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Clinical Skills Manual for Maternity and Pediatric Nursing 5th edition [Mīkstie vāki]

  • Formāts: Paperback / softback, 240 pages, height x width x depth: 274x216x8 mm, weight: 540 g
  • Izdošanas datums: 24-Mar-2016
  • Izdevniecība: Pearson
  • ISBN-10: 0134257006
  • ISBN-13: 9780134257006
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  • Formāts: Paperback / softback, 240 pages, height x width x depth: 274x216x8 mm, weight: 540 g
  • Izdošanas datums: 24-Mar-2016
  • Izdevniecība: Pearson
  • ISBN-10: 0134257006
  • ISBN-13: 9780134257006
Citas grāmatas par šo tēmu:
The all-in-one resource for maternal-newborn and pediatric nursing skills

Designed for both the nursing student and the practitioner, Clinical Skills Manual for Maternity and Pediatric Nursing can serve as both a text companion and an essential reference for step-by-step procedures in clinical settings. Showcasing more than 150 skills commonly performed on childbearing women, newborns, and children, this portable reference guides the reader through protective methods, pain assessment and management, administration of medicine and irrigation, physical assessment, and other information crucial to nurses using full-color photographs and rationales. Throughout the manual, boxes and tables highlight important safety issues, growth and development considerations, teaching for families, and clinical tips. Appendices provide information on growth grids and calculation of body surface area for medication administration.
Preface viii
Introduction x
Chapter 1 Protective Methods 1(6)
Chapter Outline
1(1)
Infection Control Methods
1(6)
Standard Precautions
1(1)
Transmission-Based Precautions
2(2)
Skill 1-1 Latex Precautions
4(1)
Skill 1-2 Visitor Identification and Health Insurance Portability and Accountability Act (HIPAA)
5(1)
Skill 1-3 Time Out
6(1)
Chapter 2 Women's Health and Prenatal Care 7(14)
Chapter Outline
7(1)
Breast Self-Examination (BSE)
7(2)
Skill 2-1 Teaching Breast Self-Examination
7(2)
Pelvic Examination
9(2)
Skill 2-2 Assisting With a Pelvic Examination
10(1)
Deep Tendon Reflexes and Clonus
11(1)
Skill 2-3 Assessing Deep Tendon Reflexes and Clonus
11(1)
Rh Alloimmunization
12(1)
Skill 2-4 Administration of Rh Immune Globulin (RhoGAM, HypRho-D)
13(1)
Amniocentesis
13(2)
Skill 2-5 Assisting During Amniocentesis
14(1)
External Fetal Monitoring
15(2)
Skill 2-6 External Electronic Fetal Monitoring
15(2)
Assessment of Fetal Well-Being
17(4)
Skill 2-7 Assessment of Fetal Well-Being: Non-Stress Test (NST)
17(1)
Skill 2-8 Assessment of Fetal Well-Being: Contraction Stress Test (CST)
18(1)
Skill 2-9 Assessment of Fetal Well-Being: Biophysical Profile (BPP)
19(2)
Chapter 3 Intrapartum 21(13)
Chapter Outline
21(1)
Intrapartal Vaginal Examination
21(3)
Skill 3-1 Performing an Intrapartal Vaginal Examination
21(3)
Amniotomy
24(1)
Skill 3-2 Assisting With Amniotomy (AROM: Artificial Rupture of Membranes)
24(1)
Leopold Maneuvers
25(2)
Skill 3-3 Performing Leopold Maneuvers
25(2)
Fetal Heart Rate
27(1)
Skill 3-4 Auscultating Fetal Heart Rate
27(1)
Electronic Fetal Monitoring
27(3)
Skill 3-5 Internal Electronic Fetal Monitoring: Applying a Fetal Scalp Electrode
28(2)
Induction of Labor
30(1)
Skill 3-6 Assisting With and Monitoring the Woman Undergoing Labor Induction With Pitocin and Cervical Ripening Agents
30(1)
Epidural During Labor
31(1)
Skill 3-7 Assisting With and Caring for the Woman With an Epidural During Labor
31(1)
Prolapsed Cord
32(2)
Skill 3-8 Care of the Woman With Prolapsed Cord
33(1)
Chapter 4 Postpartum 34(8)
Chapter Outline
34(1)
Assessment of the Uterine Fundus
34(1)
Skill 4-1 Assessing the Uterine Fundus Following Vaginal or Cesarean Birth
34(1)
Lochia
35(2)
Skill 4-2 Evaluating Lochia
36(1)
Perineal Assessment
37(5)
Skill 4-3 Postpartum Perineal Assessment
37(1)
Skill 4-4 Assisting With Breastfeeding After Childbirth
38(4)
Chapter 5 Newborn 42(10)
Chapter Outline
42(1)
Nasal Pharyngeal Suctioning
42(1)
Skill 5-1 Performing Nasal Pharyngeal Suctioning
42(1)
Newborn Apgar
43(1)
Skill 5-2 Assigning Newborn Apgar Scores
43(1)
Thermoregulation of the Newborn
44(1)
Skill 5-3 Thermoregulation of the Newborn
44(1)
Umbilical Cord Care
45(2)
Skill 5-4 Umbilical Cord Clamp: Application, Care, and Removal
46(1)
Circumcision Care
47(1)
Skill 5-5 Assisting With Circumcision and Providing Circumcision Care
47(1)
Newborn Bath
48(1)
Skill 5-6 Initial Newborn Bath
48(1)
Jaundice/Bilirubin
49(3)
Phototherapy
49(1)
Skill 5-7 The Newborn Receiving Phototherapy
49(3)
Chapter 6 Informed Consent 52(3)
Chapter Outline
52(1)
General Guidelines for Obtaining Informed Consent
52(3)
Skill 6-1 Pediatric Considerations for Obtaining Informed Consent
53(2)
Chapter 7 Physical Assessment 55(17)
Chapter Outline
55(1)
Growth Measurements
56(3)
Skill 7-1 Length
56(1)
Skill 7-2 Height
57(1)
Skill 7-3 Weight
57(1)
Skill 7-4 Body Mass Index
58(1)
Skill 7-5 Head Circumference
58(1)
Skill 7-6 Abdominal Girth
59(1)
Vital Signs
59(3)
Skill 7-7 Heart Rate
59(1)
Skill 7-8 Respiratory Rate
60(1)
Skill 7-9 Blood Pressure
61(1)
Body Temperature
62(3)
Skill 7-10 Oral Route
63(1)
Skill 7-11 Rectal Route
63(1)
Skill 7-12 Axillary Route
63(1)
Skill 7-13 Tympanic Route
64(1)
Skill 7-14 Temporal Route
65(1)
Visual Acuity Screening
65(3)
Skill 7-15 Snellen Letter Chart
65(1)
Skill 7-16 HDTV, Snellen E, or Picture Chart
66(1)
Skill 7-17 Autorefractor Vision Screening
67(1)
Hearing Acuity Screening
68(3)
Skill 7-18 Otoacoustic Emission Screening
68(1)
Skill 7-19 Automated Auditory Brainstem Screening
68(1)
Skill 7-20 Pure Tone Audiometry
69(1)
Skill 7-21 Tympanometry
70(1)
Fluid and Electrolyte Balance: Intake and Output
71(1)
Skill 7-22 Urine Output Measurement
71(1)
Chapter 8 Pain Assessment and Management 72(8)
Chapter Outline
72(1)
Pain Assessment
72(4)
Skill 8-1 Selected Pediatric Pain Scales
72(4)
Special Pain Management Techniques
76(4)
Skill 8-2 Administering Patient-Controlled Analgesia (PCA) Pumps
76(2)
Skill 8-3 Sedation Monitoring
78(1)
Skill 8-4 Regional and Local Pain Management
79(1)
Chapter 9 Positioning and Restraining Therapies 80(6)
Chapter Outline
80(1)
Human Restraint
81(2)
Skill 9-1 Positioning a Child for Injections or Intravenous Access
81(1)
Skill 9-2 Positioning a Child for Lumbar Puncture
82(1)
Skill 9-3 Positioning a Child for an Otoscopic Examination
82(1)
Mechanical Restraint
83(3)
Skill 9-4 Applying a Papoose Board Immobilizer
83(1)
Skill 9-5 Applying a Mummy Immobilizer
84(1)
Skill 9-6 Applying Elbow Immobilizers
85(1)
Chapter 10 Transporting the Child 86(3)
Chapter Outline
86(3)
Skill 10-1 Transporting the Infant
86(1)
Skill 10-2 Transporting the Child
87(1)
Skill 10-3 Transporting the Child With a Disability
87(2)
Chapter 11 Specimen Collection 89(16)
Chapter Outline
89(1)
Blood Samples
89(7)
Skill 11-1 Performing a Capillary Puncture
90(1)
Skill 11-2 Newborn Screening
90(1)
Skill 11-3 Blood Glucose Meters
91(1)
Skill 11-4 Performing a Venipuncture
92(2)
Skill 11-5 Blood Cultures
94(1)
Skill 11-6 Arterial Blood Gases
95(1)
Urine Samples
96(4)
Skill 11-7 Applying a Urine Collection Bag (Infant)
96(1)
Skill 11-8 Routine Urine Collection (Older Child)
96(1)
Skill 11-9 Collecting a Clean-Catch Midstream Urine Specimen (Older Child)
96(1)
Skill 11-10 Collecting a Sterile Urinary Catheter Specimen
97(2)
Skill 11-11 Collecting an Indwelling Catheter Urine Specimen
99(1)
Skill 11-12 Collecting a 24-Hour Urine Specimen
99(1)
Stool Culture
100(1)
Skill 11-13 Obtaining a Stool Specimen
100(1)
Wound Culture
100(1)
Skill 11-14 Obtaining a Sample for a Wound Culture
101(1)
Throat Culture
101(1)
Skill 11-15 Obtaining a Sample for a Throat Culture
101(1)
Respiratory Secretions
102(1)
Skill 11-16 Collecting Respiratory Secretions From an Infant
102(1)
Skill 11-17 Collecting Respiratory Secretions From a Child
102(1)
Bone Marrow Aspiration
103(2)
Skill 11-18 Assisting With Bone Marrow Aspiration
103(2)
Chapter 12 Administering Medications and Irrigations 105(18)
Chapter Outline
105(1)
Administering Medications
106(2)
Preparation
107(1)
Documentation
107(1)
Calculation
107(1)
Oral Medication
108(1)
Skill 12-1 Administering an Oral Medication
108(1)
Intramuscular Injection
109(3)
Growth and Development
111(1)
Skill 12-2 Administering an Intramuscular Injection
111(1)
Subcutaneous Injection
112(1)
Skill 12-3 Administering a Subcutaneous Injection
112(1)
Intravenous Medication
113(1)
Special Considerations
113(1)
Skill 12-4 Administering an Intravenous Medication
113(1)
Ophthalmic Medication
114(3)
Skill 12-5 Administering Neonatal Ophthalmic Ointment
114(1)
Skill 12-6 Administering an Ophthalmic Medication
115(1)
Contact Lens Care
116(1)
Eye Irrigation
117(1)
Skill 12-7 Performing an Eye Irrigation
117(1)
Otic Medication
118(1)
Skill 12-8 Administering an Otic Medication
118(1)
Ear Irrigation
118(1)
Skill 12-9 Performing an Ear Irrigation
119(1)
Nasal Medication
119(1)
Skill 12-10 Administering a Nasal Medication
119(1)
Aerosol Therapy
120(1)
Skill 12-11 Administering Nebulizer Aerbsol Therapy
120(1)
Metered-Dose Inhaler (MDI)
120(1)
Skill 12-12 Using a Metered-Dose Inhaler (MDI)
120(1)
Topical Medication
121(1)
Skill 12-13 Administering Topical Medication
121(1)
Rectal Medication
121(2)
Skill 12-14 Administering Rectal Medication
122(1)
Chapter 13 Intravenous Access 123(13)
Chapter Outline
123(1)
Peripheral Vascular Access
123(3)
Choice of Site
123(2)
Skill 13-1 Accessing a Peripheral Vein
125(1)
Medication Lock
126(2)
Skill 13-2 Attaching a Medication Lock Cap to an IV Infusion
126(1)
Skill 13-3 Infusing Medication: Medication Lock in Place
127(1)
Skill 13-4 Administering an IV Push Bolus of Medication: Medication Lock in Place
128(1)
Intravenous Infusion
128(4)
Pumps
129(1)
Skill 13-5 Administering IV Fluids
129(1)
Guidelines for Infusion of IV Fluids
130(1)
Blood Administration
130(1)
Skill 13-6 Administering Blood or Blood Products
130(2)
Skill 13-7 Total Parenteral Nutrition
132(1)
Central Venous Access Devices
132(4)
Site Management
133(1)
Skill 13-8 Caring for a Central Venous Catheter Site
133(1)
Skill 13-9 Accessing a Central Venous Catheter
133(2)
Skill 13-10 Implanted Ports
135(1)
Chapter 14 Neurologic Assessment and Care 136(5)
Chapter Outline
136(1)
Special Neurologic Assessments
136(5)
Skill 14-1 Neurovascular Assessment
136(1)
Skill 14-2 Glasgow Coma Scale
137(1)
Skill 14-3 External Ventricular Drain Care
137(1)
Skill 14-4 Intracranial Pressure Monitoring
138(3)
Chapter 15 Cardiorespiratory Care 141(35)
Chapter Outline
141(1)
Administering Oxygen
142(2)
Oxygen Delivery Systems
142(1)
Skill 15-1 Using Oxygen Delivery Systems
143(1)
Cardiorespiratory Monitoring
144(5)
Skill 15-2 Oxygen Saturation: Pulse Oximetry
144(1)
Skill 15-3 Cardiorespiratory or Apnea Monitor
144(1)
Skill 15-4 Placement of Electrocardiogram Electrodes
145(1)
Skill 15-5 Peak Expiratory Flow Rate (PEFR) Monitoring
146(1)
Skill 15-6 Central Venous Pressure Monitoring
147(1)
Skill 15-7 Arterial Pressure Monitoring
148(1)
Artificial Airways
149(5)
Skill 15-8 Assisting With Oropharyngeal Airway Insertion
149(1)
Skill 15-9 Assisting With Nasopharyngeal Airway Insertion
150(1)
Skill 15-10 Tracheostomy General Guidelines
151(1)
Skill 15-11 Tracheostomy Care
152(1)
Skill 15-12 Endotracheal Tube Care
153(1)
Assisted Ventilation
154(3)
Skill 15-13 Bag-Mask Ventilation
154(1)
Skill 15-14 Ventilator
155(1)
Skill 15-15 Oral Care for the Child on a Ventilator
156(1)
Chest Tubes
157(3)
Skill 15-16 Assisting With Placement of Chest Tubes
157(1)
Skill 15-17 Care of the Chest Tube
158(1)
Skill 15-18 Assisting With Chest Tube Removal
159(1)
Cardiopulmonary Resuscitation
160(3)
Skill 15-19 Performing Cardiopulmonary Resuscitation
160(3)
Foreign Body Airway Obstruction
163(2)
Skill 15-20 Removing a Foreign Body Airway Obstruction
164(1)
Suctioning
165(5)
Skill 15-21 Performing Nasal/Oral Suctioning
165(1)
Skill 15-22 Suctioning a Conscious (Awake and Alert) Child
166(1)
Skill 15-23 Suctioning a Child With a Decreased Level of Consciousness
167(1)
Skill 15-24 Tracheostomy Tube Suctioning
168(1)
Skill 15-25 Endotracheal Tube Suctioning
169(1)
Chest Physiotherapy/Postural Drainage
170(4)
Skill 15-26 Performing Chest Physiotherapy/Postural Drainage
170(4)
Incentive Spirometry
174(2)
Skill 15-27 Using the Incentive Spirometer
174(2)
Chapter 16 Nutrition 176(8)
Chapter Outline
176(1)
Gastric Tubes
176(3)
Orogastric Tubes
176(1)
Skill 16-1 Inserting and Removing an Orogastric Tube
176(1)
Nasogastric Tubes
177(1)
Skill 16-2 Inserting and Removing a Nasogastric Tube
177(2)
Gastrostomy Tubes
179(1)
Gavage/Tube Feeding
179(4)
Skill 16-3 Administering a Gavage/Tube Feeding
181(2)
Gastric Suctioning
183(1)
Skill 16-4 Performing Gastric Suctioning
183(1)
Chapter 17 Elimination 184(5)
Chapter Outline
184(1)
Urinary Catheterization
184(2)
Skill 17-1 Performing an Indwelling Urinary Catheterization
184(2)
Skill 17-2 Double-Diapering With a Stent in Place
186(1)
Ostomy Care
186(2)
Skill 17-3 Changing the Dressing for an Infant With an Ostomy
186(1)
Skill 17-4 Changing an Ostomy Pouch for an Infant or Child
187(1)
Enemas
188(1)
Skill 17-5 Administering an Enema
188(1)
Chapter 18 Skin and Musculoskeletal Care 189(9)
Chapter Outline
189(1)
Skin
189(4)
Skill 18-1 Wound Irrigation
189(1)
Skill 18-2 Burn Wound Care
190(1)
Skill 18-3 Suture and Staple Removal
191(2)
Casts
193(1)
Skill 18-4 Providing Cast Care
193(1)
Crutches
194(1)
Skill 18-5 Setting Crutch Height
195(1)
Braces
195(1)
Traction
195(3)
Skill 18-6 Applying and Monitoring Skin Traction
195(1)
Skill 18-7 Monitoring Skeletal Traction and Performing Pin Care
196(2)
Appendix A Physical Growth Charts 198(10)
Appendix B Blood Pressure Values by Age, Gender, and Height Percentiles 208(4)
Appendix C Body Surface Area Nomogram 212(1)
Appendix D Conversions and Equivalents 213(2)
Appendix E Diagnostic Procedures 215(8)
Citations and General References 223(4)
Index 227
Ruth C. McGillis Bindler received her BSN from Cornell UniversityNew York Hospital School of Nursing in New York, New York. She worked in oncology nursing at MemorialSloan Kettering Cancer Center in New York, and then moved to Wisconsin and became a public health nurse in Dane County. Thus began her commitment to work with children as she visited children and their families at home, and served as a school nurse for several elementary, middle, and high schools. As a result of this interest in child healthcare needs, she earned her MS in child development from the University of Wisconsin in Madison. A move to Washington State was accompanied by a new job as a faculty member at the Intercollegiate Center for Nursing Education in Spokane, now the Washington State University College of Nursing. Dr. Bindler feels fortunate to have been involved for 38 years in the growth of this nursing education consortium, which is a combination of public and private universities and offers undergraduate and graduate nursing degrees. She taught theory and clinical courses in child health nursing, cultural diversity, graduate research, pharmacology, and assessment; served as lead faculty for child health nursing; was the first director of the PhD program; and served as Associate Dean for Graduate Programs, which include Master of Nursing, Post-Masters certificates, and PhD and Doctor of Nursing Practice (DNP) programs. She recently retired from this position and serves the college and profession as a professor emeritus, continuing work with graduate students and research. Her first professional book, Pediatric Medications, was published in 1981, and she has continued to publish articles and books in the areas of pediatric medications and pediatric health. Her research was focused in the area of childhood obesity, type 2 diabetes, and cardiovascular risk factors in children. Ethnic diversity and interprofessional collaboration have been other themes in her work. Dr. Bindler believes that her role as a faculty member and administrator enabled her to learn continually, to foster the development of students in nursing, and to participate fully in the profession of nursing. In addition to teaching, research, publication, and leadership, she enhances her life by service in several professional and community activities, and by outdoor activities with her family.

Jane W. Ball graduated from The Johns Hopkins Hospital School of Nursing in Baltimore, Maryland, and subsequently received a BS from The Johns Hopkins University in Baltimore. She worked in the surgical, emergency, and outpatient units of the Johns Hopkins Childrens Medical and Surgical Center, first as a staff nurse and then as a pediatric nurse practitioner. Thus began her career as a pediatric nurse and advocate for childrens health needs. She obtained both a master of public health and doctor of public health degree from the Johns Hopkins University Bloomberg School of Public Health with a focus on maternal and child health. After graduation, she became the chief of child health services for the Commonwealth of Pennsylvania Department of Health. In this capacity, she oversaw the state-funded well-child clinics and explored ways to improve education for the states community health nurses. After relocating to Texas, she joined the faculty at the University of Texas at Arlington School of Nursing to teach community pediatrics to registered nurses returning to school for a BSN. During this time she became involved in writing her first textbook, Mosbys Guide to Physical Examination, which is currently in its eighth edition. After relocating to the Washington, DC, area, she joined the Childrens National Medical Center to manage a federal project to teach instructors of emergency medical technicians from all states about the special care children need during an emergency. Exposure to the shortcomings of the emergency medical services system in the late 1980s with regard to pediatric care was a career-changing event. With federal funding, she developed educational curricula for emergency medical technicians and emergency nurses to help them provide improved care for children. A textbook entitled Pediatric Emergencies, A Manual for Prehospital Providers was developed from these educational ventures. She served as the executive director of the federally funded Emergency Medical Services for Children National Resource Center for 15 years, providing consultation and resource development for state health agencies, health professionals, families, and advocates to improve the emergency healthcare system for children. Dr. Ball is a consultant for the American College of Surgeons, assisting states to develop and enhance their trauma systems. She is also collaborating on a pediatric explosion injury electronic curriculum and virtual pediatric trauma center conceptual design as a consultant to the Uniformed Services University of the Health Sciences.

Marcia L. London received her BSN and School Nurse Certificate from Plattsburgh State University in Plattsburgh, New York, and her MSN in pediatrics as a clinical nurse specialist from the University of Pittsburgh in Pennsylvania. She worked as a pediatric nurse, and began her teaching career at Pittsburgh Childrens Hospital Affiliate Program. Mrs. London began teaching at Beth-El School of Nursing and Health Science in 1974 (now part of the University of Colorado, Colorado Springs) after opening the first intensive care nursery at Memorial Hospital of Colorado Springs. She has served in many faculty positions at Beth-El, including assistant director of the School of Nursing. Mrs. London obtained her postmasters Neonatal Nurse Practitioner certificate in 1983, and subsequently developed the Neonatal Nurse Practitioner (NNP) certificate and the masters NNP program at Beth-El. She is active nationally in neonatal nursing and was involved in the development of National Neonatal Nurse Practitioner educational program guidelines. Mrs. London pursued her interest in college student learning by taking doctoral classes in higher education administration and adult learning at the University of Denver in Colorado. She feels fortunate to be involved in the education of her future colleagues and teaches undergraduate education. Mrs. London and her husband, David, enjoy reading, travel, and hockey games. They have two sons: Craig, who lives in Florida with his wife, Jennifer, and daughter, Hannah, works with Internet companies; and Matthew, who works in computer teleresearch. Both are more than willing to give Mom helpful hints about computers.

Michele R. Davidson completed her ADN degree from Marymount University in Arlington, Virginia. She has worked in multiple womens health specialty areas including postpartum, newborn nursery, high-risk nursery, labor and delivery, reproductive endocrinology, gynecology medical-surgical, and oncology units as a registered nurse while obtaining a BSN from George Mason University in Fairfax, Virginia. Dr. Davidson earned her MSN and a nurse-midwifery certificate at Case Western Reserve University in Cleveland, Ohio, and continued to work as a full-scope nurse-midwife for 16 years. She has delivered over 1000 babies during her career as a nurse-midwife. She completed her PhD in nursing administration and healthcare policy at George Mason University (GMU) and began teaching at GMU in 1999 while continuing in her role as a nurse- midwife. Dr. Davidson serves as the Coordinator for the PhD program in the School of Nursing. She has an interest in womens mental health and focuses her research on perinatal and postpartum mood and anxiety disorders. Dr. Davidson also has an interest in the care of individuals with disabilities; she serves as a member of the Loudoun County Disability Advisory Committee and is a disability advocate in her community. She was a member of the American College of Nurse-Midwives Certification Council, the body that writes the national certification examination for certified nurse-midwives. She is a member of numerous editorial and advisory boards and has a passion for writing. In 2000, Dr. Davidson developed an immersion clinical experience for GMU students on a remote island in the Chesapeake Bay. In 2003, she founded the Smith Island Foundation, a nonprofit organization in which she served as executive director for 8 years. Dr. Davidson has also completed certifications in lactation consulting, forensic nursing, and surgical first assistant. In 2012, her book, A Nurses Guide to Womens Mental Health, won an American Journal of Nursing Book Award. In her free time, she enjoys spending time with her mother, writing, gardening, Internet surfing, and spending time on Smith Island with her nurse-practitioner husband, Nathan, and their four active children, Hayden, Chloe, Caroline, and Grant. Dr. Davidson and her family love the Eastern Shore of Maryland and continue to be part-time residents of Smith Island.