Nursing Interventions & Clinical Skills

by Perry, Anne Griffin; Potter, Patricia A., RN, Ph.D.; Elkin, Martha Keene

• ISBN13: 9780323069687
• ISBN10: 0323069681
• Edition: 5th
• Format: Paperback
• Copyright: 2011-03-23
• Publisher: Elsevier Science Health Science

Summary

With its new condensed format, completely reorganized and updated content, respected author team, and new lower price, Perry and Potter's Nursing Interventions and Clinical Skills, 5th Edition is your all-around best choice for learning the skills and techniques you'll use every day in practice. Covering 181 skills, this highly accessible manual conveniently groups all related skills together, so you can find information quickly. The companion Evolve website features 50 video clips, skills checklists, and much more, ensuring your successful mastery of each skill. Contains 181 skills and techniques (basic, intermediate, and advanced) you'll use every day in practice. Presents every skill in a logical, consistent format: Assessment, Planning, Implementation, Evaluation -- improving the quality of patient care. Pairs each step with an appropriate rationale, helping you understand and remember why specific techniques are used. Features Safety Alerts that highlight unusual risks inherent in the next step of the skill, helping you plan ahead at each step of nursing care. Uses a Glove icon as a reminder to don clean gloves before proceeding to the next step of the skill, improving patient safety. Guides you in Delegation and Collaboration, explaining when to delegate a skill to assistive personnel, and indicating what key information must be shared. Highlights Special Considerations such as information unique to pediatric or geriatric patients, to raise awareness of additional risks you may face when caring for a diverse patient population. Provides sample documentation of nurses notes so that you can learn to communicate effectively to the patient care team. Contains multimedia resources such as video clips, skills performance checklists, interactive exercises, and more, all easily available to you on the companion Evolve website at no additional cost.Content has been reorganized to make topics easier to find, improving ease of use. Covers new topics that will help you develop the skills needed to practice according to the TJC and ACCN recommendations. Covers new skills that will prepare you for nursing practice in a wide variety of environments. Features a unique new chapter, Using Evidence in Practice, that introduces you to using evidence to solve clinical problems. Introduces you to Consistent Patient Identification Protocol as recommended by The Joint Commission, improving quality of care and patient safety. Includes enhanced and greatly expanded end-of-chapter exercises, now featuring case study questions, NCLEX alternate format questions, and multiple-choice questions.

Table of Contents

Quality and Safety in Nursing Practice

Using Evidence in Nursing Practice NEW!

Communication & Collaboration

Establishing the Nurse-Client Relationship

Interviewing

Communications with Anxious, Angry, Depressed Patients, and Cognitively Impaired Patients

Interprofessional Conflict Resolution NEW!

Hand-Off Communications NEW!

S-BAR Communication NEW!

Documentation and Informatics

Documenting Nurses' Progress Notes

Using an Electronic Medical Record NEW!

Writing an Occurrence Report

Patient Safety & Quality Improvement

Medical Error Reduction NEW!

Fall Prevention

Designing a Restraint Free Environment

Applying Physical Restraints

Seizure Precautions

Fire, Electrical, and Radiation Safety

Conducting a Root Cause Analysis NEW!

Infection Control

Medical Asepsis Principles NEW!

Surgical Asepsis Principles NEW!

Hand Hygiene

Applying Personal Protective Equipment

Caring for Patients under Isolation Precautions

Special Tuberculosis Precautions

Preparing & Maintaining a Sterile Field

Applying Sterile Gloves

Patient Assessment Skills

Vital Signs

Measuring Body Temperature

Assessing Pulse: Apical

Assessing Pulse: Radial

Assessing Pulse: Apical Radial

Assessing Respirations

Assessing Blood Pressure

Assessing Blood Pressure Electronically

Health Assessment

General Survey

Monitoring Intake and Output

Assessing the Head and Neck

Assessing the Thorax and Lungs

Cardiovascular Assessment

Assessing the Abdomen

Assessing the Genitalia and Rectum NEW!

Musculoskeletal and Neurological Assessment

Specimen Collection

Urine Specimen Collection

Collecting a Timed Urine Specimen

Urine Testing

Testing for Gastrointestinal Alterations--Gastroccult Test, Stool Specimen, and Hemoccult Test

Collecting Specimens from the Nose and Throat

Collecting a Sputum Specimens

Obtaining Wound Drainage Specimens

Blood Glucose Monitoring

Performing Venipuncture

Diagnostic Procedures

Contrast Media Studies

Care of Patients Undergoing Aspirations--Bone Marrow, Lumbar Puncture, Paracentesis, and Thoracentesis

Care of Patients Undergoing Bronchoscopy

Care of Patients Undergoing Gastrointestinal Endoscopy

Obtaining an Electrocardiogram

Basic Human Needs

Bathing and Personal Hygiene

Complete Bathing

Perineal Care

Use of the Disposable Bag Bath

Oral Care for Debilitated Patient

Care of Dentures

Hair Care--Combing, Shampooing, Shaving

Nail & Foot Care

Bed Making --Unoccupied

Bed Making--Occupied

Care of the Eye and Ear

Eye Irrigation

Eye Care for the Comatose Patient NEW!

Caring for an Artificial Eye

Ear Irrigation

Caring for a Hearing Aid

Promoting Nutrition

Feeding Dependent Patients

Aspiration Precautions

Insertion and Removal of a Small-Bore Feeding Tube

Verifying Placement & Irrigating a Feeding Tube

Administering Tube Feedings for Nasogastric, Gastrostomy, and Jejunostomy Tubes

Site Care of Enteral Feeding Tubes NEW!

Pain Management

Nonpharmacological Pain Management

Relaxation and Guided Imagery

Pharmacologic Pain Management

Patient-Controlled Analgesia

Epidural Analgesia

Local Anesthetics Infusion Pump for Analgesia

Promoting Oxygenation

Oxygen Administration

Airway Management: Noninvasive Interventions

Use of a Peak Flow-Meter

Chest Physiotherapy

Airway Management: Suctioning

Airway Management: Endotracheal Tube and Tracheostomy Care

Managing Closed Chest Drainage Systems

Activity and Mobility

Safe Patient Handling

Using Safe and Effective Transfer Techniques

Moving & Positioning Patients in Bed

Assisting in the Use of a Wheelchair

Exercise & Mobility

Range of Motion

Continuous Passive Motion

Applying Elastic Stockings and Sequential Compression Device

Assisting with Ambulation

Teaching Use of Canes, Crutches, Walkers

Support Surfaces and Special Beds

Selection of Pressure-Reducing Surfaces NEW!

Placing a Patient on a Support Surface

Placing a Patient on an Air-Suspension Bed

Placing a Patient on an Air-Fluidized Bed

Placing a Patient on a Bariatric Bed

Placing a Patient on a Rotokinetic Bed

Traction, Cast Care, and Immobilization Devices

Care of the Client in Skin Traction

Care of the Client in Skeletal Traction and Pin Site Care

Care of the Client During Cast Application

Care of the Client During Cast Removal

Care of the Client with an Immobilization Device--Brace, Splint, or Sling

Promoting Elimination

Urinary Elimination

Assisting with Use of a Urinal

Applying a Condom Catheter

Bladder Scan (cross reference to Skill 19.2)

Insertion of a Straight or Indwelling Catheter (cross reference to PG 19.2)

Removal of Indwelling Catheter

Care of Indwelling Catheter

Suprapubic Catheterization

Performing Catheter Irrigation

Continuous Ambulatory Peritoneal Dialysis

Bowel Elimination

Removing Fecal Impaction

Administering an Enema

Insertion, Maintenance, and Removal of a Nasogastric Tube for Decompression

Ostomy Care

Pouching a Bowel Diversion

Pouching an Incontinent Urostomy

Catheterizing a Urinary Diversion NEW!

Medication Administration

Preparation for Safe Medication Administration

Nonparenteral Medications

Administering Oral Medications

Administering Medications Through a Feeding Tube

Applying Topical Medications to the Skin

Administering Nasal Medications NEW!

Administering Eye Medications

Administering Ear Medications

Using Metered-Dose Inhalers (MDI)

Using Dry Powder Inhaled Medications

Using Small-Volume Nebulizers

Administering Rectal Medications

Administering Vaginal Medications

Parenteral Medications

Preparing Injections--Vial, Ampule, Dry Powder and Cartridge

Mixing Medications from Vials

Subcutaneous Injections

Intramuscular Injections

Intradermal Injections

Adding Medications to IV Fluid Containers

Administering Intravenous Piggyback, Intermittent Infusion Sets, and Mini-IV Pump

Administering Medications Intravenous Bolus

Continuous Subcutaneous Infusion

Dressings and Wound Care

Wound Care and Irrigation

Performing a Wound Assessment NEW!

Performing Irrigation NEW!

Managing Drainage Evacuation

Removing Sutures and Staples

Negative Pressure Wound Therapy

Pressure Ulcers

Pressure Ulcer Risk Assessment and Prevention Strategies

Treatment of Pressure Ulcers and Wound Management

Dressings Bandages and Binders

Applying a Dressing (Dry and Moist-to-Dry)

Applying a Pressure Bandage

Applying a Transparent Dressing

Applying a Hydrocolloid, Hydrogel, Foam, or Absorption Dressing

Applying Gauze and Elastic Bandages

Applying an Abdominal and Breast Binder

Therapeutic Use of Heat and Cold

Moist Heat

Dry Heat

Cold Applications

Complex Nursing Interventions

Intravenous Therapy

Insertion of a Peripheral Intravenous Device

Regulating Infusion Flow Rate

Maintenance of Intravenous Site

Discontinuing Peripheral Intravenous Access

Care of Patients with Central Venous Access Devices

Administration of Parenteral Nutrition

Transfusions of Blood Products

Pre-Operative and Post-Operative Care

Preoperative Assessment

Preoperative Teaching

Physical Preparation for Surgery

Managing the Patient Receiving Moderate Sedation

Providing Immediate Anesthesia Recovery in the Postanesthesia Care Unit

Providing Early Postoperative and Convalescent Phase Recovery

Emergency Measures for Life Support in the Hospital Setting

Inserting an Oropharyngeal Airway

Using an AED

Code Management

Supportive Nursing Interventions

Palliative Care

Supporting Patients and Families in Grief

Care of the Dying Client

Care of the Body after Death

Home Care Safety

Home Health Safety and Assessment

Adapting the Home Setting for Clients with Cognitive Deficits

Medication and Medical Device Safety

Appendices

Answer key to end-of-chapter exercises

Abbreviations and Equivalents

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