Nursing Interventions & Clinical Skills

By

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

Master nursing skills with this guide from the respected Perry, Potter & Ostendorf author team! The concise coverage in Nursing Interventions & Clinical Skills, 6th Edition makes it easy to master the clinical skills required in everyday nursing practice. Clear guidelines address 159 basic, intermediate, and advanced skills - from measuring body temperature to insertion of a peripheral intravenous device - and step-by-step instructions emphasize the use of evidence-based concepts to improve patient safety and outcomes. Its friendly, easy-to-read writing style includes a streamlined format and an Evolve companion website with review questions and handy checklists for each skill.
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Book information

  • Published: February 2015
  • Imprint: MOSBY
  • ISBN: 978-0-323-18794-7


Table of Contents

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