Table of contents
List of Skills by Chapter Chapter 1 Vital Signs Skill 1-1: Assessing Body Temperature 1 Skill 1-2: Monitoring Temperature Using an Overhead Radiant Warmer 5 Skill 1-3: Using a Cooling Blanket 6 Skill 1-4: Assessing a Peripheral Pulse by Palpation 8 Skill 1-5: Assessing the Apical Pulse by Auscultation 9 Skill 1-6: Assessing Respiration 10 Skill 1-7: Assessing Brachial Artery Blood Pressure 11 Chapter 2 Health Assessment Skill 2-1: Performing a General Survey 14 Skill 2-2: Using a Bed Scale 16 Skill 2-3: Assessing the Skin, Hair, and Nails 18 Skill 2-4: Assessing the Head and Neck 20 Skill 2-5: Assessing the Thorax and Lungs 23 Skill 2-6: Assessing the Cardiovascular System 25 Skill 2-7: Assessing the Abdomen 27 Skill 2-8: Assessing the Neurologic, Musculoskeletal, and Peripheral Vascular Systems 29 Chapter 3 Safety Skill 3-1: Fall Prevention 32 Skill 3-2: Implementing Alternatives to the Use of Restraints 34 Skill 3-3: Applying an Extremity Restraint 36 Skill 3-4: Applying a Waist Restraint 38 Skill 3-5: Applying an Elbow Restraint 40 Skill 3-6: Applying a Mummy Restraint 42 Chapter 4 Asepsis and Infection Control Skill 4-1: Performing Hand Hygiene Using Soap and Water (Handwashing) 43 Skill 4-2: Performing Hand Hygiene Using an Alcohol-Based Hand Rub 44 Skill 4-3: Preparing a Sterile Field Using a Packaged Sterile Drape 45 Skill 4-4: Preparing a Sterile Field Using a Commercially Prepared Sterile Kit or Tray 46 Skill 4-5: Adding Sterile Items to a Sterile Field 48 Skill 4-6: Putting on Sterile Gloves and Removing Soiled Gloves 50 Skill 4-7: Using Personal Protective Equipment 52 Chapter 5 Medications Skill 5-1: Administering Oral Medications 54 Skill 5-2: Administering Medications via a Gastric Tube 57 Skill 5-3: Removing Medication from an Ampule 60 Skill 5-4: Removing Medication from a Vial 62 Skill 5-5: Mixing Medications From Two Vials in One Syringe 64 Skill 5-6: Administering an Intradermal Injection 66 Skill 5-7: Administering a Subcutaneous Injection 69 Skill 5-8: Administering an Intramuscular Injection 72 Skill 5-9: Administering Continuous Subcutaneous Infusion: Applying an Insulin Pump 75 Skill 5-10: Administering Medications by Intravenous Bolus or Push Through an Intravenous Infusion 78 Skill 5-11: Administering a Piggyback Intermittent Intravenous Infusion of Medication 81 Skill 5-12: Administering an Intermittent Intravenous Infusion of Medication via a Mini-infusion Pump 84 Skill 5-13: Administration Set 87 Administering an Intermittent Intravenous Infusion of Medication via a Volume-Control Skill 5-14: (Intermittent Peripheral Venous Access Device) 90 Introducing Drugs Through a Medication or Drug-Infusion Lock Using the Saline Flush Skill 5-15: Applying a Transdermal Patch 93 Skill 5-16: Instilling Eye Drops 95 Skill 5-17: Administering an Eye Irrigation 98 Skill 5-18: Instilling Ear Drops 100 Skill 5-19: Administering an Ear Irrigation 102 Skill 5-20: Instilling Nose Drops 104 Skill 5-21: Administering a Vaginal Cream 106 Skill 5-22: Administering a Rectal Suppository 109 Skill 5-23: Administering Medication via a Metered-Dose Inhaler (MDI) 111 Skill 5-24: Administering Medication via a Small-Volume Nebulizer 113 Skill 5-25: Administering Medication via a Dry Powder Inhaler 115 Chapter 6 Perioperative Nursing Skill 6-1: Providing Preoperative Patient Care: Hospitalized Patient 117 Skill 6-2: Deep Breathing Exercises, Coughing, and Splinting 120 Skill 6-3: Leg Exercises 122 Skill 6-4: Providing Preoperative Patient Care: Hospitalized Patient (Day of Surgery) 123 Skill 6-5: Providing Postoperative Care When Patient Returns to Room 125 Skill 6-6: Applying a Forced-Air Warming Device 128 Chapter 7 Hygiene Skill 7-1: Giving a Bed Bath 129 Skill 7-2: Assisting the Patient With Oral Care 132 Skill 7-3: Providing Oral Care for the Dependent Patient 134 Skill 7-4: Providing Denture Care 135 Skill 7-5: Removing Contact Lenses 136 Skill 7-6: Shampooing a PatientÆs Hair in Bed 137 Skill 7-7: Assisting the Patient to Shave 139 Skill 7-8: Making an Unoccupied Bed 140 Skill 7-9: Making an Occupied Bed 142 Chapter 8 Skin Integrity and Wound Care Skill 8-1: Cleaning a Wound and Applying a Dry, Sterile Dressing 144 Skill 8-2: Applying a Saline-Moistened Dressing 147 Skill 8-3: Applying a Hydrocolloid Dressing 149 Skill 8-4: Performing Irrigation of a Wound 151 Skill 8-5: Collecting a Wound Culture 153 Skill 8-6: Applying Montgomery Straps 155 Skill 8-7: Caring for a Penrose Drain 157 Skill 8-8: Caring for a T-Tube Drain 159 Skill 8-9: Caring for a Jackson-Pratt Drain 162 Skill 8-10: Caring for a Hemovac Drain 164 Skill 8-11: Applying Negative Pressure Wound Therapy 166 Skill 8-12: Removing Sutures 169 Skill 8-13: Removing Surgical Staples 171 Skill 8-14: Applying an External Heating Pad 173 Skill 8-15: Applying a Warm Compress 175 Skill 8-16: Assisting With a Sitz Bath 177 Skill 8-17: Applying Cold Therapy 178 Chapter 9 Activity Skill 9-1: Assisting a Patient With Turning in Bed 180 Skill 9-2: Moving a Patient Up in Bed With the Assistance of Another Nurse 182 Skill 9-3: Transferring a Patient From the Bed to a Stretcher 184 Skill 9-4: Transferring a Patient From the Bed to a Chair 186 Skill 9-5: Transferring a Patient Using a Powered Full-Body Sling Lift 188 Skill 9-6: Providing Range-of-Motion Exercises 190 Skill 9-7: Assisting a Patient With Ambulation 192 Skill 9-8: Assisting a Patient With Ambulation Using a Walker 194 Skill 9-9: Assisting a Patient With Ambulation Using Crutches 196 Skill 9-10: Assisting a Patient With Ambulation Using a Cane 198 Skill 9-11: Applying and Removing Antiembolism Stockings 199 Skill 9-12: Applying Pneumatic Compression Devices 201 Skill 9-13: Applying a Continuous Passive Motion Device 203 Skill 9-14: Applying a Sling 205 Skill 9-15: Applying a Figure-Eight Bandage 206 Skill 9-16: Assisting With Cast Application 208 Skill 9-17: Caring for a Cast 210 Skill 9-18: Applying Skin Traction and Caring for a Patient in Skin Traction 212 Skill 9-19: Caring for a Patient in Skeletal Traction 214 Skill 9-20: Caring for a Patient With an External Fixation Device 216 Chapter 10 Comfort Skill 10-1: Promoting Patient Comfort 218 Skill 10-2: Giving a Back Massage 222 Skill 10-3: Applying and Caring for a Patient Using a TENS Unit 224 Skill 10-4: Caring for a Patient Receiving Patient-Controlled Analgesia 226 Skill 10-5: Caring for a Patient Receiving Epidural Analgesia 228 Skill 10-6: Caring for a Patient Receiving Continuous Wound Perfusion Pain Management 230 Chapter 11 Nutrition Skill 11-1: Assisting a Patient With Eating 232 Skill 11-2: Inserting a Nasogastric (NG) Tube 234 Skill 11-3: Administering a Tube Feeding 237 Skill 11-4: Removing a Nasogastric Tube 240 Skill 11-5: Caring for a Gastrostomy Tube 241 Chapter 12 Urinary Elimination Skill 12-1: Assisting With the Use of a Bedpan 243 Skill 12-2: Assisting With the Use of a Urinal 245 Skill 12-3: Assisting With the Use of a Bedside Commode 247 Skill 12-4: Assessing Bladder Volume Using an Ultrasound Bladder Scanner 249 Skill 12-5: Applying an External Condom Catheter 251 Skill 12-6: Catheterizing the Female Urinary Bladder 253 Skill 12-7: Catheterizing the Male Urinary Bladder 256 Skill 12-8: Removing an Indwelling Catheter 259 Skill 12-9: Performing Intermittent Closed Catheter Irrigation 260 Skill 12-10: Administering a Continuous Closed Bladder Irrigation 262 Skill 12-11: Emptying and Changing a Stoma Appliance on an Ileal Conduit 264 Skill 12-12: Caring for a Suprapubic Urinary Catheter 266 Skill 12-13: Caring for a Peritoneal Dialysis Catheter 268 Skill 12-14: Caring for a Hemodialysis Access (Arteriovenous Fistula or Graft) 270 Chapter 13 Bowel Elimination Skil