrasound Device (DUS)

SKILL 1.9 Assessing Respirations

VARIATION Assessing the Respiratory Rate of an Infant and Child

SKILL 1.10 Assessing Blood Pressure

VARIATION Obtaining a Blood Pressure by the Palpation Method

VARIATION Taking a Thigh Blood Pressure

VARIATION Using an Electronic Blood Pressure Monitoring Device

VARIATION Assessing Blood Pressure of Infant and Child

SKILL 1.11 Using a Pulse Oximeter

 

(Complete Assessment)

SKILL 1.12   Assessing the Skin

SKILL 1.13   Assessing the Hair

SKILL 1.14   Assessing the Nails

SKILL 1.15   Assessing the Musculoskeletal System

SKILL 1.16   Assessing the Neurologic System

SKILL 1.17   Assessing the Skull and Face

SKILL 1.18   Assessing the Eyes and Vision

SKILL 1.19   Assessing Visual Acuity

VARIATION Snellen Letter Chart

VARIATION HOTV, Snellen E, or Picture Chart

SKILL 1.20   Assessing the Ears and Hearing

VARIATION Positioning a Child for an Otoscopic Examination

VARIATION Assessing Hearing Acuity in Children

SKILL 1.22   Assessing the Nose and Sinuses

SKILL 1.23   Assessing the Mouth and Oropharynx

SKILL 1.24   Assessing the Neck

SKILL 1.25   Assessing the Thorax and Lungs

SKILL 1.26   Assessing the Heart and Central Vessels

SKILL 1.27   Assessing the Peripheral Vascular System

SKILL 1.28   Assessing the Neurovascular Status

SKILL 1.29   Assessing the Breasts and Axillae

SKILL 1.30   Assessing the Abdomen

SKILL 1.31   Assessing the Female Genitals and Inguinal Area

SKILL 1.32   Assessing the Male Genitalia and Inguinal Area

SKILL 1.33   Assessing the Anus

 

Chapter 2   Caring Interventions

 

(Beds and Activities of Daily Living (ADLs))

SKILL 2.1     Changing an Unoccupied Bed

VARIATION Making a Surgical Bed

SKILL 2.2     Changing an Occupied Bed

New! SKILL 2.3     Providing Morning and Evening Care

VARIATION Artificial Dentures

SKILL 2.4     Providing Special Oral Care for the Unconscious or Debilitated Client

SKILL 2.5     Bathing an Adult or Pediatric Client

VARIATION Bathing Using a Hydraulic Bathtub Chair

VARIATION Bathing Using a Disposable System

VARIATION Bathing an Infant

SKILL 2.6     Changing Gown for Client with an IV

SKILL 2.7     Providing Perineal-Genital Care

SKILL 2.8     Shaving a Male Client

SKILL 2.9     Providing Hair Care

VARIATION Hair Care for African American Clients

SKILL 2.10   Shampooing Hair

SKILL 2.11   Identifying and Removing Lice and Nits (Lice Eggs)

VARIATION Removing Lice and Nits

SKILL 2.12   Providing Foot Care

SKILL 2.13   Providing Routine Eye Care

SKILL 2.14   Removing and Cleaning Contact Lenses

SKILL 2.15   Removing, Cleaning, and Inserting a Hearing Aid

 

(Medication Administration)

SKILL 2.16   Preparing for Medication Administration

SKILL 2.17   Administering Medication Protocol

SKILL 2.18   Using the Narcotic Control System

SKILL 2.19   Using an Automated Dispensing System

 

(Medication Preparation)

SKILL 2.20   Calculating Dosages

SKILL 2.21   Preparing Medications from Ampules

SKILL 2.22   Preparing Medications from Vials

VARIATION Preparing and Using Multidose Vials

SKILL 2.23   Mixing Medications Using One Syringe

VARIATION Mixing Insulins

 

(Common Medication Routes)

SKILL 2.24   Administering Oral Medications

SKILL 2.25   Administering Medications by Enteral Tube

SKILL 2.26   Administering Sublingual Medications

SKILL 2.27   Administering Ophthalmic Medications

VARIATION Eye Irrigation

SKILL 2.28   Administering Otic Medications

VARIATION Ear Irrigation

SKILL 2.29   Administering Nasal Medications

SKILL 2.30   Administering Metered-Dose Inhaler Medications

SKILL 2.31   Administering Dry Powder Inhaled (DPI) Medications

SKILL 2.32   Administering Medications by Nonpressurized (Nebulized) Aerosol (NPA)

SKILL 2.33   Administering Topical Medications

SKILL 2.34   Applying a Transdermal Medication Patch

SKILL 2.35   Administering Vaginal Medications

SKILL 2.36   Administering Rectal Medications

 

(Parenteral Routes)

SKILL 2.37   Administering Intradermal Injections

SKILL 2.38    Administering Subcutaneous Injections

SKILL 2.39   Administering Subcutaneous Anticoagulants (Heparin, LMWH, Arixtra)

SKILL 2.40    Administering Intramuscular (IM) Injections

VARIATION Ventrogluteal Injection Site

VARIATION Vastus Lateralis Injection Site

VARIATION Deltoid IM Injection Site

SKILL 2.41    Using Z-Track Method

SKILL 2.42    Adding Medications to Intravenous Fluid Containers

SKILL 2.43    Administering Intermittent Intravenous Medication Using a Secondary Set

VARIATION Using a Saline Lock

VARIATION Adding a Medication to a Volume-Control Infusion

SKILL 2.44    Administering Intravenous Medications Using IV Push

VARIATION Positioning a Child for Injections or Intravenous Access

 

NEW! Chapter 3   Cellular Regulation

 

SKILL 3.1     Assisting with Bone Marrow Aspiration

SKILL 3.2     Administering Blood Transfusions

SKILL 3.3     Administering Blood Components

 

Chapter 4   Comfort

 

Acute/Chronic Pain Management

SKILL 4.1     Assessing the Client in Pain

VARIATION Daily Pain Diary

VARIATION Child Pain Assessment

SKILL 4.2     Teaching Controlled Breathing

SKILL 4.3     Teaching Progressive Muscle Relaxations

SKILL 4.4     Providing a Back Massage

SKILL 4.5     Assisting with Guided Imagery

New! SKILL 4.6     Teaching Bedtime Strategies to Promote and Regulate Sleep

SKILL 4.7     Managing a TENS Unit

SKILL 4.8     Managing Pain with a PCA Pump

 

(Heat and Cold Application)

SKILL 4.9    Applying Dry Heat Measures

VARIATION Hot Water Bottle

VARIATION Electric Heating Pad

VARIATION Aquathermia Pad

VARIATION Disposable Hot Pack

SKILL 4.10  Applying Compresses and Moist Packs

SKILL 4.11  Assisting with a Sitz Bath

SKILL 4.12  Providing Tepid Sponges

SKILL 4.13  Using a Neonatal Incubator/Infant Radiant Warmer

SKILL 4.14  Applying Dry Cold Measures: Ice Bag, Ice Collar, Ice Glove, Disposable Cold Pack

VARIATION Ice Bag, Collar, or Glove

VARIATION Disposable Cold Pack

SKILL 4.15   Using a Cooling Blanket

 

(End-of-Life Care)

SKILL 4.16   Meeting the Physiologic Needs of the Client Who Is Dying

SKILL 4.17  Performing Postmortem Care

 

NEW! Chapter 5  Digestion

 

New! SKILL 5.1    Stress Reduction Strategies for Mealtimes

VARIATION Serving a Food Tray

New! VARIATION Teaching Relaxation Strategies for Mealtime

New! SKILL 5.2    Eating Modifications with Chronic Digestive Disorders

New! SKILL 5.3    Managing a Therapeutic Diet

New! SKILL 5.4    Using Enteric Contact Precautions

VARIATION Removing PPE Utilizing Standard Precautions

 

Chapter 6  Elimination

 

(Assessment — Collecting Specimens)

SKILL 6.1   Collecting a Routine Urine Specimen

SKILL 6.2   Collecting a Timed Urine Specimen

SKILL 6.3   Collecting a Urine Specimen for Culture and Sensitivity by the Clean-Catch Method

VARIATION   Obtaining a Urine Specimen from a Closed Drainage System

SKILL 6.4   Obtaining a Urine Specimen from an Ileal Conduit

SKILL 6.5   Performing Urine Tests

New! SKILL 6.6   Using a Bladder Scanner

SKILL 6.7   Obtaining & Testing Stool Specimen

SKILL 6.8   Collecting Stool for Bacterial Culture

SKILL 6.9   Teaching Parents to Test for Pinworms

SKILL 6.10 Collecting Stool for Ova and Parasites

 

(Bladder Interventions)

SKILL 6.11 Assisting with a Bedpan

SKILL 6.12 Assisting with a Urinal

SKILL 6.13 Assisting Client to the Commode

SKILL 6.14 Applying an External Urinary Device

SKILL 6.15 Performing Urinary Catheterization

SKILL 6.16 Performing Catheter Care and Removal

SKILL 6.17 Performing Bladder Irrigation

VARIATION   Open Irrigation Using a Two-Day Indwelling Catheter

SKILL 6.18 Maintaining Continuous Bladder Irrigation

SKILL 6.19 Providing Subrapubic Catheter Care

SKILL 6.20 Performing Urinary Ostomy Care

SKILL 6.21 Applying a Urinary Diversion Pouch

 

(Bowel Interventions)

SKILL 6.22   Developing a Regular Bowel Routine

SKILL 6.23   Inserting a Rectal Tube

SKILL 6.24   Removing Fecal Impaction

SKILL 6.25   Administering an Enema

VARIATION  Administering an Enema to an Incontinent Client

VARIATION  Administering a Return-Flow Enema

SKILL 6.26   Administering a Retention Enema -

SKILL 6.27   Applying a Fecal Ostomy Pouch

SKILL 6.28   Changing a Bowel Diversion Ostomy Appliance

VARIATION   Emptying a Drainage Pouch

(Dialysis)

SKILL 6.29   Assisting with Peritoneal Dialysis Catheter Insertion

SKILL 6.30   Conducting Peritoneal Dialysis Procedures

SKILL 6.31   Providing Hemodialysis

SKILL 6.32   Providing Ongoing Care of the Hemodialysis Client

SKILL 6.33   Terminating Hemodialysis

SKILL 6.34   Maintaining Central Venous Dual-Lumen Dialysis Catheter (DLC)

 

(Home Care)

SKILL 6.35   Using Clean Technique for Intermittent Self-Catheterization

SKILL 6.36   Providing Instructions to the Client about Suprapubic Catheter Care

SKILL 6.37   Administering Continuous Ambulatory Peritoneal Dialysis (CAPD)

SKILL 6.38   Changing Dressing for a CAPD Client

SKILL 6.39   Instructing Client in Colostomy Irrigation

 

Chapter 7  Fluids and Electrolytes

 

SKILL 7.1   Monitoring Intake and Output

 

(Intravenous Therapy)

SKILL 7.2   Establishing Intravenous Infusions

VARIATION   Starting an Infusion on a Central Line

SKILL 7.3   Performing Venipuncture with All Variations

SKILL 7.4   Regulating Infusion Flow Rate

VARIATION:   Manually Setting Flow Rate

SKILL 7.5   Using an Infusion Pump or Controller

SKILL 7.6   Using a “Smart” Pump

SKILL 7.7   Using a Syringe Pump (mini-infuser pump)

SKILL 7.8   Maintaining Infusions

SKILL 7.9   Maintaining Intermittent Infusion Devices

SKILL 7.10 Discontinuing Infusion Devices

SKILL 7.11 Infusing IV Fluids through a Central Line

SKILL 7.12 Assisting with Percutaneous Central Vascular Catheterization

SKILL 7.13 Managing Central Lines

SKILL 7.14 Changing a Central Line Dressing

SKILL 7.15 Working with Implanted Vascular Access Devices

VARIATION  Obtaining a Blood Specimen

SKILL 7.16 Changing a PICC Line Dressing

 

Chapter 8  Infection

 

SKILL 8.1  Hand Hygiene (Medical Asepsis)

VARIATION   Using Waterless Antiseptic Agents (Foams or Gels)

 

(Personal Protective Equipment (PPE) and Isolation Precautions)

SKILL 8.2   Latex Precautions

SKILL 8.3   Donning & Removing Clean Gloves

SKILL 8.4   Donning and Removing Isolation Attire

SKILL 8.5   Using a Mask

SKILL 8.6  Assessing Vital Signs of an Infectious Client

SKILL 8.7  Removing Items from Isolation Room

SKILL 8.8  Removing Specimen from Isolation Room

SKILL 8.9 Transporting Isolation Client Outside Room

SKILL 8.10 Removing Soiled Large Equipment from Isolation Room

 

(Personal Protective Equipment at Home)

SKILL 8.12   Preparing for Client Care

SKILL 8.13   Disposing of Waste Material in the Home Setting

SKILL 8.14   Caring for an AIDS or HIV Client in the Home Setting

SKILL 8.15   Teaching Preventive Measures in the Home Setting

SKILL 8.16   Teaching Safer Practices to IV Drug Users

 

NEW! Chapter 9  Intracranial Regulation

 

SKILL 9.1    Glasgow Coma Scale

SKILL 9.2    Assisting with Lumbar Puncture

VARIATION: Positioning a Child for Lumbar Puncture

SKILL 9.3     Intracranial Pressure Monitoring and Daily Care

SKILL 9.4     Implementing Seizure Precautions

 

Chapter 10  Metabolism

 

New! SKILL 10.1   Assessing for Endocrine Disorders

New! SKILL 10.2   Teaching Clients Lifestyle and Behavioral Modification Strategies for Endocrine Disorders

SKILL 10.3   Assisting with Paracentesis

 

(Diabetes)

New! SKILL 10.4   Nursing Management of the Client with Diabetes

SKILL 10.5   Obtaining a Capillary Blood Specimen and Measuring Blood Glucose

SKILL 10.6   Preparing Insulin Injections

VARIATION: Using an Insulin Pen

SKILL 10.7 Using an Insulin Pump

 

Chapter 11  Mobility

 

SKILL 11.1   Applying Body Mechanics

SKILL 11.2   Performing Passive Range of Motion Exercises

 

(Positioning a Client)

SKILL 11.3   Supporting the Client’s Position in Bed

VARIATION   Supporting a Client in Fowler’s Position

VARIATION   Supporting a Client in the Dorsal Recumbent Position

VARIATION   Supporting a Client in the Prone Position

VARIATION   Supporting a Client in the Lateral Position

VARIATION   Supporting a Client in the Sims’ Position

 

(Moving and Transferring a Client)

SKILL 11.4    Moving a Client Up in Bed

VARIATION:  Two Nurses Using a Turn Sheet

 

SKILL 11.5    Turning a Client to the Lateral or Prone Position in Bed

VARIATION   Turning the Client to a Prone Position

SKILL 11.6     Logrolling a Client

SKILL 11.7    Assisting the Client to Sit on Side of Bed (Dangle)

 

SKILL 11.8  Transferring Between Bed and Chair

VARIATION: Angling the Wheelchair

VARIATION: Transferring with a Belt and Two Nurses

VARIATION: Transferring a Client with an Injured Lower Extremity

VARIATION: Using a Sliding Board

SKILL 11.9    Transferring Between Bed and Stretcher

VARIATION   Using a Transfer Board

 

SKILL 11.10    Using a Hydraulic Lift

SKILL 11.11   Assisting the Client to Ambulate

VARIATION   Two Nurses

SKILL 11.12  Transferring the Infant or Toddler

VARIATION: Transport of the Toddler

 

 (Client Using Assistive Devices)

Assessing for Fall Prevention

SKILL 11.13   Assisting the Client to Use a Cane

SKILL 11.14   Assisting the Client to Use Crutches

VARIATION Four-Point Alternate Gait

VARIATION Three-Point Gait

VARIATION Two-Point Alternate Gait

VARIATION Swing-to Gait

VARIATION Swing-through Gait

VARIATION Getting into a Chair

VARIATION Getting out of a Chair

VARIATION Going up Stairs

VARIATION Going down Stairs

SKILL 11.15   Assisting the Client to Use a Walker

 

(Traction and Cast Care)

SKILL 11.16 Caring for Clients in Traction

VARIATION Caring for the Client in Skin Traction

VARIATION: Applying and Monitoring Skin Traction for a Child

VARIATION Skeletal Traction

SKILL 11.17 Performing Initial Cast Care

SKILL 11.18 Performing Ongoing Cast Care

VARIATION: Plaster Cast

VARIATION: Synthetic Cast

VARIATION: Caring for a Child with a Cast

 

New! Chapter 12  Nutrition

New! SKILL 12.1   Taking a Nutritional Assessment

SKILL 12.2   Assisting an Adult to Eat

SKILL 12.3   Assisting the Dysphagic Client to Eat

 

(Enteral Nutrition Using a Feeding Tube)

SKILL 12.4   Inserting a Nasogastric Tube

SKILL 12.5   Flushing/Maintaining a Nasogastric NG (Tube)

SKILL 12.6   Performing Gastric Lavage

SKILL 12.7   Removing a Nasogastric Tube

SKILL 12.8   Administering a Tube Feeding

VARIATION   Feeding Bag (Open System)

VARIATION Syringe (Open System)

VARIATION Prefilled Bottle with Drip Chamber (Closed System)

VARIATION   Continuous-Drip Feeding

SKILL 12.9   Administering a Gastrostomy or Jejunostomy Feeding

SKILL 12.10 Providing Continuous Feeding via Small-Bore Nasointestinal/Jejunostomy Tube

 

(Parenteral Nutrients Using Intravenous Infusion)

SKILL 12.11   Providing Total Parental Nutrition

SKILL 12.12   Infusing IV Lipids

 

Chapter 13  Oxygenation

 

(Assessment)

SKILL 13.1   Collecting a Sputum Specimen

SKILL 13.2   Obtaining Nose and Throat Specimens

VARIATION:   Obtaining a Throat Specimen

VARIATION: Obtaining a Nasal Specimen

VARIATION   Obtaining a Nasopharyngeal Culture

SKILL 13.3   Measuring Peak Expiratory Flow Rate

 

(Interventions)

SKILL 13.4   Using an Incentive Spirometer

VARIATION:   Flow-Oriented Incentive Spirometer

VARIATION: Volume-Oriented Incentive Spirometer
VARIATION:   All Devices

SKILL 13.5 Pursed-Lip Breathing

SKILL 13.6 Preparing the Client for Chest Physiotherapy (CPT)

SKILL 13.7   Assisting with Thoracentesis

 

(Supplemental Oxygen Therapy)

SKILL 13.8   Using a Portable Oxygen Cylinder

SKILL 13.9   Administering Oxygen by Nasal Cannula, Face Masks, or Face Tent

VARIATION:  Using a Nasal Cannula

VARIATION:  Using a Low-Flow Oxygen Nasal Cannula

VARIATION:  Using a High-Flow Oxygen Nasal Cannula

VARIATION:  Using a Face Masks

VARIATION:  Using a Simple Face Mask

VARIATION:  Using a Partial Rebreather Mask

VARIATION:  Using a Nonrebreather Mask

VARIATION:  Using a Venturi Face Mask

VARIATION:  Using a Face Tent

VARIATION: Providing Oxygen Via a Tracheostomy with a T-Tube or Tracheostomy Collar

VARIATION:  Continuous Positive Airway Pressure (CPAP) or Biphasic Positive Airway Pressure (BiPAP)

SKILL 13.10   Caring for the Client on a Mechanical Ventilator

 

(Maintaining a Patent Airway)

SKILL 13.11   Inserting an Oropharyngeal Airway

SKILL 13.12   Inserting a Nasopharyngeal Airway (Nasal Trumpet)

SKILL 13.13   Assisting with Endotracheal Intubation

SKILL 13.14   Inflating a Tracheal Tube Cuff

SKILL 13.15   Providing Care for the Client with an Endotracheal Tube

SKILL 13.16   Extubating  the Client with an Endotracheal Tube

SKILL 13.17   Oropharyngeal, Nasopharyngeal and Nasotracheal Suctioning

VARIATION Performing Nasal Pharyngeal Suctioning on an Infant

VARIATION Suctioning an Infant with a Bulb Syringe

SKILL 13.18   Suctioning a the Client with a Tracheostomy or Endrotracheal Tube

VARIATION   Closed Suction System (In-line Catheter)

SKILL 13.19   Providing Tracheostomy Care

VARIATION   Using a Disposable Inner Cannula

(Maintaining Lung Expansion)

SKILL 13.20 Assisting with Chest Tube Insertion

SKILL 13.21     Maintaining Chest Tube Drainage

SKILL 13.22  Assisting with Chest Tube  Removal

 

(Life-Threatening Respiratory Actions)

SKILL 13.23  Clearing an Obstructed Airway

VARIATION   Chest Thrusts

SKILL 13.24   Performing Rescue Breathing

SKILL 13.25   Administering External Cardiac Compressions

VARIATION   CPR Performed by Two Rescuers

 

Chapter 14  Perfusion

 

SKILL 14.1   Using Digital Pressure

SKILL 14.2   Using Pressure Dressing

 

(Anti-Embolic Devices)

SKILL 14.3   Applying Antiemboli Stockings (Graduated Compression Stocking and Elastic Stockings)

SKILL 14.4   Applying Pneumatic Compression Devices

SKILL 14.5   Applying Sequential Compression Devices (SCDs)

 

(Electrical Conduction in the Heart)

SKILL 14.6   Monitoring Clients on Telemetry (Applying ECG Leads)

SKILL 14.7   Interpreting an ECG Strip

SKILL 14.8   Recording a 12-Lead ECG

SKILL 14.9   Monitoring Temporary Cardiac Pacing (Transvenous, Epicardial)

SKILL 14.10   Assisting with Pacemaker Insertion

SKILL 14.11   Maintaining Temporary Pacemaker Function

SKILL 14.12   Providing Permanent Pacemaker Client Teaching

SKILL 14.13   Administering Automated External Defibrillation Adult

 

(Arterial Line Care)

SKILL 14.14   Performing the Allen Test

SKILL 14.15   Assisting with Arterial Line Insertion

SKILL 14.16   Monitoring Arterial Blood Pressure

SKILL 14.17   Withdrawing Arterial Blood Samples

SKILL 14.18   Removing Arterial Catheter

 

New! Chapter 15  Perioperative Care

 

New! SKILL 15.1   Conducting Preoperative Teaching 

SKILL 15.2. Performing Surgical Hand Antisepsis/Scrubs

VARIATION   Surgical Hand Antisepsis/Hand Scrub Using Alcohol-Based Surgical Hand Rub

 

(Using Sterile Technique)

SKILL 15.3.     Donning Sterile Gown aand Gloves (Closed Method)

SKILL 15.4.      Preparing the Surgical Site

SKILL 15.5   Preparing the Client for Surgery

SKILL 15.6   Pouring from a Sterile Container

SKILL 15.7   Preparing a Sterile Field Using Prepackaged Supplies

SKILL 15.8   Preparing for Dressing Change Using Individual Supplies

SKILL 15.9   Changing a Dry Sterile Dressing

SKILL 15.10    Removing Sutures

SKILL 15.11    Removing Staples

 

Chapter 16  Reproduction

 

(Antepartum Care)

SKILL 16.1   Maternal and Newborn Assessments

SKILL 16.2   Assisting with a Pelvic Examination

SKILL 16.3   Assessing Deep Tendon Reflexes and Clonus

SKILL 16.4   Assessment of Fetal Well-Being: Nonstress Test (NST)

SKILL 16.5   Assessment of Fetal Well-Being: Contraction Stress Test (CST)

SKILL 16.6   Assessment of Fetal Well-Being: Biophysical Profile (BPP)

SKILL 16.7   Performing an Intrapartal Vaginal Examination

SKILL 16.8   Administration of Rh Immune Globulin (RhoGAM, HypRho-D)

SKILL 16.9   Assisting During Amniocentesis

 

(Intrapartum Care)

SKILL 16.10   Assisting with Amniotomy (AROM: Artificial Rupture of Membranes)

SKILL 16.11  Auscultating Fetal Heart Rate

SKILL 16.12   External Electronic Fetal Monitoring

SKILL 16.13   Internal Electronic Fetal Monitoring: Application of Fetal Scalp Electrode

SKILL 16.14   Assisting with and Monitoring of Woman Undergoing Induction of Labor

SKILL 16.15   Assisting with and Caring for the Woman with an Epidural

SKILL 16.16   Care of the Woman with Prolapsed Cord

(Postpartum Care)

SKILL 16.17   Postpartum Perineal Assessment

SKILL 16.18   Assessing the Uterine Fundus Following Vaginal or Cesarean Birth

SKILL 16.19   Evaluating the Lochia

SKILL 16.20   Assisting with Breastfeeding after Childbirth

 

(Newborn Care)

SKILL 16.21   Assessing Newborn APGAR Scores

SKILL 16.22   Thermoregulation of the Newborn

SKILL 16.23   Umbilical Cord Clamp: Application, Care, and Removal

SKILL 16.24   Assisting with Circumcision and Providing Circumcision Care

SKILL 16.25   Initial Newborn Bath

SKILL 16.26  The Infant Receiving Phototherapy

 

New! Chapter 17  Safety

 

(SafetyAssessment)

SKILL 17.1   Maintaining Nurses’ Safety

SKILL 17.2   Evaluating Client’s Safety

SKILL 17.3   Assessing for Elder Abuse

 

(Assessing Injury Prevention  )

SKILL 17.4   Assessing Caregiver’s Safety

 

(Environmental Safety)

SKILL 17.5   Providing Safety for Clients During a Fire

SKILL 17.6   Preventing Thermal/Electrical Injuries

 

(Assessing Environmental Safety)

SKILL 17.7   Evaluating the Home Environment

SKILL 17.8 Administering Poison Control Agents

 

(Immobilizers and Restraints)

SKILL 17.9   Applying a Papoose Board Immobilizer

SKILL 17.10   Applying a Mummy Immobilizer

SKILL 17.11 Applying Wrist or Ankle Restraint

SKILL 17.12 Applying Torso/Belt Restraints

SKILL 17.13 Managing Clients in Restraints

SKILL 17.14 Using a Bed or Chair Exit Safety Monitoring Device

 

Chapter 18  Tissue Integrity

 

(Assessment)

SKILL 18.1   Obtaining a Wound Drainage Specimen

VARIATION Obtaining a Specimen for Anaerobic Culture Using a Sterile Syringe and Needle

 

(Dressings and Binders)

SKILL 18.2   Performing a Dry Dressing Change

SKILL 18.3  Cleaning a Sutured Wound and Changing a Dressing on a Wound with a Drain

SKILL 18.4  Applying Wet-to-Moist Dressings

SKILL 18.5  Applying an Abdominal Binder

SKILL 18.6  Applying Bandages and Binders (Elastic Bandages)

SKILL 18.7  Changing a Dressing — Venous Ulcer

SKILL 18.8  Maintaining Closed Wound Drainage (Jackson-Pratt drain)

 

(Wound Care)

SKILL 18.9   Preventing Pressure Ulcers

SKILL 18.10   Providing Care with Clients with Pressure Ulcers

SKILL 18.11   Applying Transparent Film Dressing

SKILL 18.12   Irrigating a Wound

SKILL 18.13   Using Alginates on Wounds

SKILL 18.14   Using Hydrocolloid Dressing

SKILL 18.15   Using Electrical Stimulation

SKILL 18.16   Using Noncontact Normothermic Wound Therapy

SKILL 18.17   Using Negative Pressure Wound Therapy (Wound VAC)

SKILL 18.18   Applying a Transparent Wound Barrier

SKILL 18.19   Positioning and Exercising the Stump

SKILL 18.20   Shrinking/Molding the Stump