Skills in Clinical Nursing

by Berman, Audrey J.; Snyder, Shirlee; Jackson, Christina

• ISBN13: 9780135128374
• ISBN10: 0135128374
• Edition: 6th
• Format: Paperback
• Copyright: 2009-01-01
• Publisher: Prentice Hall

Summary

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

Introduction

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

Bed-Making

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

Suctioning

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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