Skill Checklists for Taylor's Clinical Nursing Skills; A Nursing Process Approach

by Lynn, Pamela; LeBon, Marilee

• ISBN13: 9780781795180
• ISBN10: 0781795184
• Edition: 3rd
• Format: Paperback
• Copyright: 2010-11-01
• Publisher: LWW

Summary

This workbook allows students to practice and record the mastery of skills found in Taylor's Clinical Nursing Skills, Third Edition by providing checklists designed to record every step of each procedure. This set of checklists is valuable as a self-assessment tool for students and a means for faculty to record student performance.

Table of Contents

List of Skills by Chapter
Vital Signs
Assessing Body Temperature	p. 1
Monitoring Temperature Using an Overhead Radiant Warmer	p. 5
Using a Cooling Blanket	p. 6
Assessing a Peripheral Pulse by Palpation	p. 8
Assessing the Apical Pulse by Auscultation	p. 9
Assessing Respiration	p. 10
Assessing Brachial Artery Blood Pressure	p. 11
Health Assessment
Performing a General Survey	p. 14
Using a Bed Scale	p. 16
Assessing the Skin, Hair, and Nails	p. 18
Assessing the Head and Neck	p. 20
Assessing the Thorax and Lungs	p. 23
Assessing the Cardiovascular System	p. 25
Assessing the Abdomen	p. 27
Assessing the Neurologic, Musculoskeletal, and Peripheral Vascular Systems	p. 29
Safety
Fall Prevention	p. 32
Implementing Alternatives to the Use of Restraints	p. 34
Applying an Extremity Restraint	p. 36
Applying a Waist Restraint	p. 38
Applying an Elbow Restraint	p. 40
Applying a Mummy Restraint	p. 42
Asepsis and Infection Control
Performing Hand Hygiene Using Soap and Water (Handwashing)	p. 43
Performing Hand Hygiene Using an Alcohol-Based Hand Rub	p. 44
Preparing a Sterile Field Using a Packaged Sterile Drape	p. 45
Preparing a Sterile Field Using a Commercially Prepared Sterile Kit or Tray	p. 46
Adding Sterile Items to a Sterile Field	p. 48
Putting on Sterile Gloves and Removing Soiled Gloves	p. 50
Using Personal Protective Equipment	p. 52
Medications
Administering Oral Medications	p. 54
Administering Medications via a Gastric Tube	p. 57
Removing Medication from an Ampule	p. 60
Removing Medication from a Vial	p. 62
Mixing Medications From Two Vials in One Syringe	p. 64
Administering an Intradermal Injection	p. 66
Administering a Subcutaneous Injection	p. 69
Administering an Intramuscular Injection	p. 72
Administering Continuous Subcutaneous Infusion: Applying an Insulin Pump	p. 75
Administering Medications by Intravenous Bolus or Push Through an Intravenous Infusion	p. 78
Administering a Piggyback Intermittent Intravenous Infusion of Medication	p. 81
Administering an Intermittent Intravenous Infusion of Medication via a Mini-infusion Pump	p. 84
Administration Set	p. 87
Administering an Intermittent Intravenous Infusion of Medication via a Volume-Control
(Intermittent Peripheral Venous Access Device)	p. 90
Introducing Drugs Through a Medication or Drug-Infusion Lock Using the Saline Flush
Applying a Transdermal Patch	p. 93
Instilling Eye Drops	p. 95
Administering an Eye Irrigation	p. 98
Instilling Ear Drops	p. 100
Administering an Ear Irrigation	p. 102
Instilling Nose Drops	p. 104
Administering a Vaginal Cream	p. 106
Administering a Rectal Suppository	p. 109
Administering Medication via a Metered-Dose Inhaler (MDI)	p. 111
Administering Medication via a Small-Volume Nebulizer	p. 113
Administering Medication via a Dry Powder Inhaler	p. 115
Perioperative Nursing
Providing Preoperative Patient Care: Hospitalized Patient	p. 117
Deep Breathing Exercises, Coughing, and Splinting	p. 120
Leg Exercises	p. 122
Providing Preoperative Patient Care: Hospitalized Patient (Day of Surgery)	p. 123
Providing Postoperative Care When Patient Returns to Room	p. 125
Applying a Forced-Air Warming Device	p. 128
Hygiene
Giving a Bed Bath	p. 129
Assisting the Patient With Oral Care	p. 132
Providing Oral Care for the Dependent Patient	p. 134
Providing Denture Care	p. 135
Removing Contact Lenses	p. 136
Shampooing a Patient's Hair in Bed	p. 137
Assisting the Patient to Shave	p. 139
Making an Unoccupied Bed	p. 140
Making an Occupied Bed	p. 142
Skin Integrity and Wound Care
Cleaning a Wound and Applying a Dry, Sterile Dressing	p. 144
Applying a Saline-Moistened Dressing	p. 147
Applying a Hydrocolloid Dressing	p. 149
Performing Irrigation of a Wound	p. 151
Collecting a Wound Culture	p. 153
Applying Montgomery Straps	p. 155
Caring for a Penrose Drain	p. 157
Caring for a T-Tube Drain	p. 159
Caring for a Jackson-Pratt Drain	p. 162
Caring for a Hemovac Drain	p. 164
Applying Negative Pressure Wound Therapy	p. 166
Removing Sutures	p. 169
Removing Surgical Staples	p. 171
Applying an External Heating Pad	p. 173
Applying a Warm Compress	p. 175
Assisting With a Sitz Bath	p. 177
Applying Cold Therapy	p. 178
Activity
Assisting a Patient With Turning in Bed	p. 180
Moving a Patient Up in Bed With the Assistance of Another Nurse	p. 182
Transferring a Patient From the Bed to a Stretcher	p. 184
Transferring a Patient From the Bed to a Chair	p. 186
Transferring a Patient Using a Powered Full-Body Sling Lift	p. 188
Providing Range-of-Motion Exercises	p. 190
Assisting a Patient With Ambulation	p. 192
Assisting a Patient With Ambulation Using a Walker	p. 194
Assisting a Patient With Ambulation Using Crutches	p. 196
Assisting a Patient With Ambulation Using a Cane	p. 198
Applying and Removing Antiembolism Stockings	p. 199
Applying Pneumatic Compression Devices	p. 201
Applying a Continuous Passive Motion Device	p. 203
Applying a Sling	p. 205
Applying a Figure-Eight Bandage	p. 206
Assisting With Cast Application	p. 208
Caring for a Cast	p. 210
Applying Skin Traction and Caring for a Patient in Skin Traction	p. 212
Caring for a Patient in Skeletal Traction	p. 214
Caring for a Patient With an External Fixation Device	p. 216
Comfort
Promoting Patient Comfort	p. 218
Giving a Back Massage	p. 222
Applying and Caring for a Patient Using a TENS Unit	p. 224
Caring for a Patient Receiving Patient-Controlled Analgesia	p. 226
Caring for a Patient Receiving Epidural Analgesia	p. 228
Caring for a Patient Receiving Continuous Wound Perfusion Pain Management	p. 230
Nutrition
Assisting a Patient With Eating	p. 232
Inserting a Nasogastric (NG) Tube	p. 234
Administering a Tube Feeding	p. 237
Removing a Nasogastric Tube	p. 240
Caring for a Gastrostomy Tube	p. 241
Urinary Elimination
Assisting With the Use of a Bedpan	p. 243
Assisting With the Use of a Urinal	p. 245
Assisting With the Use of a Bedside Commode	p. 247
Assessing Bladder Volume Using an Ultrasound Bladder Scanner	p. 249
Applying an External Condom Catheter	p. 251
Catheterizing the Female Urinary Bladder	p. 253
Catheterizing the Male Urinary Bladder	p. 256
Removing an Indwelling Catheter	p. 259
Performing Intermittent Closed Catheter Irrigation	p. 260
Administering a Continuous Closed Bladder Irrigation	p. 262
Emptying and Changing a Stoma Appliance on an Ileal Conduit	p. 264
Caring for a Suprapubic Urinary Catheter	p. 266
Caring for a Peritoneal Dialysis Catheter	p. 268
Caring for a Hemodialysis Access (Arteriovenous Fistula or Graft)	p. 270
Bowel Elimination
Administering a Large-Volume Cleansing Enema	p. 271
Administering a Small-Volume Cleansing Enema	p. 273
Administering a Retention Enema	p. 275
Digital Removal of Stool	p. 277
Applying a Fecal Incontinence Pouch	p. 279
Changing and Emptying an Ostomy Appliance	p. 280
Irrigating a Colostomy	p. 282
Irrigating a Nasogastric Tube Connected to Suction	p. 284
Oxygenation
Using a Pulse Oximeter	p. 286
Teaching Patient to Use an Incentive Spirometer	p. 288
Administering Oxygen by Nasal Cannula	p. 290
Administering Oxygen by Mask	p. 291
Using an Oxygen Tent	p. 292
Suctioning the Nasopharyngeal and Oropharyngeal Airways	p. 293
Inserting an Oropharyngeal Airway	p. 296
Suctioning an Endotracheal Tube: Open System	p. 298
Suctioning an Endotracheal Tube: Closed System	p. 301
Securing an Endotracheal Tube	p. 304
Suctioning the Tracheostomy: Open System	p. 307
Providing Tracheostomy Care	p. 310
Providing Care of a Chest Drainage System	p. 313
Assisting With Removal of a Chest Tube	p. 315
Using a Handheld Resuscitation Bag and Mask	p. 316
Fluid, Electrolyte, and Acid-Base Balance
Initiating a Peripheral Venous Access IV Infusion	p. 318
Changing an IV Solution Container and Administration Set	p. 322
Monitoring an IV Site and Infusion	p. 325
Changing a Peripheral Venous Access Dressing	p. 327
Capping for Intermittent Use and Flushing a Peripheral Venous Access Device	p. 329
Administering a Blood Transfusion	p. 330
Changing the Dressing and Flushing Central Venous Access Devices	p. 333
Accessing an Implanted Port	p. 335
Deaccessing an Implanted Port	p. 337
Removing a Peripherally Inserted Central Catheter (PICC)	p. 339
Cardiovascular Care
Obtaining an Electrocardiogram (ECG)	p. 340
Applying a Cardiac Monitor	p. 343
Obtaining an Arterial Blood Sample From an Arterial Line-Stopcock System	p. 345
Removing Arterial and Femoral Lines	p. 347
Performing Cardiopulmonary Resuscitation (CPR)	p. 349
Performing Emergency Automated External Defibrillation	p. 351
Performing Emergency Manual External Defibrillation (Asynchronous)	p. 353
Using an External (Transcutaneous) Pacemaker	p. 355
Neurologic Care
Logrolling a Patient	p. 358
Applying a Two-Piece Cervical Collar	p. 360
Employing Seizure Precautions and Seizure Management	p. 362
Caring for a Patient in Halo Traction	p. 364
Fluid-Filled System)	p. 366
Caring for a Patient with an External Ventriculostomy (Intraventricular Catheter-Closed
Caring for a Patient With a Fiber Optic Intracranial Catheter	p. 368
Laboratory Specimen Collection
Testing Stool for Occult Blood	p. 369
Collecting a Stool Specimen for Culture	p. 371
Obtaining a Capillary Blood Sample for Glucose Testing	p. 372
Obtaining a Nasal Swab	p. 374
Obtaining a Nasopharyngeal Swab	p. 376
Collecting a Sputum Specimen for Culture	p. 378
Collecting a Urine Specimen (Clean Catch, Midstream) for Urinalysis and Culture	p. 380
Obtaining a Urine Specimen From an Indwelling Urinary Catheter	p. 382
Using Venipuncture to Collect a Venous Blood Sample for Routine Testing	p. 384
Obtaining a Venous Blood Specimen for Culture and Sensitivity	p. 387
Obtaining an Arterial Blood Specimen for Blood Gas Analysis	p. 390
List of Skills in Alphabetical Order
Abdomen, Assessing the	p. 27
Ambulation, Assisting a Patient With	p. 192
Ambulation Using a Cane, Assisting a Patient With	p. 198
Ambulation Using Crutches, Assisting a Patient With	p. 212
Ambulation Using a Walker, Assisting a Patient With	p. 194
Antiembolism Stockings, Applying and Removing	p. 199
Arterial and Femoral Lines, Removing	p. 347
Back Massage, Giving a	p. 222
Bed, Assisting a Patient With Turning in	p. 000
Bed, Making an Occupied	p. 142
Bed, Making an Unoccupied	p. 140
Bedpan, Assisting With the Use of a	p. 243
Bedside Commode, Assisting With the Use of a	p. 247
Bed Bath, Giving a	p. 129
Bed Scale, Using a	p. 16
Bladder Irrigation, Administering a Continuous Closed	p. 262
Bladder Volume Using an Ultrasound Bladder Scanner, Assessing	p. 249
Blood Pressure, Assessing Brachial Artery	p. 11
Blood Sample for Routine Testing, Using Venipuncture to Collect a Venous	p. 384
Blood Sample From an Arterial Line-Stopcock System, Obtaining an Arterial	p. 345
Blood Specimen for Blood Gas Analysis, Obtaining an Arterial	p. 390
Blood Specimen for Culture and Sensitivity, Obtaining a Venous	p. 387
Blood Transfusion, Administering a	p. 330
Breathing Exercises, Deep: Coughing, and Splinting	p. 120
Cardiac Monitor, Applying a	p. 343
Cardiopulmonary Resuscitation (CPR), Performing	p. 349
Cardiovascular System, Assessing the	p. 25
Cast, Caring for a	p. 210
Cast Application, Assisting With	p. 208
Catheter, Applying an External Condom	p. 251
Catheter, Caring for a Patient With a Fiber Optic Intracranial	p. 368
Catheter, Caring for a Peritoneal Dialysis	p. 247
Catheter, Caring for a Suprapubic Urinary	p. 266
Catheter, Obtaining a Urine Specimen From an Indwelling Urinary	p. 382
Catheter, Removing an Indwelling	p. 259
Catheter Irrigation, Performing Intermittent Closed	p. 260
Catheter (PICC), Removing a Peripherally Inserted Central	p. 339
Catheterizing the Female Urinary Bladder	p. 253
Catheterizing the Male Urinary Bladder	p. 256
Central Venous Access Devices, Changing the Dressing and Flushing	p. 333
Cervical Collar, Applying a Two-Piece	p. 360
Chest Drainage System, Providing Care of a	p. 290
Chest Tube, Assisting With Removal of a	p. 315
Cold Therapy, Applying	p. 178
Colostomy, Irrigating a	p. 282
Comfort, Promoting Patient	p. 218
Compress, Applying a Warm	p. 175
Contact Lenses, Removing	p. 136
Cooling Blanket, Using a	p. 6
Defibrillation, Performing Emergency Automated External	p. 351
Defibrillation (Asynchronous), Performing Emergency Manual External	p. 353
Denture Care, Providing	p. 135
Drain, Caring for a Hemovac	p. 164
Drain, Caring for a Jackson-Pratt	p. 162
Drain, Caring for a Penrose	p. 157
Drain, Caring for a T-Tube	p. 159
Dressing, Applying a Hydrocolloid	p. 149
Dressing, Applying a Saline-Moistened	p. 147
Introducing Drugs Through a Medication or	p. 90
Drug-Infusion Lock (Intermittent Peripheral Venous Access Device) Using the Saline Flush,
Dry Powder Inhaler, Administering Medication via a	p. 115
Ear Drops, Instilling	p. 100
Ear Irrigation, Administering an	p. 102
Eating, Assisting a Patient With	p. 232
Electrocardiogram (ECG), Obtaining an	p. 340
Endotracheal Tube: Open System, Suctioning an	p. 298
Endotracheal Tube: Closed System, Suctioning an	p. 301
Endotracheal Tube, Securing an	p. 304
Enema, Administering a Large-Volume Cleansing	p. 271
Enema, Administering a Retention	p. 275
Enema, Administering a Small-Volume Cleansing	p. 273
Epidural Analgesia, Caring for a Patient Receiving	p. 228
Exercises, Leg	p. 122
Exercises, Providing Range-of-Motion	p. 190
External Fixation Device, Caring for a Patient With an	p. 216
Eye Drops, Instilling	p. 95
Eye Irrigation, Administering an	p. 98
Fall Prevention	p. 32
Fecal Incontinence Pouch, Applying a	p. 279
Figure-Eight Bandage, Applying a	p. 206
Forced-Air Warming Device, Applying a	p. 128
Gastric Tube, Administering Medications via a	p. 57
Gastrostomy Tube, Caring for a	p. 241
General Survey, Performing a	p. 14
Gloves, Putting on Sterile Gloves and Removing Soiled	p. 50
Glucose Testing, Obtaining a Capillary Blood Sample for	p. 372
Hand Hygiene, Performing: Using an Alcohol-Based Hand Rub	p. 44
Hand Hygiene, Performing: Using Soap and Water (Handwashing)	p. 43
Head and Neck, Assessing the	p. 20
Heating Pad, Applying an External	p. 173
Hemodialysis Access (Arteriovenous Fistula or Graft), Caring for a	p. 270
Incentive Spirometer, Teaching Patient to Use an	p. 288
Injection, Administering a Subcutaneous	p. 69
Injection, Administering an Intradermal	p. 66
Injection, Administering an Intramuscular	p. 72
Intravenous Infusion, Administering Medications by Intravenous Bolus or Push Through an	p. 75
Intravenous Infusion of Medication, Administering a Piggyback Intermittent	p. 81
Intravenous Infusion of Medication via a Mini-Infusion Pump, Administering an Intermittent	p. 84
an Intermittent	p. 87
Intravenous Infusion of Medication via a Volume-Control Administration Set, Administering
Insulin Pump, Applying an: Administering Continuous Subcutaneous Infusion	p. 75
IV Infusion, Initiating a Peripheral Venous Access	p. 318
IV Site and Infusion, Monitoring an	p. 325
IV Solution Container and Administration Set, Changing an	p. 322
Logrolling a Patient	p. 358
Medication, Removing From an Ampule	p. 60
Medication, Removing From a Vial	p. 62
Medications, Administering Oral	p. 54
Medications, Mixing From Two Vials in One Syringe	p. 64
Metered-Dose Inhaler (MDI), Administering Medication via a	p. 111
Montgomery Straps, Applying	p. 155
Moving a Patient Up in Bed With the Assistance of Another Nurse	p. 182
Nasal Swab, Obtaining a	p. 374
Nasogastric (NG) Tube, Inserting a	p. 234
Nasogastric Tube Connected to Suction, Irrigating a	p. 284
Nasogastric Tube, Removing a	p. 240
Nasopharyngeal and Oropharyngeal Airways, Suctioning the	p. 293
Nasopharyngeal Swab, Obtaining a	p. 376
Nebulizer, Administering Medication via a Small-Volume	p. 113
Neurologic, Musculoskeletal, and Peripheral Vascular Systems, Assessing the	p. 29
Nose Drops, Instilling	p. 104
Occult Blood, Testing Stool for	p. 369
Oral Care, Assisting the Patient With	p. 132
Oral Care for the Dependent Patient, Providing	p. 134
Oropharyngeal Airway, Inserting an	p. 296
Ostomy Appliance, Changing and Emptying an	p. 280
Oxygen by Mask, Administering	p. 291
Oxygen by Nasal Cannula, Administering	p. 290
Oxygen Tent, Using an	p. 292
Pacemaker, Using an External (Transcutaneous)	p. 355
Passive Motion Device, Applying a Continuous	p. 203
Patient-Controlled Analgesia, Caring for a Patient Receiving	p. 226
Peripheral Venous Access Device, Capping for Intermittent Use and Flushing a	p. 329
Peripheral Venous Access Dressing, Changing a	p. 327
Personal Protective Equipment, Using	p. 52
Pneumatic Compression Devices, Applying	p. 201
Port, Accessing an Implanted	p. 335
Port, Deaccessing an Implanted	p. 337
Postoperative Care When Patient Returns to Room, Providing	p. 125
Preoperative Patient Care: Hospitalized Patient (Day of Surgery), Providing	p. 123
Preoperative Patient Care: Hospitalized Patient, Providing	p. 117
Pulse by Auscultation, Assessing the Apical	p. 9
Pulse by Palpation, Assessing a Peripheral	p. 8
Pulse Oximeter, Using a	p. 286
Rectal Suppository, Administering a	p. 109
Respiration, Assessing	p. 10
Restraint, Applying an Elbow	p. 40
Restraint, Applying an Extremity	p. 36
Restraint, Applying a Mummy	p. 42
Restraint, Applying a Wrist	p. 42
Restraints, Implementing Alternatives to the Use of	p. 34
Resuscitation Bag and Mask, Using a Handheld	p. 316
Seizure Precautions and Seizure Management, Employing	p. 362
Shampooing a Patient's Hair in Bed	p. 137
Shave, Assisting the Patient to	p. 139
Sitz Bath, Assisting With a	p. 177
Skin, Hair, and Nails; Assessing the	p. 18
Sling, Applying a	p. 205
Sputum Specimen for Culture, Collecting a	p. 378
Sterile Field, Adding Sterile Items to a	p. 48
Sterile Field Using a Commercially Prepared Sterile Kit or Tray, Preparing a	p. 46
Sterile Field Using a Packaged Sterile Drape, Preparing a	p. 45
Stoma Appliance on an Ileal Conduit, Emptying and Changing a	p. 243
Stool, Digital Removal of	p. 277
Stool Specimen for Culture, Collecting a	p. 371
Surgical Staples, Removing	p. 171
Sutures, Removing	p. 169
Temperature, Assessing Body	p. 1
Temperature, Monitoring Using an Overhead Radiant Warmer,	p. 5
TENS Unit, Applying and Caring for a Patient Using a	p. 224
Thorax and Lungs, Assessing the	p. 23
Tracheostomy Care, Providing	p. 310
Tracheostomy: Open System, Suctioning the	p. 307
Traction, Applying Skin Traction and Caring for a Patient in Skin	p. 212
Traction, Caring for a Patient in Halo	p. 364
Traction, Caring for a Patient in Skeletal	p. 214
Transdermal Patch, Applying a	p. 93
Transferring a Patient From the Bed to a Chair	p. 186
Transferring a Patient From the Bed to a Stretcher	p. 184
Transferring a Patient Using a Powered Full-Body Sling Lift	p. 188
Tube Feeding, Administering a	p. 237
Urinal, Assisting With the Use of a	p. 245
Urine Specimen (Clean Catch, Midstream) for Urinalysis and Culture, Collecting a	p. 382
Vaginal Cream, Administering a	p. 105
With an External	p. 366
Ventriculostomy (Intraventricular Catheter-Closed Fluid-Filled System), Caring for a Patient
Wound, Cleaning a, and Applying a Dry Sterile Dressing	p. 144
Wound, Performing Irrigation of a	p. 151
Wound Perfusion Pain Management, Caring for a Patient Receiving Continuous	p. 230
Wound Culture, Collecting a	p. 153
Wound Therapy, Applying Negative Pressure	p. 166
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