Nursing interventions & clinical skills / Martha Keene Elkin, Anne Griffin Perry, Patricia A. Potter.

Includes bibliographical references and indexes.

Contents

UNIT ONE: FUNDAMENTAL CONCEPTS
1 Professional Nursing Practice Skill
1.1 Standard Protocols for All Interventions Skill
1.2 Recording Skill
1.3 Giving a Change-of-Shift Report Skill
1.4 Writing an Incident Report
2 Facilitating Communication Skill
2.1 Establishing Therapeutic Communication Skill
2.2 Comforting Skill
2.3 Active Listening Skill
2.4 Interviewing Skill
2.5 Communicating with an Anxious Client Skill
2.6 Verbally Deescalating a Potentially Violent Client
3 Promoting Infection Control Skill
3.1 Handwashing Skill
3.2 Using Disposable Clean Gloves Skill
3.2 Caring for Clients under Isolation Precautions Skill
3.3 Special Tuberculosis Precautions
4 Basic Sterile Techniques Skill
4.1 Creating and Maintaining a Sterile Field Skill
4.2 Sterile Gloving
5 Promoting a Safe Environment Skill
5.1 Safety Equipment and Fall Prevention Skill
5.2 Designing a Restraint-Free Environment Skill
5.3 Applying Restraints Skill
5.4 Seizure Precautions Skill
5.5 Safety Measures for Radioactive Materials

UNIT TWO: BASIC HUMAN NEEDS
6 Promoting Activity and Mobility Skill
6.1 Assisting with Moving and Positioning Clients in Bed Skill
6.2 Minimizing Orthostatic Hypotension Skill
6.3 Transferring from Bed to Chair Skill
6.4 Using a Mechanical (Hoyer) Lift for Transfer from Bed to Chair Skill
6.5 Transferring from Bed to Stretcher Skill
6.6 Assisting Ambulation Skill
6.7 Canes, Crutches, and Walkers
7 Promoting Hygiene Skill
7.1 Complete Bathing Procedural Guideline
7.1 Care of Dentures Skill
7.2 Oral Care Skill
7.3 Hair Care Skill
7.4 Foot and Nail Care Skill
7.5 Bedmaking Procedural Guideline
7.2 Unoccupied Bedmaking Skill
7.6 Caring for Incontinent Clients
8 Promoting Nutrition Skill
8.1 Feeding Dependent Clients Skill
8.2 Assisting Clients with Impaired Swallowing Procedural Guideline
8.1 Obtaining Body Weights
9 Assisting with Elimination Skill
9.1 Monitoring Intake and Output Skill
9.2 Providing a Bedpan and Urinal Skill
9.3 Applying an External Catheter Skill
9.4 Administering an Enema Skill
9.5 Catheter Care
10 Promoting Comfort, Sleep, and Relaxation Skill
10.1 Comfort Measures that Promote Sleep Skill
10.2 Relaxation Techniques
11 Managing Pain Skill
11.1 Nonpharmacological Pain Management Skill
11.2 Pharmacological Pain Management Skill
11.3 Patient-Controlled Analgesia (PCA) Skill
11.4 Epidural Analgesia Skill
11.5 Local Anesthetic Infusion Pump

UNIT THREE: ASSESSMENT SKILLS
12 Vital Signs Skill
12.1 Assessing Temperature, Pulse, Respirations, and Blood Pressure Procedural Guideline
12.1 Electronic Blood Pressure Measurement Skill
12.3 Measuring Oxygen Saturation with Pulse Oximetry
13 Shift Assessment Skill
13.1 General Survey Skill
13.2 Assessing the Thorax and Lungs Skill
13.3 Assessing the Heart and Neck Vessels Skill
13.4 Assessing the Abdomen Skill
13.5 Assessing Neurological Function
14 Laboratory Tests Skill
14.1 Urine Specimen CollectionMid-Stream, Sterile Urinary Catheter Procedural Guideline
14.1 Collect 24-Hour Timed Specimens Procedural Guideline
14.2 Urine Screening for Glucose, Ketones, Protein, Blood, and pH Skill
14.2 Testing for Gastrointestinal Alterations (Stool specimen, Hemoccult test, Gastroocult test) Skill
14.3 Blood Glucose Monitoring Skill
14.4 Collecting Blood SpecimensVacutainer, Blood Cultures Procedural Guideline
14.3 Venipuncture with Syringe Skill
14.5 Collecting Specimens from the Nose and Throat (nose and Throat Cultures) Skill
14.6 Collecting Sputum Specimens (Suction and Expectoration) Skill
14.7 Obtaining Wound Cultures
15 Diagnostic Tests Skill
15.1 IV Conscious Sedation (IVCS) Skill
15.2 Contrast Media Studies: Arteriogram, Cardiac Catheterization, Intravenous Pyelogram Skill
15.3 Assisting with Aspirations: Bone Marrow, Lumbar Puncture, Paracentesis, Thoracentesis Skill
15.4 Assisting with Bronchoscopy Skill
15.5 Cardiac Studies Skill
15.6 Assisting with Endoscopy (Esophagastroduodenoscopy) Procedural Guideline
15.1 Assisting with Colonoscopy Skill
15.7 Assisting with Electrocardiograms

UNIT FOUR: ADMINISTRATION OF MEDICATIONS
16 Preparation for Medication Administration
17 Non-Parenteral Medications Skill
17.1 Administering Oral Medications Skill
17.2 Applying Topical Medications Skill
17.3 Instilling Eye and Ear Medications Skill
17.4 Using Metered-Dose Inhalers Skill
17.5 Using Small-Volume Nebulizers Skill
17.6 Inserting Rectal and Vaginal Medications
18 Administration of Injections Procedural Guideline
18.1 Reconstituting Medications from a Powder Procedural Guideline
18.2 Mixing Medications from Vials Procedural Guideline
18.3 Teaching Self-Injections Skill
18.1 Subcutaneous Injections (Includes Insulin) Skill
18.2 Intramuscular Injections Skill
18.3 Intradermal Injections Skill
18.4 Continuous Subcutaneous Medications

UNIT FIVE: PERIOPERATIVE NURSING CARE
19 Preparing the Client for Surgery Skill 19.1 Preoperative Assessment Skill
19.2 Preoperative Teaching Skill
19.3 Physical Preparations
20 Intraoperative Techniques Skill 20.1 Surgical Hand Scrub Skill
20.2 Donning Sterile Gown and Closed Gloving
21 Caring for the Postoperative Client Skill
21.1 Providing Immediate Postoperative Care in Postanesthesia Care Unit Skill
21.2 Providing Comfort Measures During Phase II (Convalescent Phase)

UNIT SIX: WOUND CARE
22 Surgical Wound Care Skill
22.1 Providing Surgical Wound Care Skill
22.2 Monitoring and Measuring Drainage Devices Skill
22.3 Removing Staples and Sutures (Including Applying SteriStrips)
23 Pressure Ulcers Skill
23.1 Pressure Ulcer Risk Assessment and Prevention Strategies Skill
23.2 Treatment of Pressure Ulcers and Wound Management
24 Dressings Skill
24.1 Applying Dressings Skill
24.2 Changing Transparent Dressings Skill
24.3 Applying Binders and Bandages Skill
24.4 Wound vac NEW!
25 Therapeutic Use of Heat and Cold Skill
25.1 Moist Heat Skill
5.2 Dry Heat Skill
25.3 Cold Compresses and Ice Bags U



NIT SEVEN: MANAGING IMMOBILIZED CLIENTS
26 Special Mattresses and Beds Skill
26.1 Using a Support Surface Mattress Skill
26.2 Using a Low-Air-Loss Bed Skill
26.3 Using an Air-Fluidized Bed Skill
26.4 Using a Rotokinetic Bed Skill
26.5 Using a Bariatric Bed
27 Promoting Range of Motion Skill
27.1 Range of Motion Exercises Skill
27.2 Continuous Passive Motion (CPM) Machine (for Client with Total Knee Replacement)
28 Traction, Cast Care, and Immobilization Devices Skill
28.1 Care of Client in Skin Traction Skill
28.2 Care of Client in Skeletal Traction/Pin Site Care Skill
28.3 Care of Client During Cast Application Skill
28.4 Care of Client During Cast Removal Skill
28.5 Care of Client with an Immobilization Device (Brace, Splint, Sling) Procedural Guideline
28.1 Sling Application

UNIT EIGHT: MANAGING COMPLEX NURSING INTERVENTIONS
29 Intravenous Therapy Skill
29.1 Basic IV Insertion Techniques (Intermittent and Continuous Infusion) Skill
29.2 Regulating Flow Rates Skill
29.3 Maintenance of IV Site Skill
29.4 Administering IV Medications Skill
29.5 Transfusion with Blood Products
30 Fluid, Electrolyte, and Acid-Base Balance Skill
30.1 Monitoring Fluid Balance Skill
30.2 Monitoring Electrolyte Balance Skill
30.3 Monitoring Acid-Base Balance
31 Promoting Oxygenation Skill
31.1 Oxygen Administration Skill
31.2 Airway Management: Noninvasive Interventions Skill
31.3 Airway Management: Suctioning Skill
31.4 Airway Management: Endotracheal Tube and Tracheostomy Care Skill
31.5 Managing Closed Chest Drainage Systems (Including Managing Postoperative Autotransfusions)
32 Gastrointestinal Intubation Skill
32.1 Inserting Nasogastric Tube (Includes Checking Placement of Nasal Tube) Skill
32.2 Irrigating Nasogastric Tube Skill
32.3 Removing Nasogastric Tube
33 Enteral Nutrition Skill
33.1 Intubating the Client with a Small-Bore Nasogastric or Nasointestinal Feeding Tube Skill
33.2 Verifying Tube Placement for a Large-Bore or Small-bore Feeding Tube NEW! Skill
33.3 Administering Tube Feedings Skill
33.4 Administering Medication Through a Feeding Tube
34 Altered Bowel Elimination Skill
34.1 Removing Impactions Skill
34.2 Pouching an Enterostomy Skill
34.3 Irrigating a Colostomy
35 Altered Urinary Elimination Skill
35.1 Urinary Catheterization with Indwelling (Retention) Catheter: Female and Male Skill
35.2 Removal of an Indwelling Catheter NEW! Skill
35.3 Inserting Straight Catheter for Specimen Collection or Residual Skill
35.4 Continuous Bladder Irrigation Skill
35.5 Suprapubic Catheters Skill
35.6 Urinary Diversions (Continent and Incontinent) NEW!
36 Altered Sensory Perception Skill
36.1 Caring for an Eye Prosthesis Skill
36.2 Eye Irrigations Skill
36.3 Caring for Clients with Hearing Aids Skill
36.4 Ear Irrigations
37 Emergency Measures for Life Support in the Hospital Setting Skill
37.1 Resuscitation Skill
37.2 Code Management
38 Care of the Client with Special Needs Skill
38.1 Managing Central Venous Lines Skill
38.2 Administration of Total Parenteral Nutrition Skill
38.3 Mechanical Ventilation Skill
38.4 Care of Clients Receiving Hemodialysis Skill 38.5 Peritoneal Dialysis
39 Palliative Care NEW CHAPTER! Skill
39.1 Care of the Dying Client NEW! Skill
39.2 Care of the Body after Death
40 Discharge Teaching and Home Health Management Skill
40.1 Client Teaching Skill
40.2 Risk Assessment and Accident Prevention Skill
40.3 Adapting the Home Setting for Clients with Cognitive Deficits NEW! Skill
40.4 Medication and Medication Device Safety NEW! Skill
40.5 Home Oxygen Therapy