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Procedures for the Primary Care Provider - E-Book

Procedures for the Primary Care Provider - E-Book

Marilyn Winterton Edmunds

(2015)

Additional Information

Book Details

Abstract

Confidently perform the most common office procedures with Procedures for the Primary Care Provider, 3rd Edition. This practical, spiral-bound reference provides step-by-step illustrated guidelines for basic and advanced office procedures commonly performed by Nurse Practitioners and Physician’s Assistants. Each procedure follows a consistent format including a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. This third edition features nine new procedures, new illustrations, a more user-friendly full-color design, and much more.

  • Need-to-know coverage of the most common office procedures performed by NPs, PAs, and other primary care providers makes this book an excellent guide for clinicians who may not perform these procedures regularly.
  • Consistent procedure format includes a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure.
  • Detailed illustrations (nearly 400 drawings and photographs) clearly demonstrate the steps of each procedure.
  • Step-by-step numbered guidelines for each procedure allow for quick reference.
  • An introductory chapter covers legal, educational, and reimbursement factors related to performing common office procedures.
  • Appendixes, including the Sample Checklist for Certification and the Sample Consent Form for Procedure, provide you with commonly used forms in an easy to access location.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contents in brief IFC
Procedures for the primary care provider iii
Copyright page iv
Contributors v
Reviewers vii
Foreword xi
Foreword xiii
Preface xv
Acknowledgments xvii
Table of contents xix
1 Issues related to primary care procedures 1
Reasons for performing clinical procedures 1
The legal environment 1
Educational preparation to perform procedures 2
Patient-provider relationships 3
Reimbursement 4
Procedures requiring life-span modifications 5
Pediatric considerations 6
Older adult considerations 6
General considerations to address in every procedure 7
Description 7
Anatomy and physiology, pathophysiology 7
Indications 7
Contraindications 8
Precautions 8
Assessment 8
Patient preparation 8
Treatment alternatives 8
Equipment 9
Patient education postprocedure 9
Complications 9
Practitioner follow-up 10
References and related resources 10
2 Dermatologic procedures 11
Wound care 11
Topical application of hemostatic agents 11
Anesthesia: Topical, local, and digital nerve block 11
Suturing simple lacerations 11
Suture removal 11
Wound closure with tissue adhesive 11
Staple insertion and removal 11
Skin lesion removal 11
Lesion excision (fusiform) 11
Punch removal 11
Shave removal biopsy 11
Wart removal 75
Abscess incision and drainage 75
Cyst removal 75
Skin tag removal 89
Care for superficial and partial thickness burns 89
Skin specimen collection 97
Foot and nail care 106
Skin trauma resulting from bites or foreign bodies 124
References and related resources 131
3 Eye, ear, nose, and mouth procedures 151
Eye procedures 151
Removal of a foreign body from the eye 153
Treatment of corneal abrasion 157
Ear procedures 160
Removal of a foreign body from the ear 161
Cerumen disimpaction 164
Tympanometry 168
Audiometry 173
Nose procedures 176
Epistaxis and nasal packing 178
Removal of a foreign body from the nose 185
Mouth procedures 188
Tooth preservation and management post tooth avulsion or fracture 190
Fluoride varnish application 192
Frenulectomy 194
References and related resources 196
4 Respiratory procedures 197
Nebulizer treatment 198
Spirometry 201
Peak flowmeter 207
References and related resources 208
5 Cardiovascular procedures 210
Electrocardiography 212
Continuous electrocardiography (holter monitoring) 216
Ankle-brachial index 219
References and related resources 225
6 Gastrointestinal procedures 226
Nasogastric tube insertion and removal 230
Gastric lavage 235
Anoscopy 238
Rectal prolapse reduction 242
Treatment for hemorrhoids 245
References and related resources 250
7 Orthopedic procedures 251
Fracture immobilization 251
Splinting: WRIST and hand 251
Splinting: Ankle sprains 251
Reduction of subluxated radial head 251
Arthrocentesis and joint or bursa injection 251
Ganglion cyst aspiration 251
Trigger point injection 251
Dislocation reduction: Finger (dip and pip joints) 251
References and related resources 262
8 Genitourinary procedures 291
Bladder scanning with ultrasound 291
Male/female catheterization 291
Urinalysis 291
Urine culture 291
References and related resources 305
9 Womens health procedures 306
Papanicolaou (PAP) smear test 306
The wet mount 314
Treatment of condylomata acuminata 318
Pessary use 323
Diaphragm fitting 329
Cervical cap placement 334
Endometrial biopsy 338
Contraceptive implant insertion and removal 342
Incision and drainage of a bartholin cyst 348
Intrauterine device (IUD) 351
References and related resources 360
10 Mens health procedures 361
 male circumcision (gomco technique) 361
■ CPT billing 361
References and related resources 367
 manual detorsion of the testes 367
11 General principles of radiograph interpretation 374
References and related resources 382
APPENDIX A Sample checklist for certification 383
APPENDIX B Sample consent form for procedure 385
Index 387
A 387
B 388
C 390
D 392
E 393
F 394
G 395
H 396
I 397
J 398
K 398
L 398
M 398
N 399
O 399
P 400
R 401
S 402
T 404
U 405
V 406
W 406
Z 407
Alphabetical list of procedures IBC