Skills in Clinical Nursing

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  • Edition: 6th
  • Format: Paperback
  • Copyright: 2009-01-01
  • Publisher: Prentice Hall
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Completely revised and updated to reflect significant changes in practice Skillsin Clinical Nursing 6e, provides current information in a clear, concise format and continues to be a definitive source for clinical nursing skills. Progressing from the simple to the complex, each chapter places techniques in perspective to client anatomy, physiology, and pathophysiology. Applying the nursing process to each technique, it illustrates a detailed step-by-step implementation while providing a thorough overview of the rationale and purpose.A reference for practicing nurses in hospitals and health care settings. It is also useful for those involved in caring for clients in the home.

Table of Contents

Foundational Skills
Hand Hygiene
Using Standard Precautions
Applying and Removing Personal Protective Equipment (Gloves, Gown, Mask, Eyewear
Assisting with Invasive Procedures
Health Assessment
Vital Signs
Assessing Body Temperature
Assessing Peripheral Pulses
Assessing an Apical Pulse
Assessing an Apical-Radial Pulse
Assessing Respirations
Assessing Blood Pressure
Assessing Oxygen Saturation (Pulse Oximeter)
Health Assessment
Assessing Appearance and Mental Status
Assessing the Skin
Assessing the Hair
Assessing the Nails
Assessing the Skull and Face
Assessing the Eye Structures and Visual Acuity
Assessing the Ears and Hearing
Assessing the Nose and Sinuses
Assessing the Mouth and Oropharynx
Assessing the Neck
Assessing the Thorax and Lungs
Assessing the Heart and Central Vessels
Assessing the Peripheral Vascular System
Assessing the Breasts and Axillae
Assessing the Abdomen
Assessing the Musculoskeletal System
Assessing the Neurologic System
Assessing the Female Genitals and Inguinal AreaSkill 3-19 Assessing the Male Genitals and Inguinal Area
Assessing the AnusSkill 3-21 Assessing Intake and Output
Diagnostic Testing
Obtaining a Capillary Blood Specimen and Measuring Blood Glucose
Obtaining and Testing a Stool Specimen
Collecting a Routine Urine Specimen
Collecting a Timed Urine Specimen
Collecting a Urine Specimen for Culture and Sensitivity by the Clean Catch Method
Performing Urine Testing Skill 4-7 Collecting A Sputum Specimen
Obtaining Nose and Throat Specimens
Obtaining a Wound Drainage Specimen
Assisting with Client Hygiene and Comfort
Client Hygiene
Bathing the Adult or Pediatric Client
Providing Perineal-Genital Care
Brushing and Flossing the Teeth
Providing Special Oral Care for the Unconscious or Debilitated Client
Providing Hair Care
Providing Foot Care
Removing, Cleaning, and Inserting a Hearing Aid
Changing an Unoccupied Bed
Changing an Occupied Bed
Infection Control
Establishing and Maintaining a Sterile Field
Applying and Removing Sterile Gloves (Open Method)
Implementing Transmission-Based Precautions
Heat and Cold Therapy
Applying Dry Heat Measures: Hot Water Bottle, Electric Heating Pad, Aquathermia Pad, Disposable Hot Pack
Applying Dry Cold Measures: Ice Bag, Ice Collar, Ice Glove, Disposable Cold Pack
Applying Compresses and Moist Packs
Pain Management
Assessing the Client in Pain
Managing Pain with a PCA Pump
Managing a TENS Unit
Providing a Back Massage
Teaching Progressive Relaxation
Assisting with Guided Imagery
Mobility and Safety
Positioning the Client
Supporting the Client's Position in Bed
Moving a Client Up in Bed
Turning a Client to a Lateral or Prone Position in Bed
Logrolling a Client
Assisting the Client to Sit on the Side of the Bed (Dangling)
Transferring between Bed and Chair
Transferring between Bed and Stretcher
Using a Hydraulic Lift
Mobilizing the Client
Assisting the Client in Use of a Wheelchair
Assisting the Client to Ambulate
Assisting the Client to Use a Cane
Assisting the Client to Use Crutches
Assisting the Client to Use a Walker
Fall Prevention and Restraints
Using a Bed or Chair Exit Safety Monitoring Device
Applying Restraints
Implementing Seizure Precautions
Maintaining Joint Mobility
Performing Passive Range of Motion Exercises
Using a Continuous Passive Motion Device
Medication Administration
Drug Calculations
Administering Oral and Enteral Medications
Administering Oral Medications
Administering Medications by Enteral Tube
Administering Topical Medications
Applying Dermatologic Medications
Administering Ophthalmic Medications
Administering Otic Medications
Administering Nasal Medications
Administering Metered-Dose Inhaler Medications
Administering Vaginal Medications
Administering Rectal Medications
Administering Parenteral Medications
Preparing Medications from Ampules
Preparing Medications from Vials
Mixing Medications Using One Syringe
Administering an Intradermal Injection for Skin Tests
Administering a Subcutaneous Injection
Administering an Intramuscular Injection
Adding Medications to Intravenous Fluid Containers
Administering Intermittent Intravenous Medications Using a Secondary Set
Administering Intravenous Medications Using IV Push
Administering Intravenous Therapy
Performing Venipuncture
Starting an Intravenous Infusion
Using an Infusion Pump or Controller
Maintaining Infusions
Maintaining Intermittent Infusion Devices
Discontinuing Infusion Devices
Administering Blood Transfusions
Managing Central Lines
Performing Central Line Dressing Changes
Working with Implanted Vascular Access Devices
Nutrition and Elimination
Feeding Clients
Assisting an Adult to Eat
Inserting a Nasogastric Tube
Removing Nasogastric Tube
Administering a Tube Feeding
Administering a Gastrostomy or Jejunostomy Feeding
Providing Total Parenteral Nutrition
Assisting with Urinary Elimination
Assisting with a Urinal
Applying an External Urinary Device
Performing Urinary Catheterization
Performing Catheter Care and Removal
Performing Bladder Irrigation
Performing Urinary Ostomy Care
Assisting with Fecal Elimination
Assisting with a Bedpan
Administering an Enema
Removing a Fecal Impaction
Changing a Bowel Diversion Ostomy Appliance
Caring for Clients with Peritoneal Dialysis
Assisting with Peritoneal Dialysis Catheter Insertion
Conducting Peritoneal Dialysis Procedures
Circulatory and Ventilatory Support
Promoting Circulation
Applying Antiemboli Stockings
Applying a Sequential Compression Device
Breathing Exercises
Teaching Abdominal (Diaphragmatic) Breathing
Using an Incentive Spirometer
Oxygen Therapy
Administering Oxygen by Cannula, Face Mask, or Face tent
Measuring Peak Expiratory Flow
Oropharyngeal, Nasopharyngeal, and Nasotrachial Suctioning
Suctioning a Tracheostomy or Endotracheal Tube
Caring for the Client with a Tracheostomy
Providing Tracheostomy Care
Capping a Tracheostomy Tube with a Speaking Valve
Assisting with Mechanical Ventilation
Caring for the Client on a Mechanical Ventilator
Weaning the Client from a Ventilator
Caring for the Client with Chest Tube Drainage
Assisting with Chest Tube Insertion
Maintaining Chest Tube Drainage
Assisting with Chest Tube Removal
Administering Emergency Measures to the Hospitalized Client
Clearing an Obstructed Airway
Performing Rescue Breathing
Administering External Cardiac Compressions
Delivering Automated External Defibrillation
Wounds and Injury Care
Performing Wound and Pressure Ulcer Care
Assessing Wounds and Pressure Ulcers
Performing a Dry Dressing Change
Applying a Transparent Wound Barrier
Applying a Hydrocolloid Dressing
Irrigating a Wound
Assisting with a Sitz Bath
Performing a Damp-to-Damp Dressing Change
Using Alginates on Wounds
Applying Bandages and Binders
Orthopedic Care
Providing Initial Cast Care
Providing Ongoing Cast Care
Caring for Clients in Skeletal Traction
Performing Perioperative Care
Conducting Preoperative Teaching
Performing a Surgical Hand Antisepsis/Scrub
Applying a Sterile Gown and Sterile Gloves (Closed Method)
Managing Gastrointestinal (GI) Suction
Cleaning a Sutured Wound and Changing a Dressing on a Wound with a Drain
Maintaining Closed Wound Drainage
Removing Sutures
End-of-Life Care
Meeting the Physiologic Needs of the Dying Client
Performing Postmortem Care
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