Additional Information
Book Details
Abstract
Written by foremost experts in the field, the 3rd Edition of Essential Clinical Procedures presents the latest common diagnostic and treatment-related procedures that you need to know as a physician assistant! Clear and concise, this medical reference book leads you step-by-step through over 70 techniques commonly seen in primary care and specialist settings, equipping you to deliver the best and safest care to your patients.
- Consult this title on your favorite e-reader , conduct rapid searches, and adjust font sizes for optimal readability.
- Visualize procedures and other important concepts clearly through over 300 high-quality illustrations.
- Ensure the safe execution of procedures with a focus on patient preparation and the proper use of instruments, as well as highlighted warnings to alert you to potential dangers that can occur when performing various treatments.
- Be fully prepared for any situation with guidance on the possible complications, rationales, and precautions behind many common procedures.
- Understand the ins and outs of nonprocedural issues, including informed consent, standard precautions, patient education, and procedure documentation.
- Get all the hands-on guidance you need to provide safe and effective care to your patients with Essential Clinical Procedures!
- Understand the "must-know" aspects of the most commonly seen conditions with a systematic presentation featuring consistent headings and supporting color images.
- Quickly access core information through high-yield margin notes and consistent formatting across all chapters.
- Stay abreast of the latest procedures with a brand-new chapter and images on Reduction of the Shoulder/Finger Subluxations, plus many other updates throughout.
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Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | IFC1 | ||
| Essential Clinical Procedures | iii | ||
| Copyright | iv | ||
| Acknowledgments | v | ||
| Preface | vii | ||
| Contributors | ix | ||
| Contents | xiii | ||
| Chapter 01 - Informed Consent | 1 | ||
| References | 6 | ||
| Bibliography | 6 | ||
| Chapter 02 - Standard Precautions | 7 | ||
| Background and History | 7 | ||
| Body Substance Isolation | 8 | ||
| Universal Precautions | 9 | ||
| Standard Precautions | 9 | ||
| Gloves, Gowns, Masks, and Other Protective Barriers as Part of Universal Precautions | 13 | ||
| The Application of Standard Precautions in Clinical Procedures | 14 | ||
| References | 14 | ||
| Bibliography | 15 | ||
| Chapter 03 - Sterile Technique | 17 | ||
| Background and History | 17 | ||
| Principles of Sterile Technique | 17 | ||
| Surgical Hand Scrub | 18 | ||
| Materials for the Hand Scrub | 19 | ||
| Materials to Prepare the Procedure Site | 20 | ||
| Materials for Draping a Patient and the Procedure Site | 21 | ||
| Special Considerations | 23 | ||
| References | 24 | ||
| Chapter 04 - Blood Pressure Measurement | 25 | ||
| Background and History | 25 | ||
| Indications | 27 | ||
| Contraindications | 27 | ||
| Potential Complications | 27 | ||
| Essential Anatomy and Physiology | 27 | ||
| Patient Preparation | 29 | ||
| Time of Measurement | 29 | ||
| Materials for Blood Pressure Measurement | 29 | ||
| Special Considerations | 32 | ||
| Materials For Measuring Orthostatic Blood Pressure | 34 | ||
| Follow-Up Care and Instructions | 35 | ||
| References | 35 | ||
| Chapter 05 - Venipuncture | 37 | ||
| Background and History | 37 | ||
| Indications | 37 | ||
| Contraindications | 38 | ||
| Potential Complications | 38 | ||
| Essential Anatomy and Physiology | 39 | ||
| Patient Preparation | 40 | ||
| Materials | 41 | ||
| Special Considerations | 46 | ||
| Follow-Up Care and Instructions | 47 | ||
| References | 47 | ||
| Bibliography | 47 | ||
| Chapter 06 - Obtaining Blood Cultures | 48 | ||
| Background and History | 48 | ||
| Indications | 49 | ||
| Contraindications | 49 | ||
| Potential Complications | 49 | ||
| Review of Essential Anatomy and Physiology | 49 | ||
| Patient Preparation | 50 | ||
| Materials | 51 | ||
| Special Considerations | 52 | ||
| Follow-Up Care and Instructions | 52 | ||
| References | 52 | ||
| Bibliography | 53 | ||
| Chapter 07 - Inserting Intravenous Catheters | 54 | ||
| Background and History | 54 | ||
| Indications | 54 | ||
| Contraindications | 55 | ||
| Potential Complications | 55 | ||
| Essential Anatomy and Physiology | 56 | ||
| Patient Preparation | 56 | ||
| Materials | 58 | ||
| Special Considerations | 61 | ||
| Follow-Up Care and Instructions | 61 | ||
| References | 62 | ||
| Chapter 08 - Arterial Puncture | 63 | ||
| Background and History | 63 | ||
| Indications | 63 | ||
| Contraindications | 64 | ||
| Potential Complications | 65 | ||
| Essential Anatomy and Physiology | 66 | ||
| Patient Preparation | 67 | ||
| Materials | 67 | ||
| Special Considerations | 69 | ||
| Follow-Up Care and Instructions | 70 | ||
| Reference | 70 | ||
| Bibliography | 70 | ||
| Chapter 09 - Injections | 71 | ||
| Background and History | 71 | ||
| Indications | 72 | ||
| Contraindications | 72 | ||
| Potential Contraindications | 72 | ||
| Potential Complications | 72 | ||
| Essential Anatomy and Physiology | 73 | ||
| Patient Preparation | 74 | ||
| Materials | 77 | ||
| Special Considerations | 82 | ||
| Follow-Up Care and Instructions | 83 | ||
| References | 83 | ||
| Chapter 10 - Recording an Electrocardiogram | 85 | ||
| Background and History | 85 | ||
| Indications | 85 | ||
| Contraindications | 87 | ||
| Potential Complications | 87 | ||
| Essential Anatomy and Physiology | 87 | ||
| Patient Preparation | 89 | ||
| Materials | 92 | ||
| Special Considerations | 92 | ||
| Follow-Up Care and Instructions | 92 | ||
| References | 93 | ||
| Bibliography | 93 | ||
| Chapter 11 - Exercise Stress Testing | 94 | ||
| Procedure Goals and Objectives | 94 | ||
| Background and History | 94 | ||
| Indications | 95 | ||
| Contraindications | 97 | ||
| Essential Anatomy and Physiology | 99 | ||
| Patient Preparation | 100 | ||
| Special Considerations | 107 | ||
| Follow-Up Care | 108 | ||
| References | 108 | ||
| Bibliography | 109 | ||
| Chapter 12 - Endotracheal Intubation | 110 | ||
| Background and History | 110 | ||
| Indications | 110 | ||
| Contraindications | 111 | ||
| Potential Complications | 111 | ||
| Essential Anatomy and Physiology | 112 | ||
| Patient Preparation | 113 | ||
| Materials | 117 | ||
| Follow-Up Care and Instructions | 126 | ||
| References | 126 | ||
| Bibliography | 126 | ||
| Chapter 13 - Office Pulmonary Function Testing | 127 | ||
| Background and History | 127 | ||
| Indications | 128 | ||
| Contraindications and Patient Considerations | 128 | ||
| Economics | 129 | ||
| Potential Complications | 129 | ||
| Essential Anatomy and Physiology | 130 | ||
| Patient Preparation | 132 | ||
| Materials | 132 | ||
| Special Considerations | 135 | ||
| Follow-Up Care and Instructions | 136 | ||
| References | 137 | ||
| Bibliography | 138 | ||
| Chapter 14 - Nasogastric Tube Placement | 139 | ||
| Background and History | 139 | ||
| Indications | 139 | ||
| Contraindications | 140 | ||
| Potential Complications | 140 | ||
| Essential Anatomy and Physiology | 141 | ||
| Patient Preparation | 142 | ||
| Materials | 142 | ||
| Special Considerations | 144 | ||
| Follow-Up Care and Instructions | 145 | ||
| Reference | 145 | ||
| Bibliography | 145 | ||
| Chapter 15 - Lumbar Puncture | 146 | ||
| Background and History | 146 | ||
| Indications | 146 | ||
| Contraindications | 147 | ||
| Potential Complications | 147 | ||
| Essential Anatomy and Physiology | 148 | ||
| Patient Preparation | 149 | ||
| Materials | 150 | ||
| Special Considerations | 153 | ||
| Follow-Up Care and Instructions | 154 | ||
| References | 155 | ||
| Chapter 16 - Urinary Bladder Catheterization | 156 | ||
| Background and History | 156 | ||
| Indications | 156 | ||
| Contraindications | 158 | ||
| Potential Complications | 158 | ||
| Essential Anatomy and Physiology | 158 | ||
| Patient Preparation | 159 | ||
| Materials | 160 | ||
| Types of Catheters | 160 | ||
| Catheter Size Requirements | 161 | ||
| Follow-Up Care and Instructions | 165 | ||
| Bibliography | 165 | ||
| Chapter 17 - Epistaxis and Nasal Foreign Body Removal | 166 | ||
| Contraindications | 168 | ||
| Potential Complications | 168 | ||
| Essential Anatomy and Physiology | 168 | ||
| Cause of Nasal Bleeding and Pathophysiology | 169 | ||
| Patient Preparation | 169 | ||
| Materials | 170 | ||
| Follow-Up Care and Instructions | 175 | ||
| Contraindications | 175 | ||
| Essential Anatomy and Physiology | 175 | ||
| Materials | 175 | ||
| Follow-Up Care and Instructions | 177 | ||
| References | 177 | ||
| Chapter 18 - The Pelvic Examination and Obtaining a Routine Papanicolaou Smear | 179 | ||
| Background and History | 179 | ||
| Indications | 179 | ||
| Contraindications | 180 | ||
| Potential Complications | 180 | ||
| Essential Anatomy and Physiology | 180 | ||
| Patient Preparation | 185 | ||
| Special Considerations | 193 | ||
| Follow-Up Care And Instructions | 193 | ||
| Interpretation of the Pap Smear | 194 | ||
| References | 195 | ||
| Bibliography | 195 | ||
| Chapter 19 - Reduction of the Shoulder/Finger Subluxations | 196 | ||
| Indication | 196 | ||
| Clinical Symptoms | 197 | ||
| Diagnosis | 197 | ||
| Materials | 198 | ||
| Potential Complications | 198 | ||
| Treatment | 198 | ||
| Follow-Up Care and Instructions | 199 | ||
| Background and History | 199 | ||
| Indication | 200 | ||
| Clinical Symptoms | 200 | ||
| Referral Decisions | 201 | ||
| References | 202 | ||
| Bibliography | 202 | ||
| Chapter 20 - Joint and Bursal Aspiration | 203 | ||
| Background and History | 203 | ||
| Indications | 204 | ||
| Contraindications | 204 | ||
| Potential Complications | 204 | ||
| Essential Anatomy and Pathophysiology: Joint Aspiration | 205 | ||
| Patient Preparation: Joint Aspiration | 206 | ||
| Follow-Up Care and Instructions: Joint Aspiration | 211 | ||
| Essential Anatomy and Physiology: Bursal Aspiration | 211 | ||
| Patient Preparation: Bursal Aspiration | 213 | ||
| Follow-Up Care and Instructions: Bursal Aspiration | 214 | ||
| References | 215 | ||
| Bibliography | 215 | ||
| Chapter 21 - Casting and Splinting | 216 | ||
| Background and History | 216 | ||
| Indications | 220 | ||
| Contraindications | 220 | ||
| Potential Complications | 221 | ||
| Expected Outcomes | 222 | ||
| Essential Anatomy and Physiology | 222 | ||
| Patient Preparation | 223 | ||
| Materials | 223 | ||
| Materials Used for Applying a Short-Arm Cast | 226 | ||
| Materials Used for Applying a Short-Leg Cast | 228 | ||
| Follow-Up Care and Instructions | 232 | ||
| Bibliography | 234 | ||
| Chapter 22 - Local Anesthesia | 236 | ||
| Background and History | 236 | ||
| Essential Anatomy and Physiology | 236 | ||
| Indications | 240 | ||
| Contraindications | 240 | ||
| Potential Complications | 241 | ||
| Patient Preparation | 243 | ||
| Materials Used for Administering Anesthetics | 243 | ||
| Follow-Up Care and Instructions | 249 | ||
| References | 249 | ||
| Chapter 23 - Wound Closure | 250 | ||
| Procedure Goals and Objectives | 250 | ||
| Background and History | 250 | ||
| Indications | 250 | ||
| Contraindications | 251 | ||
| Potential Complications | 251 | ||
| Essential Anatomy and Physiology | 251 | ||
| Patient Preparation | 254 | ||
| Materials Used to Perform Suturing | 257 | ||
| Special Considerations | 268 | ||
| Materials Used for Using Skin Staplers | 268 | ||
| Materials Used for Applying Wound Adhesives | 268 | ||
| Follow-Up Care and Instructions for Sutured or Stapled Wounds | 269 | ||
| Follow-Up Care and Instructions for Adhesive-Closed Wounds | 272 | ||
| Example of a Wound Closure Procedure Note | 272 | ||
| Reference | 272 | ||
| Bibliography | 272 | ||
| Chapter 24 - Dermatologic Procedures | 273 | ||
| Indications | 273 | ||
| Contraindications | 274 | ||
| Potential Complications | 275 | ||
| Essential Anatomy and Physiology | 275 | ||
| Patient Preparation | 275 | ||
| Materials Used to Perform a Snip Biopsy | 276 | ||
| Materials Used to Perform a Curettage | 276 | ||
| Follow-Up Care and Instructions | 278 | ||
| Contraindications | 279 | ||
| Potential Complications | 279 | ||
| Patient Preparation | 280 | ||
| Materials Used to Perform a Punch Biopsy | 280 | ||
| Follow-Up Care and Instructions | 282 | ||
| Potential Complications | 283 | ||
| Patient Preparation | 283 | ||
| Materials Used to Perform an Excisional Biopsy | 284 | ||
| Special Considerations | 285 | ||
| Follow-Up Care and Instructions | 285 | ||
| Indications | 286 | ||
| Contraindications | 286 | ||
| Potential Complications | 287 | ||
| Patient Preparation | 287 | ||
| Materials Used to Perform Electrosurgery | 287 | ||
| Follow-Up Care and Instructions | 288 | ||
| Indications | 288 | ||
| Contraindications | 288 | ||
| Potential Complications | 289 | ||
| Patient Preparation | 289 | ||
| Materials Used to Perform Acne Surgery | 289 | ||
| Follow-Up Care and Instructions | 290 | ||
| References | 290 | ||
| Chapter 25 - Incision and Drainage of an Abscess | 291 | ||
| Procedure Goals and Objectives | 291 | ||
| Background And History | 291 | ||
| Indications | 291 | ||
| Contraindications | 291 | ||
| Potential Complications | 292 | ||
| Essential Anatomy and Physiology | 292 | ||
| Clinical Evaluation | 292 | ||
| Treatment | 293 | ||
| Source of Infection | 293 | ||
| Patient Preparation | 294 | ||
| Materials | 294 | ||
| Special Considerations | 298 | ||
| Pain Relief | 299 | ||
| Follow-Up Care and Instructions | 299 | ||
| Reference | 299 | ||
| Bibliography | 300 | ||
| Chapter 26 - Wound Dressing Techniques | 301 | ||
| Background and History | 301 | ||
| Indications | 302 | ||
| Contraindications | 303 | ||
| Essential Anatomy and Physiology | 303 | ||
| Patient Preparation | 306 | ||
| Materials | 306 | ||
| Follow-Up Care and Instructions | 313 | ||
| Conclusion and Resources | 314 | ||
| References | 315 | ||
| Bibliography | 315 | ||
| Chapter 27 - Cryosurgery | 316 | ||
| Background and History | 316 | ||
| Indications | 317 | ||
| Contraindications | 318 | ||
| Potential Complications | 318 | ||
| Essential Anatomy and Physiology | 319 | ||
| Patient Preparation | 319 | ||
| Materials | 320 | ||
| Special Considerations | 322 | ||
| Follow-Up Care and Instructions | 322 | ||
| References | 322 | ||
| Chapter 28 - Treating Ingrown Toenails | 323 | ||
| Background and History | 323 | ||
| Indications | 323 | ||
| Contraindications | 324 | ||
| Potential Complications | 324 | ||
| Essential Anatomy and Physiology | 324 | ||
| Patient Preparation | 325 | ||
| Materials | 325 | ||
| Follow-Up Care and Instructions | 326 | ||
| References | 326 | ||
| Chapter 29 - Draining Subungual Hematomas | 328 | ||
| Background and History | 328 | ||
| Indications | 328 | ||
| Contraindications | 328 | ||
| Potential Complications | 329 | ||
| Essential Anatomy and Physiology | 329 | ||
| Patient Preparation | 330 | ||
| Materials | 330 | ||
| Special Considerations | 331 | ||
| Follow-Up Care and Instructions | 331 | ||
| Bibliography | 332 | ||
| Chapter 30 - Anoscopy | 333 | ||
| Background and History | 333 | ||
| Indications | 333 | ||
| Contraindications | 333 | ||
| Potential Complications | 334 | ||
| Essential Anatomy and Physiology | 334 | ||
| Patient Preparation | 335 | ||
| Materials | 335 | ||
| Follow-Up Care and Instructions | 336 | ||
| References | 337 | ||
| Bibliography | 337 | ||
| Chapter 31 - Flexible Sigmoidoscopy | 338 | ||
| Background and History | 338 | ||
| Indications | 339 | ||
| Contraindications | 340 | ||
| Potential Complications | 340 | ||
| Essential Anatomy and Physiology | 340 | ||
| Patient Preparation | 341 | ||
| Materials | 342 | ||
| Special Considerations | 345 | ||
| Follow-Up Care and Instructions | 345 | ||
| References | 345 | ||
| Chapter 32 - Removal of Cerumen and Foreign Bodies from the Ear | 346 | ||
| Background and History | 346 | ||
| Indications | 347 | ||
| Contraindications | 347 | ||
| Potential Complications | 348 | ||
| Essential Anatomy and Physiology | 348 | ||
| Patient Preparation | 348 | ||
| Materials | 349 | ||
| Special Considerations | 351 | ||
| Follow-Up Care and Instructions | 352 | ||
| References | 352 | ||
| Chapter 33 - Trauma-Oriented Ocular Examination, Corneal Abrasion, and Ocular Foreign Body Removal | 353 | ||
| Background and History | 353 | ||
| Indications | 354 | ||
| Contraindications | 354 | ||
| Cautions and Considerations | 356 | ||
| Complications | 357 | ||
| Essential Anatomy and Physiology | 357 | ||
| Patient Preparation | 359 | ||
| Materials | 359 | ||
| Special Considerations | 365 | ||
| Follow-Up Care and Instructions | 365 | ||
| References | 367 | ||
| Chapter 34 - Endometrial Biopsy | 368 | ||
| Background and History | 368 | ||
| Indications | 369 | ||
| Contraindications | 369 | ||
| Potential Complications | 369 | ||
| Essential Anatomy and Physiology | 370 | ||
| Patient Preparation | 371 | ||
| Materials | 371 | ||
| Follow-Up Care and Instructions | 375 | ||
| Supplementary and Alternative Procedures | 376 | ||
| References | 376 | ||
| Chapter 35 - Foot Examination of the Patient with Diabetes | 377 | ||
| Background and History | 377 | ||
| Indications | 377 | ||
| Contraindications | 378 | ||
| Potential Complications | 378 | ||
| Essential Anatomy and Physiology | 379 | ||
| Patient Preparation | 379 | ||
| Materials | 380 | ||
| Special Considerations | 380 | ||
| Follow-Up Care and Instructions | 380 | ||
| References | 382 | ||
| Bibliography | 383 | ||
| Chapter 36 - Procedural Sedation | 384 | ||
| Background and History | 384 | ||
| Indications | 385 | ||
| Contraindications | 385 | ||
| Potential Complications | 386 | ||
| Patient Preparation | 387 | ||
| Essential Anatomy and Physiology | 387 | ||
| Materials | 388 | ||
| Monitoring | 389 | ||
| Agents for Procedural Sedation | 390 | ||
| Discharge Criteria | 393 | ||
| References | 393 | ||
| Chapter 37 - Patient Education Concepts* | 394 | ||
| A Model for Patient Education | 395 | ||
| Specific Suggestions for Enhancing the Patient Education Process | 399 | ||
| Other Factors Influencing Patient Education | 400 | ||
| Conclusion | 402 | ||
| References | 403 | ||
| Chapter 38 - Outpatient Coding for Medical Services | 404 | ||
| Background and History | 404 | ||
| Purpose of Accurate Medical Record Documentation | 405 | ||
| The Coding Process | 406 | ||
| Criteria in Selecting the Proper Evaulation and Management Service Codes | 407 | ||
| Medical Decision-Making | 412 | ||
| Summary | 415 | ||
| References | 415 | ||
| Bibilography | 416 | ||
| Chapter 39 - Documentation | 417 | ||
| Background and History | 417 | ||
| Other Points for Consideration in Recording Clinical Procedures | 418 | ||
| Clinical Procedure Notes | 419 | ||
| Clinical Procedure Note Format | 420 | ||
| Conclusion | 420 | ||
| Bibliography | 420 | ||
| Chapter 40 - Giving Sad and Bad News | 421 | ||
| Background and History | 421 | ||
| Indications | 421 | ||
| Preparing to Share Bad News | 422 | ||
| A Procedure for Sharing Bad News | 423 | ||
| Conclusion and Further Thoughts | 430 | ||
| References | 430 | ||
| Bibliography | 430 | ||
| Index | 431 | ||
| IBC | IBC |