Nursing Interventions & Clinical Skills, 6th Edition

Nursing Interventions & Clinical Skills

6th Edition

By Anne Griffin Perry, RN, EdD, FAAN, Professor and Associate Dean, School of Nursing, Southern Illinois University, Edwardsville, IL; Patricia A. Potter, RN, MSN, PhD, FAAN, Director of Research, Patient Care Services Barnes-Jewish Hospital St. Louis, MO and Wendy Ostendorf, RN, MS, EdD, CNE, Neumann University, Aston, Pennsylvania


Unit I: Quality and Safety in Nursing Practice
Chapter 1: Using Evidence in Nursing Practice
? Steps of Evidence-Based Practice
? Evidence in Nursing Skills
Chapter 2: Communication & Collaboration
? Skill 2.1 Establishing the Nurse-Patient Relationship and Interviewing
? Skill 2.2 Communicating with Patients Who Have Difficulty Coping
? Skill 2.3 Communications with Cognitively Impaired Patients
? Procedural Guideline 2.1 Hand-Off Communications
? Procedural Guideline 2.2 S-BAR Communication
? Skill 2.4 Discharge Planning and Transitional Care  NEW!
Chapter 3: Documentation and Informatics
? Procedure Guideline 3.1 Documenting Nurses? Progress Notes
? Procedural Guideline 3.2 Using an Electronic Medical Record
? Procedural Guideline 3.3 Documenting an Incident Occurrence
Chapter 4: Patient Safety & Quality Improvement
? Skill 4.1 Fall Prevention in a Health Care Setting
? Skill 4.2 Designing a Restraint Free Environment
? Skill 4.3 Applying Physical Restraints
? Skill 4.4 Seizure Precautions
? Skill 4.5 Fire, Electrical, and Radiation Safety
Chapter 5: Infection Control
? Skill 5.1 Hand Hygiene
? Skill 5.2 Applying Personal Protective Equipment
? Skill 5.3 Caring for Patients under Isolation Precautions
? Skill 5.4 Preparing a Sterile Field
? Skill 5.6 Applying Sterile Gloves
Unit II: Patient Assessment Skills
Chapter 6: Vital Signs
? Skill 6.1 Measuring Body Temperature
? Skill 6.2 Assessing Pulse: Apical
? Skill 6.3 Assessing Pulse: Radial
? Procedural Guideline 6.1 Assessing Pulse: Apical Radial
? Skill 6.4 Assessing Respirations
? Skill 6.5 Assessing Blood Pressure
? Procedural Guideline 6.2 Assessing Blood Pressure Electronically
Chapter 7: Health Assessment
? Skill 7.1 General Survey
? Procedural Guideline 7.1 Monitoring Intake and Output
? Skill 7.2 Assessing the Head and Neck
? Skill 7.3 Assessing the Thorax and Lungs
? Skill 7.4 Cardiovascular Assessment
? Skill 7.5 Assessing the Abdomen
? Skill 7.6 Assessing the Genitalia and Rectum
? Skill 7.7 Musculoskeletal and Neurological Assessment
Chapter 8: Specimen Collection
? Skill 8.1 Urine Specimen Collection
? Procedural Guideline 8.1 Collecting a Timed Urine Specimen
? Procedural Guideline 8.2 Urine Testing
? Skill 8.2 Testing for Gastrointestinal Alterations - Gastroccult Test, Stool Specimen, and Hemoccult Test
? Skill 8.3 Collecting Specimens from the Nose and Throat
? Skill 8.4 Collecting a Sputum Specimens
? Skill 8.5 Obtaining Wound Drainage Specimens
? Skill 8.6 Blood Glucose Monitoring
? Skill 8.7 Performing Venipuncture 
Chapter 9: Diagnostic Procedures
? Skill 9.1 Contrast Media Studies: Ateriogram (Angiogram), Cardiac Catheterization, Intravenous Pyelogram
? Skill 9.2 Care of Patients Undergoing Aspirations - Bone Marrow, Lumbar Puncture, Paracentesis, and Thoracentesis
? Skill 9.3 Care of Patients Undergoing Bronchoscopy
? Skill 9.4 Care of Patients Undergoing Gastrointestinal Endoscopy
? Skill 9.5 Obtaining an Electrocardiogram
Unit 3: Basic Human Needs
Chapter 10: Bathing and Personal Hygiene
? Skill 10.1 Complete Bathing
? Procedural Guideline 10.1 Perineal Care
? Procedural Guideline 10.3 Oral Care
? Procedural Guideline 10.4 Care of Dentures
? Procedural Guideline 10.5 Hair Care - Combing, Shampooing, Shaving
? Procedural Guideline 10.6 Nail & Foot Care
? Procedural Guideline 10.6 Bed Making - Occupied
? Procedural Guideline 10.7 Bed Making - Unoccupied and Surgical Bed
Chapter 11: Care of the Eye and Ear
? Skill 11.1 Eye Irrigation
? Procedural Guideline 11.1 Eye Care for the Comatose Patient
? Skill 11.2 Ear Irrigation
? Skill 11. 3 Caring for a Hearing Aid
Chapter 12: Promoting Nutrition
? Skill 12.1 Feeding Dependent Patients
? Skill 12.2 Aspiration Precautions
? Skill 12.3 Insertion and Removal of a Small-Bore Feeding Tube
? Skill 12.4 Verifying Placement & Irrigating a Feeding Tube
? Skill 12.5 Administering Tube Feedings for Nasogastric, Gastrostomy, and Jejunostomy Tubes
? Procedural Guideline 12.1 Site Care of Enteral Feeding Tubes
Chapter 13: Pain Management
? Skill 13.1 Nonpharmacological Pain Management
? Procedural Guideline 13.1 Relaxation and Guided Imagery
? Skill 13.2 Pharmacologic Pain Management
? Skill 13.3 Patient-Controlled Analgesia
? Skill 13.4 Epidural Analgesia
? Skill 13.5 Local Anesthetics Infusion Pump for Analgesia
? Skill 13-6 Moist and Dry Heat
? Skill 13-7 Cold Application
Chapter 14: Promoting Oxygenation
? Skill 14.1 Oxygen Administration
? Skill 14.2 Airway Management: Noninvasive Interventions
? Procedural Guideline 14.1 Use of a Peak Flow-Meter
? Skill 14.3 Chest Physiotherapy
? Skill 14.4 Airway Management: Suctioning
? Skill 14.5 Airway Management: Endotracheal Tube and Tracheostomy Care
? Skill 14.6 Managing Closed Chest Drainage Systems
Unit 4: Activity and Mobility
Chapter 15: Safe Patient Handling
? Skill 15.1 Transfer Techniques
? Skill 15.2 Moving & Positioning Patients in Bed
? Procedural Guideline 15.1 Wheelchair Transfer Techniques
Chapter 16: Exercise & Mobility
? Procedural Guideline 16.1 Range of Motion
? Procedural Guideline 16.2 Applying Elastic Stockings and Sequential Compression Device
? Skill 16.1 Assisting with Ambulation
? Skill 16.2 Teaching Use of Canes, Crutches, Walkers
Chapter 17: Traction, Cast Care, and Immobilization Devices
? Skill 17.1 Assisting with Cast Application and Removal
? Skill 17-2 Care of the  Patient in Skin Traction
? Skill 17.3 Care of the Patient in Skeletal Traction and Pin Site Care
? Skill 17.3 Care of the Patient with an Immobilization Device
Unit 5:  Promoting Elimination
Chapter 18: Urinary Elimination
? Procedural Guideline 18.1 Assisting with Use of a Urinal
? Skill 18.1 Applying a Condom Catheter
? Procedural Guideline 18.2 Bladder Scan
? Skill 18.2 Insertion of a Straight or Indwelling Catheter
? Skill 18.3 Removal of Indwelling Catheter
? Procedural Guideline 18.3 Care of Indwelling Catheter
? Skill 18.4 Suprapubic Catheterization
? Skill 18.5 Performing Catheter Irrigation
Chapter 19: Bowel Elimination
? Procedural Guideline 19.1 Providing a Bedpan
? Skill 19.1 Removing Fecal Impaction
? Skill 19.2 Administering an Enema
? Skill 19.3 Insertion, Maintenance, and Removal of a Nasogastric Tube for Decompression
Chapter 20: Ostomy Care
? Skill 20.1 Pouching a Bowel Diversion
? Skill 20.2 Pouching an Incontinent Urostomy
? Skill 20.3 Catheterizing a Urinary Diversion  NEW!
Unit 6: Medication Administration
Chapter 21: Preparation for Safe Medication Administration
? Patient-Centered Care
? Safety
? Pharmacokinetics and Drug Action
? Administering Medications
? Evidence-Based Practice
? Distribution Systems
? Medication-Administration Records
? The Six Rights of Medication Administration
? Systems of Measurement
? Nursing Process
? Patient and Family Teaching
? Special Handling of Controlled Substances
Chapter 22: Nonparenteral Medications
? Skill 22.1 Administering Oral Medications
? Skill 22.2 Administering Medications Through a Feeding Tube
? Skill 22.3 Applying Topical Medications to the Skin
? Skill 22.4 Administering Eye and Ear Medications
? Skill 22.5 Using Metered-Dose Inhalers (MDI)
? Skill 22.6 Using Small-Volume Nebulizers
? Procedural Guideline 22.1 Administering Vaginal Medications
? Procedural Guideline 22.2 Administering Rectal Medications
Chapter 23: Parenteral Medications
? Skill 23.1 Preparing Injections - Vial and Ampule
? Procedural Guideline 23.1 Mixing Parenteral Medications in One Syringe
? Skill 23.2 Subcutaneous Injections
? Skill 23.3 Intramuscular Injections
? Skill 23.4 Intradermal Injections
? Skill 23.5 Administering Medications Intravenous Bolus
? Skill 23.6 Administering Intravenous Piggyback, Intermittent Infusion Sets, and Mini-IV Pump
? Skill 23.7 Continuous Subcutaneous Infusion
Unit 7: Dressings and Wound Care
Chapter 24: Wound Care and Irrigation
? Procedural Guideline 24.1 Performing a Wound Assessment
? Skill 24.1 Performing Wound Irrigation
? Skill 24.2 Managing Wound Drainage Evacuation
? Skill 24.3 Removing Sutures and Staples
? Skill 24.4 Negative Pressure Wound Therapy
Chapter 25: Pressure Ulcers
? Skill 25.1 Pressure Ulcer Risk Assessment and Prevention Strategies
? Skill 25.2 Treatment of Pressure Ulcers and Wound Management
? Procedural Guideline 25.1 Selection of Pressure- Redistribution Support Surface
Chapter 26: Dressings Bandages and Binders
? Skill 26.1 Applying a Gauze Dressing (Dry and Moist-to-Dry)
? Skill 26.2 Applying a Pressure Bandage
? Procedural Guideline 26.1 Applying a Transparent Dressing
? Skill 26.3 Applying a Hydrocolloid, Hydrogel, Foam, or Absorption Dressing
? Procedural Guideline 26.2 Applying Gauze and Elastic Bandages
? Procedural Guideline 26.3 Applying  a Binder
Unit 8:  Complex Nursing Interventions
Chapter 27: Intravenous Therapy
? Skill 27.1 Insertion of a Peripheral-Short Intravenous Device
? Skill 27.2 Regulating Intravenous Infusion Flow Rate
? Skill 27.3 Maintenance of Intravenous Site
? Procedural Guideline 27.1 Discontinuing Peripheral Intravenous Access
? Skill 27.4 Managing Central Venous Access Devices
? Skill 27.5 Administration of Parenteral Nutrition
? Skill 27.6 Transfusions of Blood Products
Chapter 28: Pre-Operative and Post-Operative Care
? Skill 28.1 Preoperative Assessment
? Skill 28.2 Preoperative Teaching
? Skill 28.3 Physical Preparation for Surgery
? Skill 28.4 Managing the Patient Receiving Moderate Sedation
? Skill 28.5 Providing Immediate Anesthesia Recovery in the Postanesthesia Care Unit
? Skill 28.6 Providing Early Postoperative and Convalescent Phase Recovery
Chapter 29: Emergency Measures for Life Support in the Hospital Setting
? Skill 29.1 Inserting an Oropharyngeal Airway
? Skill 29.2 Using an Automated External Defibrillator
? Skill 29.3 Code Management
Unit 9:  Supportive Nursing Interventions
Chapter 30: Palliative Care
? Skill 30.1 Supporting Patients and Families in Grief
? Skill 30.2 Care of the Dying  Patient
? Skill 30.3 Care of the Body after Death
Chapter 31: Home Care Safety
? Skill 31.1 Home Health Safety and Assessment
? Skill 31.2 Adapting the Home Setting for Clients with Cognitive Deficits
? Skill 31.3 Medication and Medical Device Safety
Appendixes:
A: Answer key to end-of-chapter exercises
B: Abbreviations and Equivalents
C: References
Additional skills and procedures available on Evolve [with checklists]:
? Administering Nasal Medications
? Placing a Patient on a Support Surface