TY - BOOK AU - Elkin,Martha Keene AU - Perry,Anne Griffin AU - Potter,Patricia Ann TI - Nursing interventions & clinical skills SN - 0323022014 U1 - WY 100 E436n 2004 PY - 2004/// CY - St. Louis, Mo. PB - Mosby KW - Nursing KW - Clinical competence KW - Nursing Process KW - Nursing Care KW - methods N1 - 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 ER -