Preface |
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viii | |
Introduction |
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x | |
Chapter 1 Protective Methods |
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1 | (6) |
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1 | (1) |
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Infection Control Methods |
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1 | (6) |
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1 | (1) |
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Transmission-Based Precautions |
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2 | (2) |
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Skill 1-1 Latex Precautions |
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4 | (1) |
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Skill 1-2 Visitor Identification and Health Insurance Portability and Accountability Act (HIPAA) |
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5 | (1) |
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6 | (1) |
Chapter 2 Women's Health and Prenatal Care |
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7 | (14) |
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7 | (1) |
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Breast Self-Examination (BSE) |
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7 | (2) |
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Skill 2-1 Teaching Breast Self-Examination |
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7 | (2) |
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9 | (2) |
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Skill 2-2 Assisting With a Pelvic Examination |
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10 | (1) |
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Deep Tendon Reflexes and Clonus |
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11 | (1) |
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Skill 2-3 Assessing Deep Tendon Reflexes and Clonus |
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11 | (1) |
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12 | (1) |
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Skill 2-4 Administration of Rh Immune Globulin (RhoGAM, HypRho-D) |
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13 | (1) |
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13 | (2) |
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Skill 2-5 Assisting During Amniocentesis |
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14 | (1) |
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External Fetal Monitoring |
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15 | (2) |
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Skill 2-6 External Electronic Fetal Monitoring |
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15 | (2) |
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Assessment of Fetal Well-Being |
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17 | (4) |
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Skill 2-7 Assessment of Fetal Well-Being: Non-Stress Test (NST) |
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17 | (1) |
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Skill 2-8 Assessment of Fetal Well-Being: Contraction Stress Test (CST) |
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18 | (1) |
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Skill 2-9 Assessment of Fetal Well-Being: Biophysical Profile (BPP) |
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19 | (2) |
Chapter 3 Intrapartum |
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21 | (13) |
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21 | (1) |
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Intrapartal Vaginal Examination |
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21 | (3) |
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Skill 3-1 Performing an Intrapartal Vaginal Examination |
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21 | (3) |
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24 | (1) |
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Skill 3-2 Assisting With Amniotomy (AROM: Artificial Rupture of Membranes) |
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24 | (1) |
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25 | (2) |
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Skill 3-3 Performing Leopold Maneuvers |
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25 | (2) |
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27 | (1) |
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Skill 3-4 Auscultating Fetal Heart Rate |
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27 | (1) |
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Electronic Fetal Monitoring |
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27 | (3) |
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Skill 3-5 Internal Electronic Fetal Monitoring: Applying a Fetal Scalp Electrode |
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28 | (2) |
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30 | (1) |
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Skill 3-6 Assisting With and Monitoring the Woman Undergoing Labor Induction With Pitocin and Cervical Ripening Agents |
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30 | (1) |
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31 | (1) |
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Skill 3-7 Assisting With and Caring for the Woman With an Epidural During Labor |
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31 | (1) |
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32 | (2) |
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Skill 3-8 Care of the Woman With Prolapsed Cord |
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33 | (1) |
Chapter 4 Postpartum |
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34 | (8) |
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34 | (1) |
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Assessment of the Uterine Fundus |
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34 | (1) |
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Skill 4-1 Assessing the Uterine Fundus Following Vaginal or Cesarean Birth |
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34 | (1) |
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35 | (2) |
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Skill 4-2 Evaluating Lochia |
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36 | (1) |
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37 | (5) |
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Skill 4-3 Postpartum Perineal Assessment |
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37 | (1) |
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Skill 4-4 Assisting With Breastfeeding After Childbirth |
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38 | (4) |
Chapter 5 Newborn |
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42 | (10) |
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42 | (1) |
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Nasal Pharyngeal Suctioning |
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42 | (1) |
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Skill 5-1 Performing Nasal Pharyngeal Suctioning |
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42 | (1) |
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43 | (1) |
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Skill 5-2 Assigning Newborn Apgar Scores |
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43 | (1) |
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Thermoregulation of the Newborn |
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44 | (1) |
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Skill 5-3 Thermoregulation of the Newborn |
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44 | (1) |
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45 | (2) |
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Skill 5-4 Umbilical Cord Clamp: Application, Care, and Removal |
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46 | (1) |
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47 | (1) |
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Skill 5-5 Assisting With Circumcision and Providing Circumcision Care |
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47 | (1) |
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48 | (1) |
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Skill 5-6 Initial Newborn Bath |
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48 | (1) |
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49 | (3) |
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49 | (1) |
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Skill 5-7 The Newborn Receiving Phototherapy |
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49 | (3) |
Chapter 6 Informed Consent |
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52 | (3) |
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52 | (1) |
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General Guidelines for Obtaining Informed Consent |
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52 | (3) |
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Skill 6-1 Pediatric Considerations for Obtaining Informed Consent |
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53 | (2) |
Chapter 7 Physical Assessment |
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55 | (17) |
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55 | (1) |
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56 | (3) |
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56 | (1) |
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57 | (1) |
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57 | (1) |
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Skill 7-4 Body Mass Index |
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58 | (1) |
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Skill 7-5 Head Circumference |
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58 | (1) |
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Skill 7-6 Abdominal Girth |
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59 | (1) |
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59 | (3) |
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59 | (1) |
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Skill 7-8 Respiratory Rate |
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60 | (1) |
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61 | (1) |
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62 | (3) |
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63 | (1) |
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63 | (1) |
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Skill 7-12 Axillary Route |
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63 | (1) |
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Skill 7-13 Tympanic Route |
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64 | (1) |
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Skill 7-14 Temporal Route |
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65 | (1) |
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65 | (3) |
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Skill 7-15 Snellen Letter Chart |
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65 | (1) |
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Skill 7-16 HDTV, Snellen E, or Picture Chart |
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66 | (1) |
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Skill 7-17 Autorefractor Vision Screening |
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67 | (1) |
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68 | (3) |
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Skill 7-18 Otoacoustic Emission Screening |
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68 | (1) |
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Skill 7-19 Automated Auditory Brainstem Screening |
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68 | (1) |
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Skill 7-20 Pure Tone Audiometry |
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69 | (1) |
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70 | (1) |
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Fluid and Electrolyte Balance: Intake and Output |
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71 | (1) |
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Skill 7-22 Urine Output Measurement |
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71 | (1) |
Chapter 8 Pain Assessment and Management |
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72 | (8) |
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72 | (1) |
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72 | (4) |
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Skill 8-1 Selected Pediatric Pain Scales |
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72 | (4) |
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Special Pain Management Techniques |
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76 | (4) |
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Skill 8-2 Administering Patient-Controlled Analgesia (PCA) Pumps |
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76 | (2) |
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Skill 8-3 Sedation Monitoring |
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78 | (1) |
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Skill 8-4 Regional and Local Pain Management |
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79 | (1) |
Chapter 9 Positioning and Restraining Therapies |
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80 | (6) |
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80 | (1) |
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81 | (2) |
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Skill 9-1 Positioning a Child for Injections or Intravenous Access |
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81 | (1) |
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Skill 9-2 Positioning a Child for Lumbar Puncture |
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82 | (1) |
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Skill 9-3 Positioning a Child for an Otoscopic Examination |
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82 | (1) |
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83 | (3) |
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Skill 9-4 Applying a Papoose Board Immobilizer |
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83 | (1) |
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Skill 9-5 Applying a Mummy Immobilizer |
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84 | (1) |
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Skill 9-6 Applying Elbow Immobilizers |
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85 | (1) |
Chapter 10 Transporting the Child |
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86 | (3) |
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86 | (3) |
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Skill 10-1 Transporting the Infant |
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86 | (1) |
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Skill 10-2 Transporting the Child |
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87 | (1) |
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Skill 10-3 Transporting the Child With a Disability |
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87 | (2) |
Chapter 11 Specimen Collection |
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89 | (16) |
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89 | (1) |
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89 | (7) |
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Skill 11-1 Performing a Capillary Puncture |
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90 | (1) |
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Skill 11-2 Newborn Screening |
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90 | (1) |
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Skill 11-3 Blood Glucose Meters |
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91 | (1) |
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Skill 11-4 Performing a Venipuncture |
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92 | (2) |
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Skill 11-5 Blood Cultures |
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94 | (1) |
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Skill 11-6 Arterial Blood Gases |
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95 | (1) |
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96 | (4) |
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Skill 11-7 Applying a Urine Collection Bag (Infant) |
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96 | (1) |
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Skill 11-8 Routine Urine Collection (Older Child) |
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96 | (1) |
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Skill 11-9 Collecting a Clean-Catch Midstream Urine Specimen (Older Child) |
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96 | (1) |
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Skill 11-10 Collecting a Sterile Urinary Catheter Specimen |
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97 | (2) |
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Skill 11-11 Collecting an Indwelling Catheter Urine Specimen |
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99 | (1) |
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Skill 11-12 Collecting a 24-Hour Urine Specimen |
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99 | (1) |
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100 | (1) |
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Skill 11-13 Obtaining a Stool Specimen |
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100 | (1) |
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100 | (1) |
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Skill 11-14 Obtaining a Sample for a Wound Culture |
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101 | (1) |
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101 | (1) |
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Skill 11-15 Obtaining a Sample for a Throat Culture |
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101 | (1) |
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102 | (1) |
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Skill 11-16 Collecting Respiratory Secretions From an Infant |
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102 | (1) |
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Skill 11-17 Collecting Respiratory Secretions From a Child |
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102 | (1) |
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103 | (2) |
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Skill 11-18 Assisting With Bone Marrow Aspiration |
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103 | (2) |
Chapter 12 Administering Medications and Irrigations |
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105 | (18) |
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105 | (1) |
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Administering Medications |
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106 | (2) |
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107 | (1) |
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107 | (1) |
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107 | (1) |
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108 | (1) |
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Skill 12-1 Administering an Oral Medication |
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108 | (1) |
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109 | (3) |
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111 | (1) |
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Skill 12-2 Administering an Intramuscular Injection |
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111 | (1) |
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112 | (1) |
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Skill 12-3 Administering a Subcutaneous Injection |
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112 | (1) |
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113 | (1) |
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113 | (1) |
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Skill 12-4 Administering an Intravenous Medication |
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113 | (1) |
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114 | (3) |
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Skill 12-5 Administering Neonatal Ophthalmic Ointment |
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114 | (1) |
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Skill 12-6 Administering an Ophthalmic Medication |
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115 | (1) |
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116 | (1) |
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117 | (1) |
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Skill 12-7 Performing an Eye Irrigation |
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117 | (1) |
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118 | (1) |
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Skill 12-8 Administering an Otic Medication |
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118 | (1) |
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118 | (1) |
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Skill 12-9 Performing an Ear Irrigation |
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119 | (1) |
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119 | (1) |
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Skill 12-10 Administering a Nasal Medication |
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119 | (1) |
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120 | (1) |
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Skill 12-11 Administering Nebulizer Aerbsol Therapy |
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120 | (1) |
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Metered-Dose Inhaler (MDI) |
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120 | (1) |
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Skill 12-12 Using a Metered-Dose Inhaler (MDI) |
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120 | (1) |
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121 | (1) |
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Skill 12-13 Administering Topical Medication |
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121 | (1) |
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121 | (2) |
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Skill 12-14 Administering Rectal Medication |
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122 | (1) |
Chapter 13 Intravenous Access |
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123 | (13) |
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123 | (1) |
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Peripheral Vascular Access |
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123 | (3) |
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123 | (2) |
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Skill 13-1 Accessing a Peripheral Vein |
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125 | (1) |
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126 | (2) |
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Skill 13-2 Attaching a Medication Lock Cap to an IV Infusion |
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126 | (1) |
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Skill 13-3 Infusing Medication: Medication Lock in Place |
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127 | (1) |
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Skill 13-4 Administering an IV Push Bolus of Medication: Medication Lock in Place |
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128 | (1) |
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128 | (4) |
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129 | (1) |
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Skill 13-5 Administering IV Fluids |
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129 | (1) |
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Guidelines for Infusion of IV Fluids |
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130 | (1) |
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130 | (1) |
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Skill 13-6 Administering Blood or Blood Products |
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130 | (2) |
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Skill 13-7 Total Parenteral Nutrition |
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132 | (1) |
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Central Venous Access Devices |
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132 | (4) |
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133 | (1) |
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Skill 13-8 Caring for a Central Venous Catheter Site |
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133 | (1) |
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Skill 13-9 Accessing a Central Venous Catheter |
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133 | (2) |
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Skill 13-10 Implanted Ports |
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135 | (1) |
Chapter 14 Neurologic Assessment and Care |
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136 | (5) |
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136 | (1) |
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Special Neurologic Assessments |
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136 | (5) |
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Skill 14-1 Neurovascular Assessment |
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136 | (1) |
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Skill 14-2 Glasgow Coma Scale |
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137 | (1) |
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Skill 14-3 External Ventricular Drain Care |
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137 | (1) |
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Skill 14-4 Intracranial Pressure Monitoring |
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138 | (3) |
Chapter 15 Cardiorespiratory Care |
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141 | (35) |
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141 | (1) |
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142 | (2) |
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142 | (1) |
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Skill 15-1 Using Oxygen Delivery Systems |
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143 | (1) |
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Cardiorespiratory Monitoring |
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144 | (5) |
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Skill 15-2 Oxygen Saturation: Pulse Oximetry |
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144 | (1) |
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Skill 15-3 Cardiorespiratory or Apnea Monitor |
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144 | (1) |
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Skill 15-4 Placement of Electrocardiogram Electrodes |
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145 | (1) |
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Skill 15-5 Peak Expiratory Flow Rate (PEFR) Monitoring |
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146 | (1) |
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Skill 15-6 Central Venous Pressure Monitoring |
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147 | (1) |
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Skill 15-7 Arterial Pressure Monitoring |
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148 | (1) |
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149 | (5) |
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Skill 15-8 Assisting With Oropharyngeal Airway Insertion |
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149 | (1) |
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Skill 15-9 Assisting With Nasopharyngeal Airway Insertion |
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150 | (1) |
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Skill 15-10 Tracheostomy General Guidelines |
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151 | (1) |
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Skill 15-11 Tracheostomy Care |
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152 | (1) |
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Skill 15-12 Endotracheal Tube Care |
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153 | (1) |
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154 | (3) |
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Skill 15-13 Bag-Mask Ventilation |
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154 | (1) |
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155 | (1) |
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Skill 15-15 Oral Care for the Child on a Ventilator |
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156 | (1) |
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157 | (3) |
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Skill 15-16 Assisting With Placement of Chest Tubes |
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157 | (1) |
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Skill 15-17 Care of the Chest Tube |
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158 | (1) |
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Skill 15-18 Assisting With Chest Tube Removal |
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159 | (1) |
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Cardiopulmonary Resuscitation |
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160 | (3) |
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Skill 15-19 Performing Cardiopulmonary Resuscitation |
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160 | (3) |
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Foreign Body Airway Obstruction |
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163 | (2) |
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Skill 15-20 Removing a Foreign Body Airway Obstruction |
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164 | (1) |
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165 | (5) |
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Skill 15-21 Performing Nasal/Oral Suctioning |
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165 | (1) |
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Skill 15-22 Suctioning a Conscious (Awake and Alert) Child |
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166 | (1) |
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Skill 15-23 Suctioning a Child With a Decreased Level of Consciousness |
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167 | (1) |
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Skill 15-24 Tracheostomy Tube Suctioning |
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168 | (1) |
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Skill 15-25 Endotracheal Tube Suctioning |
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169 | (1) |
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Chest Physiotherapy/Postural Drainage |
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170 | (4) |
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Skill 15-26 Performing Chest Physiotherapy/Postural Drainage |
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170 | (4) |
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174 | (2) |
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Skill 15-27 Using the Incentive Spirometer |
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174 | (2) |
Chapter 16 Nutrition |
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176 | (8) |
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176 | (1) |
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176 | (3) |
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176 | (1) |
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Skill 16-1 Inserting and Removing an Orogastric Tube |
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176 | (1) |
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177 | (1) |
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Skill 16-2 Inserting and Removing a Nasogastric Tube |
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177 | (2) |
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179 | (1) |
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179 | (4) |
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Skill 16-3 Administering a Gavage/Tube Feeding |
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181 | (2) |
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183 | (1) |
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Skill 16-4 Performing Gastric Suctioning |
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183 | (1) |
Chapter 17 Elimination |
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184 | (5) |
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184 | (1) |
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184 | (2) |
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Skill 17-1 Performing an Indwelling Urinary Catheterization |
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184 | (2) |
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Skill 17-2 Double-Diapering With a Stent in Place |
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186 | (1) |
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186 | (2) |
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Skill 17-3 Changing the Dressing for an Infant With an Ostomy |
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186 | (1) |
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Skill 17-4 Changing an Ostomy Pouch for an Infant or Child |
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187 | (1) |
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188 | (1) |
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Skill 17-5 Administering an Enema |
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188 | (1) |
Chapter 18 Skin and Musculoskeletal Care |
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189 | (9) |
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189 | (1) |
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189 | (4) |
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Skill 18-1 Wound Irrigation |
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189 | (1) |
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Skill 18-2 Burn Wound Care |
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190 | (1) |
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Skill 18-3 Suture and Staple Removal |
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191 | (2) |
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193 | (1) |
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Skill 18-4 Providing Cast Care |
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193 | (1) |
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194 | (1) |
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Skill 18-5 Setting Crutch Height |
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195 | (1) |
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195 | (1) |
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195 | (3) |
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Skill 18-6 Applying and Monitoring Skin Traction |
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195 | (1) |
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Skill 18-7 Monitoring Skeletal Traction and Performing Pin Care |
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196 | (2) |
Appendix A Physical Growth Charts |
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198 | (10) |
Appendix B Blood Pressure Values by Age, Gender, and Height Percentiles |
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208 | (4) |
Appendix C Body Surface Area Nomogram |
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212 | (1) |
Appendix D Conversions and Equivalents |
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213 | (2) |
Appendix E Diagnostic Procedures |
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215 | (8) |
Citations and General References |
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223 | (4) |
Index |
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227 | |