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Essential Nursing Skills E-Book

Essential Nursing Skills E-Book

Elaine Cole | Janet Hunter | Carol Bavin | Patricia Cronin | Karen Rawlings-Anderson | Maggie Nicol | Maggie Nicol

(2008)

Additional Information

Book Details

Abstract

This title is directed primarily towards health care professionals outside of the United States. Easy to use and attractively designed in 2 colours throughout, this clinical manual concentrates on the preparation for each skill, the procedure, and post-procedure guidelines. With over 120 essential skills and procedures, written and produced in a clear, consistent style, this book is invaluable in any clinical setting and suitable for all foundation students regardless of their future specialty.

  • All skills updated to reflect new guidelines and evidence-based practices e.g. recent changes in the Resuscitation Guidelines
  • Internal design enhanced to improve usability
  • Annotated further reading
  • Useful websites

Table of Contents

Section Title Page Action Price
Front Cover Cover
Essential Nursing Skills iii
Copyright iv
Contents v
Preface vii
Chapter 1: Observation and monitoring 1
Temperature Recording 2
Use of electronic thermometers 5
Cooling the patient 7
Warming the patient 8
Pulse recording 9
Assessment of breathing and counting respirations 11
Blood Pressure Recording 13
Cardiac monitoring 19
Recording a 12-lead ECG 22
Observation of limb perfusion, movement and sensation 24
Assessment of level of consciousness 26
Care of the patient having a seizure 32
Weighing patients 34
Blood Glucose Monitoring 36
Pain Assessment 38
Patient-Controlled Analagesia (PCA) 42
Epidural Analgesia 45
References and further reading 47
Chapter 2: Resuscitation 51
Assessment of a Collapsed Person (Out of Hospital) 52
Basic Life Support 54
Cardiopulmonary Resuscitation 56
Ward-Based Cardiopulmonary Resuscitation 58
References and further reading 61
Website 61
Chapter 3: Intravenous therapy 63
Venepuncture 64
Intravenou Cannulation 68
Preparing an Infusion 72
Changing an Infusion Bag 76
Regulation of Flow Rate 78
Intravenous Pumps and Syringe Drivers 80
Care of Peripheral Cannula Site 82
Removal of Peripheral Cannula 84
References and further reading 85
Chapter 4: Central venous catheters 87
Care of the Site 88
CVP Measurement 90
Removal of CVC (Non-Tunnelled) 93
Care of Long-Term CVCs 95
References and further reading 97
Chapter 5: Blood transfusion 99
Checking Compatibility 100
Care and management of a transfusion 103
Use of Blood Filters and Blood Warmers 106
References and further reading 107
Websites 107
Chapter 6: Nutrition and hydration 109
Nutritional Assessment 110
Feeding Adults 113
Nausea and Vomiting 116
Subcutaneous Fluids (Hyperdermoclysis) 118
Nasogastric Tube Insertion 120
Nasogastric Feeding 123
Care of Gastrostomy Site 126
Feeding Via Percutaneous Endoscopic Gastrostomy (PEG) 128
References and further reading 130
Websites 131
Chapter 7: Medicines 133
Storage of Medicines 134
Self-Administration 135
Principles 135
Drug Calculations 137
Principles of Administration 139
Oral Route 142
Nasogastric Route 144
Controlled Drugs 145
Subcutaneous Injection 147
Intramuscular Injection 150
Intravenous Drug Administration 156
Instillation of Nose Drops 159
Instillation of Ear Drops 161
Instillation of Eye Drops or Ointment 163
Topical Application 166
Vaginal Preparations 167
Administration of Suppositories 169
Respiratory Route - Metered Dose Inhaler 171
References and further reading 173
Websites 175
Chapter 8: Elimination 177
Observation of Faeces 178
Obtaining a Specimen of Faeces 179
Administration of an Enema 180
Assisting with a Bedpan 183
Assisting with a Commode 186
Use of Urinal 188
Monitoring Fluid Balance 189
Application of a Penile Sheath 192
Observation of Urine 195
Urinalysis 196
Midstream Specimen of Urine 199
Catheter Specimen of Urine 201
24-hour Urine Collection 203
Early Morning Urine Specimen 205
Female Catheterisation 207
Male CatheTerisation 211
Urethral Catheter Care 216
Emptying a Catheter Bag 218
Continuous Bladder Irrigation 221
Bladder Washout/Lavage 225
Catheter Removal 228
Stoma Care 230
Changing a Stoma Bag 232
References and further reading 235
Chapter 9: Prevention of cross-infection 239
Standard Precautions 240
Methicillin-Resistant Staphylococcus Aureus (MRSA) and Clostridium Difficile 241
Hand Washing 242
Personal Protective Clothing 245
Use of aprons 246
Use of gloves (Non-sterile) 247
Disposal of Waste and Care of Equipment 249
Taking a Swab 252
References and further reading 254
Websites 255
Chapter 10: Wound assessment 257
Aseptic Dressing Technique 258
Removal of Skin Closures: Sutures/Staples 264
Wound Drainage 269
Changing a Vacuum Drainage Bottle 271
Removal of a Drain 273
References and further reading 275
Chapter 11: Patient hygiene 277
Assisting with a Bath or Shower 278
Bed Bath 280
Oral Assessment 283
Mouth Care for a Dependent Patient 285
Facial Shave 287
Washing Hair in Bed 289
Eye Care 291
Caring for Fingernails and Toenails 293
Last Offices 295
References and further reading 297
Chapter 12: Respiratory care 299
Assessment of Breathing and Counting Respirations 300
Positioning the Breathless Patient 302
Face Masks and Nasal Cannulae 304
Humidified Oxygen 308
Use of Nebuliser 310
Peak Expiratory Flow Rate 312
Pulse Oximetry (Oxygen Saturation) 315
Observation of Sputum 317
Obtaining a Sputum Specimen 318
Oral Suctioning 319
Care of a Tracheostomy 322
Tracheal Suctioning 325
Insertion and Management of Chest Drains 329
Chest Drain Removal 333
References and further reading 335
Chapter 13: Immobility and associated problems 337
Moving and Handling 338
Risk Assessment of Pressure Ulcers 341
Prevention of Pressure Ulcers 344
Deep Vein Thrombosis 346
References and further reading 348
Websites 349
Index 351