Home
Browse All Titles
Sign In
Browse All Titles
Davis's Guide to Clinical Nursing Skills
Place Moistened Gauze in Wound Cavity While Avoiding Wound Edges
Table of Contents
Free Topics
Administering Intramuscular Injections by the Z-Track Method
Administering Subcutaneous Injections
Assessing Blood Pressure
Assessing Heart Rate
Assessing the Abdomen
Assessing the Nose and Sinuses
Blood Transfusion Therapy
Calculator - Norton Scale for Assessing Risk of Pressure Ulcers (Calculator)
Calculator - The Braden Scale for Predicting Pressure Sore Risk (Calculator)
Figure - Correct Position to Drain Right and Left Back
Figure - Egg-Crate Mattress
Inserting a Short-Term Peripheral Intravenous Catheter
Instilling Medications into the Ear
Managing Mechanical Ventilation (MV)
Oxygen Therapy
Parenteral Nutrition
Performing Nasopharyngeal and Nasotracheal Suctioning
References
Table - Medication Chart
Table - Support Groups for People with Ostomies
1. Basic Care
1. Hygiene
1-1. Giving a Complete Bed Bath
1-2. Providing Mouth Care
1-3. Performing Foot Care
1-4. Making an Occupied Bed
Hygiene
2. Infection Control
2-1. Handwashing
2-2. Donning Isolation Gown and Gloves
2-3. Droplet Precautions
2-4. Contact Precautions
2-5. Airborne Precautions
Infection Control
2. Assessment
3. Vital Signs
3-1. Assessing Body Temperature
3-2. Assessing Heart Rate
3-3. Assessing Respiratory Rate
3-4. Assessing Blood Pressure
F - 3-1. Types of Thermometers
F - 3-2 - A. Sites Commonly Used for Assessing Radial Pulse
F - 3-2 - B. Location of Apical Pulses for Adults and Children
F - 3-4. Site for Blood Pressure Cuff Placement
T - 3-1. Comparing Fahrenheit and Centigrade Temperatures
T - 3-3. Respiratory Rates and Rhythms
Vital Signs
4. Physical Assessment
4-1. Assessing the Eyes
4-10. Assessing the Neurologic System
4-11. Assessing the Skin, Hair and Scalp, and Nails
4-2. Assessing the Ears
4-3. Assessing the Nose and Sinuses
4-4. Assessing the Mouth and Pharynx
4-5. Assessing the Neck
4-6. Assessing the Thorax and Lungs
4-7. Assessing the Heart and Vascular System
4-8. Assessing the Musculoskeletal System
4-9. Assessing the Abdomen
F - 4-1. Ophthalmoscope
F - 4-10. Decorticate (A) and Decerebrate (B) Posturing
F - 4-2 - A. Otoscope
F - 4-2 - B. Tuning Fork
F - 4-2 - C. Otoscope in Sertion
F - 4-2 - D. Eardrum
F - 4-2 - E. Weber Test
F - 4-2 - F. Rinne Test
F - 4-3 - A. Inspect Nasal Cavity
F - 4-3 - B. Palpate Sinuses
F - 4-4. Inspecting the Pharynx
F - 4-5. Palpating the Thyroid
F - 4-6 - A. Example of Chest Palpation
F - 4-6 - B. Percussion Sequence
F - 4-6 - C. Auscultation Sequence
F - 4-7 - A. Sites for Cardiac Assessment; Palpating the Mitral Valve Area; Palpating the Pulmonic Area
F - 4-7 - B. Location of Jugular Veins
F - 4-9. Light Palpation
Physical Assessment
T - 4-6. Respiratory Rates for Children
3. Medication Administration
5. Oral and Topical Medications
5-1. Administering Oral Medications
5-2. Helping Patients with Self-Medication
5-3. Applying Medications to the Skin
5-4. Administering Eye Drops and Ointments
5-5. Instilling Medications into the Ear
5-6. Administering Medications via Metered-Dose Inhaler (MDI)
5-7. Administrating Medications via Rectal Suppository
F - 5-4 - A. Instilling Eye Drops
F - 5-4 - B. Instilling Eye Ointment
F - 5-5 - A. Method for Instilling Ear Medications
F - 5-6. Metered-Dose Inhaler
F - 5-7. Inserting a Rectal Suppository
Oral and Topical Medications
T - 5-2. Medication Chart
6. Parenteral Medications
6-1. Administering Subcutaneous Injections
6-2. Administering Intramuscular Injections
6-3. Administering Intramuscular Injections by the Z-Track Method
6-4. Administering Intradermal Injections
6-5. Administering Intravenous Medications by Intermittent Infusion Sets or Mini-Infusion Pumps
6-6. Administering Medication by Intravenous Bolus
6-7. Teaching Patients How to Administer Self-Injections
6-8. Mixing Two Types of Insulin
6-9. Using Patient-Controlled Analgesia (PCA) Infusion Devices
F - 6-1 - A. Subcutaneous Injection Sites
F - 6-1 - B. Pinch Tissue Between Thumb and Forefinger
F - 6-1 - C. Insert Needle at a 45-Degree or 90-Degree Angle
F - 6-2 - A. Locating the Ventrogluteal Site
F - 6-2 - B. Locating the Vastus Lateralis Injection Site
F - 6-2 - C. Locating the Dorsogluteal Injection Site
F - 6-2 - D. Locating the Deltoid Injection Site
F - 6-3 - A. Applying Traction
F - 6-3 - B. Medication is Sealed in the Muscle
F - 6-4 - A. Locations for Intradermal Injections
F - 6-4 - B. Angle of Needle for Insertion
F - 6-4 - C. Bleb Formation
F - 6-5 - A. Needleless Adapter Connection with Saline Flush
F - 6-5 - B. Insertion of Needle/Needleless Adapter into Heparin Lock
F - 6-5 - C. Use Port Closer to Insertion Site
F - 6-5 - D. Intravenous Medication Administration Using a Buretrol-Type Setup
F - 6-5 - E. For IVPB, Use Extender So Primary IV Bag Hangs Lower Than Secondary Bag
F - 6-6 - A. Clamp or Pinch IV Tubing Just above Port
F - 6-6 - B. Administer Medication in Increments According to Rate of Infusion
F - 6-8 - A. Mixing Two Kinds of Insulin in One Syringe
Parenteral Medications
4. Respiratory
10. Airway Suctioning
10-1. Inserting an Oral or Nasal Airway
10-2. Performing Oropharyngeal (Yankauer) Suctioning
10-3. Performing Nasopharyngeal and Nasotracheal Suctioning
10-4. Performing Endotracheal or Tracheostomy Tube Suctioning
Airway Suctioning
F - 10-1 - A. Oropharyngeal Airway in Place
F - 10-1 - B. A Nasopharyngeal Airway in Proper Position
F - 10-1 - C. Taping the Airway
F - 10-2 - A. Yankauer Suction Tube
F - 10-4 - A. Ambu Bag Connected to 100% Oxygen
F - 10-4 - B. Hold Suction Catheter with Dominant (Sterile) Hand
F - 10-4 - C. Collection of a Specimen from the Suction Pathway
F - 10-4 - D. Seal the Specimen Cup
T - 10-1A. Oral Airway Size in Children and Adults
T - 10-2A. Vacuum and Suction Settings
T - 10-3A. Suction Catheter Sizes
11. Lung Re-Expansion or Chest Drainage
11-1. Managing Chest Tube and Drainage Systems
11-2. Assisting with Chest Tube Removal
F - 11-1 - A. Bottle and Disposable Chest Drainage Systems
F - 11-1 - B. Dressing Application
F - 11-1 - C. Ensure Tubing is Free of Kinks
Lung Re-Expansion or Chest Drainage
7. Noninvasive Pulmonary Hygiene
7-1. Performing Postural Drainage
7-2. Teaching Controlled Coughing Techniques
F - 7-1 - A. Correct Position to Drain Right Posterior Segment
F - 7-1 - B. Correct Position to Drain Right Middle Lobe
F - 7-1 - C. Correct Position to Drain Lower Right and Left Lobes
F - 7-1 - D. Correct Position to Drain Right and Left Back
Noninvasive Pulmonary Hygiene
8. Oxygen Therapy
8-1. Administering Oxygen Therapy
8-2. Administering Oxygen Therapy to the Patient with an Artificial Airway
F - 8-1 - A. Oxygen-Delivery Systems
F - 8-1 - B. Oxygen Percentage Regular
F - 8-2 - A. Trach Collar
F - 8-2 - B. T-Piece
Oxygen Therapy
9. Ventilation Support
9-1. Managing Continuous Positive Airway Pressure (CPAP)
9-2. Managing Intermittent Positive Pressure Ventilation
9-3. Managing Mechanical Ventilation (MV)
9-4. Using an Ambu Manual Ventilator
9-5. Performing Endotracheal Tube Care
9-6. Performing Tracheostomy Care
9-7. Managing a Cuffed Endotracheal or Tracheostomy Tube
F - 9-1 - A. CPAP Mask
F - 9-2 - A. Pressure-Controlled Noninvasive Ventilator
F - 9-3 - A. Ambu Bags, Infant to Adult Sizes
F - 9-4 - A. Create a Good Seal
F - 9-6 - A. Clean Inner Cannula with Hydrogen Peroxide and Small Brush
F - 9-6 - B. Clean Stoma with Cotton-Tipped Swab
F - 9-6 - C. Securing Face Plate with Ties
F - 9-6 - D. Insert Clean Dressing Under Ties and Face Plate
Ventilation Support
5. Cardiovascular
12. Intravenous Fluid Therapy
12-1. Inserting a Short-Term Peripheral Intravenous Catheter
12-2. Inserting Peripheral Midline and Central Catheters (PICC)
12-3. Calculating and Regulating Intravenous Flow Rate
12-4. Changing Intravenous Site Dressings (Peripheral and Central)
12-5. Assisting with Percutaneous Central Line Placement
F - 12-1 - A. Pulling Skin Taut
F - 12-1 - B. Insert Needle at Correct Angle
F - 12-1 - C. Advance the Catheter
F - 12-1 - D. Removing the Needle
F - 12-1 - E. U Method
F - 12-1 - F. Chevron Method
F - 12-1 - G. Cover Site with Transparent Film
F - 12-2 - A. Midline Catheter
F - 12-2 - B. Peripheral Intravenous Central Catheters (PICCs)
F - 12-5 - A. Injection Ports of a Triple Lumen Catheter
F - 12-5 - B. Tunneled Catheter
F - 12-5 - C. Ports
Intravenous Fluid Therapy
T - 12-1A. Catheter Sizes and Uses
T - 12-5A. Types, Use, Advantages and Disadvantages of Central Catheters
13. Circulatory Maintenance
13-1. Caring for Vascular Access Devices
13-2. Applying Sequential Compression Devices
13-3. Applying Antiembolic Hose
13-4. Teaching Postoperative Leg Exercises
Circulatory Maintenance
14. Blood Transfusion Therapy
14-1. Transfusing Blood Products
14-2. Assisting with Autotransfusion
Blood Transfusion Therapy
6. Nutritional and Digestive
15. Oral and Enteric Nutrition
15-1. Administering Nasogastric, Nasoenteric, and Enteric Tube Feedings
15-2. Administering Medications Through a Feeding Tube
F - 15-1 - A. Continuous Tube Feeding Administered by Enteral Pump
F - 15-1 - B. Intermittent Feeding by Gravity
Oral and Enteric Nutrition
16. Parenteral Nutrition
16-1. Administering Total Parenteral Nutrition (TPN)
16-2. Administering Peripheral Partial Nutrition
16-3. Administering a Fat Emulsion (Lipids)
Parenteral Nutrition
17. Gastrointestinal Intubation
17-1. Inserting a Nasogastric Tube
17-2. Advancing a Nasoenteric Decompression Tube
F - 17-1 - A. Measuring Tube for Placement
F - 17-1 - B. Inserting Tube into a Patent Nostril
F - 17-1 - C. Secure Tube with Tape
Gastrointestinal Intubation
18. Bowel Elimination
18-1. Administering an Enema
18-2. Managing a Rectal Tube
18-3. Managing Ostomy Care
Bowel Elimination
F - 18-1 - A. Inserting the Enema Tube into the Rectum
F - 18-1 - B. Inserting Commercially Prepared Enema Tip into the Rectum
F - 18-3 - A. Remove Old Wafer from the Skin
F - 18-3 - B. Use of Stoma Measuring Guide
F - 18-3 - C. Center the Wafer over the Stoma
T - 18-3A. Support Groups for People with Ostomies
7. Renal and Urinary
19. Urinary Elimination
19-1. Inserting a Straight or Indwelling Catheter (Male and Female)
19-2. Performing Catheter Care
19-3. Applying a Urinary Incontinence Collection Device
19-4. Teaching Clean Intermittent Self-Catheterization
F - 19-1 - A. Draping the Patient
F - 19-1 - B. Cleansing the Urinary Meatus, Male Patient
F - 19-1 - C. Inserting a Catheter into the Urinary Meatus, Male Patient
F - 19-1 - D. Cleansing the Urinary Meatus, Female Patient
F - 19-1 - E. Inserting a Catheter into the Urinary Meatus, Female Patient
F - 19-3 - A. Placing the Penis Inside Urinary Incontinence Collection Device
Urinary Elimination
20. Bladder Irrigation and Function
20-1. Performing and Managing Bladder Irrigation Through a Three-Way Foley Catheter
20-2. Obtaining a Post-Void Residual Urine Volume
Bladder Irrigation and Function
F - 20-1 - A. Triple Lumen Catheter
F - 20-1 - B. Setup for Continuous Bladder Irrigation
8. Musculoskeletal
21. Body Alignment and Mechanics
21-1. Maintaining Proper Body Alignment
21-2. Performing Correct Lifting Techniques
Body Alignment and Mechanics
F - 21-1 - A. A Footboard is Placed at the End of the Bed to Prevent Foot Drop
F - 21-1 - B. Trochanter Roll Prevents External Rotation
F - 21-1 - C. The Oblique Position
F - 21-1 - D. Assisting Patient to Chair Using a Transfer Belt
F - 21-2. Wide Stance Lowers the Center of Gravity and is More Stable
22. Exercise and Ambulation
22-1. Performing Passive Range-of-Motion (ROM) Exercises
22-2. Teaching Isometric Exercises
22-3. Teaching the Patient to Crutch Walk or Use a Walker
Exercise and Ambulation
F - 22-1. Passive Range-of-motion Exercises
F - 22-3. Gait Patterns
T - 22-3A. Different Types of Gait Patterns
23. Transfer and Positioning
23-1. Moving and Positioning the Patient in Bed
23-2. Transferring a Patient from Bed to Wheelchair
23-3. Teaching Hip Precautions
F - 23-1 - A. Moving Patient Up in Bed (Two Nurses)
F - 23-1 - B. Turning a Patient in Bed
F - 23-3 - A. Abductor Pillow Prevents Hip Adduction
F - 23-3 - B. Hip Precautions, Hip Flexion
Transfer and Positioning
24. Orthopedic Interventions
24-1. Providing Cast Care
24-2. Managing Skin Traction
24-3. Managing Skeletal Traction
24-4. Applying a Moist Compress
24-5. Applying an Ice Bag, Ice Pack, or Collar
F - 24-1. Handle Wet Cast with Palms Only
F - 24-2 - A. Buck's Traction
F - 24-2 - B. Russell's Traction
F - 24-3 - A. Balanced Suspension and Skeletal Traction for Femur
Orthopedic Interventions
25. Beds, Frames, and Mattresses
25-1. Placing the Patient on a Specialty Surface
25-2. Placing the Patient on an Air-Suspension or Air-Fluidized Bed
Beds, Frames, and Mattresses
F - 25-1. Egg-Crate Mattress
9. Integumentary System and Wound Care
26. Pressure Ulcers
26-1. Assessing Pressure Ulcer Risk
26-2. Implementing Pressure-Ulcer Prevention Strategies
26-3. Assessing Wounds and Staging Pressure Ulcers
F - 26-1 - A. Norton Scale for Assessing Risk of Pressure Ulcers
F - 26-1 - B. The Braden Scale for Predicting Pressure Sore Risk
F - 26-3. Pressure Sore Stages
Pressure Ulcers
27. Wound Care
27-1. Applying a Pressure Bandage
27-2. Administering a Sitz Bath
27-3. Performing Wound Irrigation
27-4. Managing Wound Drainage
27-5. Teaching Self-Management of Wound-Drainage Devices
27-6. Applying Wound Dressings
27-7. Applying and Managing a V.A.C. ATS(TM) System
F - 27-3. Direct Stream of Irrigant to All Areas of the Wound
F - 27-5. Teach Patient to Carefully Dry Periwound Edges
F - 27-6 - A. Place Moistened Gauze in Wound Cavity While Avoiding Wound Edges
F - 27-6 - B. Take Care to Avoid Creasing Film
F - 27-6 - C. Apply Hydrocolloid Dressing
F - 27-7 - A. Foam Sponge, Drapes, and Suction Wafer
F - 27-7 - B. Cut Foam to Fit into the Wound Bed
F - 27-7 - C. Cut Hole in Drape Film over the Foam Sponge
F - 27-7 - D. Apply T.R.A.C. over the Cutout, Opening in the Drape
F - 27-7 - E. Observe âPruningâ of the Foam, and Drape Dressing after Suction is Applied
Wound Care
10. Specimen Collection
28. Collecting Blood Samples
28-1. Performing Venipuncture
28-2. Obtaining a Blood Glucose Level by Finger Stick
28-3. Obtaining a Specimen for Arterial Blood Gas Analysis
Collecting Blood Samples
F - 28-2 - A. Proper Position of Lancet
F - 28-2 - B. Apply Blood Drop to Reagent
29. Collecting Urine Samples
29-1. Collecting a Midstream Urine Specimen
29-2. Collecting a Timed (24-Hour) Urine Specimen
29-3. Collecting a Sterile Urine Specimen from an Indwelling Catheter
29-4. Measuring Specific Gravity of Urine
Collecting Urine Samples
F - 29-3. Obtaining a Sterile Urine Specimen from an Indwelling Catheter
30. Collecting Other Specimens
30-1. Collecting a Nose or Throat Specimen for Culture
30-2. Collecting a Sputum Specimen
30-3. Obtaining a Wound Drainage Specimen
Collecting Other Specimens
F - 30-2 - A. Attach Suction Tube to Specimen Container
F - 30-2 - B. Obtaining a Sterile Urine Specimen from an Indwelling Catheter
F - 30-3. Rotate Cotton Swab in Wound Drainage
References
References
Front Matter
Contributors
Standard Practice for All Procedures
Search
GoogleAnalytics
All Resources
Current Resource
Go
i
https://webview.skyscape.com:11002
GoogleAnalytics
Place Moistened Gauze in Wound Cavity While Avoiding Wound Edges
i
GoogleAnalytics
Topic is locked.
Purchase entire reference Mobile/Web for $45.95
PURCHASE NOW
Already Purchased?
Sign In
;
