Nursing skills

This is the second edition of the Open RN Nursing Skills OER textbook. This free online textbook is an open educational resource with CC-BY 4.0 licensing that has been developed for prelicensure nursing students. It is designed for use in both practical/vocational nursing programs, as well as for fi...

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Detalles Bibliográficos
Otros Autores:	Ernstmeyer, Kimberly, editor (editor), Christman, Elizabeth, editor
Formato:	Libro electrónico
Idioma:	Inglés
Publicado:	Eau Claire, Wis. : Chippewa Valley Technical College 2023.
Edición:	Second edition
Materias:	Clinical competence.
Ver en Biblioteca Universitat Ramon Llull:	https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009807537606719

Tabla de Contenidos:

Preface
Standards & Conceptual Approach
Chapter 1 General Survey
1.1. GENERAL SURVEY INTRODUCTION
1.2. INITIATING PATIENT INTERACTION
1.3. VITAL SIGNS
1.4. BASIC CONCEPTS
1.5. EXPECTED VERSUS UNEXPECTED FINDINGS
1.6. SAMPLE DOCUMENTATION
1.7. CHECKLIST FOR GENERAL SURVEY
1.8. LEARNING ACTIVITIES
I. GLOSSARY
Chapter 2 Health History
2.1. HEALTH HISTORY INTRODUCTION
2.2. HEALTH HISTORY BASIC CONCEPTS
2.3. COMPONENTS OF A HEALTH HISTORY
2.4. DEMOGRAPHIC AND BIOLOGICAL DATA
2.5. REASON FOR SEEKING HEALTH CARE
2.6. CURRENT AND PAST MEDICAL HISTORY
2.7. FAMILY HEALTH HISTORY
2.8. FUNCTIONAL HEALTH AND ACTIVITIES OF DAILY LIVING
2.9. REVIEW OF BODY SYSTEMS
2.10. SAMPLE DOCUMENTATION
2.11. CHECKLIST FOR OBTAINING A HEALTH HISTORY
2.12. LEARNING ACTIVITIES
II. GLOSSARY
CHAPTER RESOURCES A: SAMPLE HEALTH HISTORY FORM
Chapter 3 Blood Pressure
3.1. BLOOD PRESSURE INTRODUCTION
3.2. BLOOD PRESSURE BASICS
3.3. BLOOD PRESSURE ASSESSMENT
3.4. SAMPLE DOCUMENTATION
3.5. CHECKLIST FOR MANUAL BLOOD PRESSURE
3.6. SUPPLEMENTARY VIDEO OF BLOOD PRESSURE ASSESSMENT
3.7. LEARNING ACTIVITIES
III. GLOSSARY
Chapter 4 Aseptic Technique
4.1. ASEPTIC TECHNIQUE INTRODUCTION
4.2. ASEPTIC TECHNIQUE BASIC CONCEPTS
4.3. ASEPTIC TECHNIQUE
4.4. STERILE FIELDS
4.5. CHECKLIST FOR HAND HYGIENE WITH SOAP AND WATER
4.6. CHECKLIST FOR HAND HYGIENE WITH ALCOHOL-BASED HAND SANITIZER
4.7. CHECKLIST FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
4.8. CHECKLIST FOR APPLYING AND REMOVING STERILE GLOVES
4.9. ASEPSIS LEARNING ACTIVITIES
IV. GLOSSARY
Chapter 5 Math Calculations
5.1. MATH CALCULATIONS INTRODUCTION
5.2. MATH BASIC CONCEPTS
5.3. MILITARY TIME
5.4. EQUIVALENCIES
5.5. ROUNDING
5.6. USING DIMENSIONAL ANALYSIS
5.7. CONVERSIONS
5.8. TABLET DOSAGE
5.9. LIQUID CONCENTRATIONS
5.10. RECONSTITUTED MEDICATION
5.11. WEIGHT-BASED CALCULATIONS
5.12. SAFE DOSAGE RANGE
5.13. INTRAVENOUS INFUSIONS
5.14. IV INFUSION BY GRAVITY
5.15. IV INFUSION BY PUMP
5.16. IV COMPLETION TIME
5.17. MULTI-STEP CALCULATIONS
5.18. LEARNING ACTIVITIES
V. GLOSSARY
Chapter 6 Neurological Assessment
6.1. NEUROLOGICAL ASSESSMENT INTRODUCTION
6.2. BASIC NEUROLOGICAL CONCEPTS
6.3. NEUROLOGICAL EXAM
6.4. ASSESSING MENTAL STATUS
6.5. ASSESSING CRANIAL NERVES
6.6. ASSESSING SENSORY FUNCTION
6.7. ASSESSING MOTOR STRENGTH
6.8. ASSESSING CEREBELLAR FUNCTION
6.9. ASSESSING REFLEXES
6.10. NEUROLOGICAL ASSESSMENT
6.11. SAMPLE DOCUMENTATION
6.12. CHECKLIST FOR NEUROLOGICAL ASSESSMENT
6.13. LEARNING ACTIVITIES
VI. GLOSSARY
Chapter 7 Head and Neck Assessment
7.1. HEAD AND NECK ASSESSMENT INTRODUCTION
7.2. HEAD AND NECK BASIC CONCEPTS
7.3. COMMON CONDITIONS OF THE HEAD AND NECK
7.4. HEAD AND NECK ASSESSMENT
7.5. SAMPLE DOCUMENTATION
7.6. CHECKLIST FOR HEAD AND NECK ASSESSMENT
7.7. SUPPLEMENTARY VIDEO ON HEAD AND NECK ASSESSMENT
7.8. LEARNING ACTIVITIES
VII. GLOSSARY
Chapter 8 Eye and Ear Assessment
8.1. EYE AND EAR ASSESSMENT INTRODUCTION
8.2. EYE AND EAR BASIC CONCEPTS
8.3. EYE AND EAR ASSESSMENT
8.4. SAMPLE DOCUMENTATION
8.5. CHECKLIST FOR EYE AND EAR ASSESSMENT
8.6. SUPPLEMENTARY VIDEO ON EYE ASSESSMENT
8.7. LEARNING ACTIVITIES
VIII. GLOSSARY
Chapter 9 Cardiovascular Assessment
9.1. CARDIOVASCULAR ASSESSMENT INTRODUCTION
9.2. CARDIOVASCULAR BASIC CONCEPTS
9.3. CARDIOVASCULAR ASSESSMENT
9.4. SAMPLE DOCUMENTATION
9.5. CHECKLIST FOR CARDIOVASCULAR ASSESSMENT
9.6. SUPPLEMENTARY VIDEOS ON CARDIOVASCULAR ASSESSMENT
9.7. LEARNING ACTIVITIES
IX. GLOSSARY
Chapter 10 Respiratory Assessment
10.1. RESPIRATORY ASSESSMENT INTRODUCTION
10.2. RESPIRATORY BASIC CONCEPTS
10.3. RESPIRATORY ASSESSMENT
10.4. SAMPLE DOCUMENTATION
10.5. CHECKLIST FOR RESPIRATORY ASSESSMENT
10.6. SUPPLEMENTARY VIDEOS ON RESPIRATORY ASSESSMENT
10.7. LEARNING ACTIVITIES
X. GLOSSARY
Chapter 11 Oxygen Therapy
11.1. OXYGEN THERAPY INTRODUCTION
11.2. BASIC CONCEPTS OF OXYGENATION
11.3. OXYGENATION EQUIPMENT
11.4. NURSING PROCESS RELATED TO OXYGEN THERAPY
11.5. SAMPLE DOCUMENTATION
11.6. CHECKLIST FOR OXYGEN THERAPY
11.7. SUPPLEMENTARY VIDEOS ON OXYGEN THERAPY
11.8. LEARNING ACTIVITIES
XI. GLOSSARY
Chapter 12 Abdominal Assessment
12.1. ABDOMINAL ASSESSMENT INTRODUCTION
12.2. GASTROINTESTINAL BASICS
12.3. GASTROINTESTINAL AND GENITOURINARY ASSESSMENT
12.4. SAMPLE DOCUMENTATION
12.5. CHECKLIST FOR ABDOMINAL ASSESSMENT
12.6. SUPPLEMENTARY VIDEO ON ABDOMINAL ASSESSMENT
12.7. LEARNING ACTIVITIES
XII. GLOSSARY
Chapter 13 Musculoskeletal Assessment
13.1. MUSCULOSKELETAL ASSESSMENT INTRODUCTION
13.2. MUSCULOSKELETAL BASIC CONCEPTS
13.3. COMMON MUSCULOSKELETAL CONDITIONS
13.4. MUSCULOSKELETAL ASSESSMENT
13.5. SAMPLE DOCUMENTATION
13.6. CHECKLIST FOR MUSCULOSKELETAL ASSESSMENT
13.7. LEARNING ACTIVITIES
XIII. GLOSSARY
Chapter 14 Integumentary Assessment
14.1. INTEGUMENTARY ASSESSMENT INTRODUCTION
14.2. BASIC INTEGUMENTARY CONCEPTS
14.3. COMMON INTEGUMENTARY CONDITIONS
14.4. INTEGUMENTARY ASSESSMENT
14.5. SAMPLE DOCUMENTATION
14.6. CHECKLIST FOR INTEGUMENTARY ASSESSMENT
14.7. LEARNING ACTIVITIES
XIV. GLOSSARY
Chapter 15 Administration of Enteral Medications
15.1. ADMINISTRATION OF ENTERAL MEDICATIONS INTRODUCTION
15.2. BASIC CONCEPTS OF ADMINISTERING MEDICATIONS
15.3. ASSESSMENTS RELATED TO MEDICATION ADMINISTRATION
15.4. CHECKLIST FOR ORAL MEDICATION ADMINISTRATION
15.5. CHECKLIST FOR RECTAL MEDICATION ADMINISTRATION
15.6. CHECKLIST FOR ENTERAL TUBE MEDICATION ADMINISTRATION
15.7. SUPPLEMENTARY VIDEOS
15.8. LEARNING ACTIVITIES
XV. GLOSSARY
Chapter 16 Administration of Medications Via Other Routes
16.1. ADMINISTRATION OF MEDICATIONS VIA OTHER ROUTES INTRODUCTION
16.2. BASIC CONCEPTS
16.3. CHECKLIST FOR TRANSDERMAL, EYE, EAR, INHALATION, AND VAGINAL ROUTES MEDICATION ADMINISTRATION
16.4. LEARNING ACTIVITIES
XVI. GLOSSARY
Chapter 17 Enteral Tube Management
17.1. ENTERAL TUBE MANAGEMENT INTRODUCTION
17.2. BASIC CONCEPTS OF ENTERAL TUBES
17.3. ASSESSMENTS RELATED TO ENTERAL TUBES
17.4. SAMPLE DOCUMENTATION
17.5. CHECKLIST FOR NG TUBE ENTERAL FEEDING BY GRAVITY WITH IRRIGATION
17.6. CHECKLIST FOR NG SUCTION
17.7. LEARNING ACTIVITIES
XVII. GLOSSARY
Chapter 18 Administration of Parenteral Medications
18.1. ADMINISTRATION OF PARENTERAL MEDICATIONS INTRODUCTION
18.2. BASIC CONCEPTS
18.3. EVIDENCE-BASED PRACTICES FOR INJECTIONS
18.4. ADMINISTERING INTRADERMAL MEDICATIONS
18.5. ADMINISTERING SUBCUTANEOUS MEDICATIONS
18.6. ADMINISTERING INTRAMUSCULAR MEDICATIONS
18.7. APPLYING THE NURSING PROCESS
18.8. CHECKLISTS FOR PARENTERAL MEDICATION ADMINISTRATION
18.9. SAMPLE DOCUMENTATION
18.10. LEARNING ACTIVITIES
XVIII. GLOSSARY
Chapter 19 Specimen Collection
19.1. SPECIMEN COLLECTION INTRODUCTION
19.2. BLOOD GLUCOSE MONITORING
19.3. NASAL SPECIMEN COLLECTION
19.4. OROPHARYNGEAL SPECIMEN COLLECTION
19.5. SPUTUM SPECIMEN COLLECTION
19.6. STOOL SPECIMEN COLLECTION
19.7. SAMPLE DOCUMENTATION
19.8. CHECKLIST FOR BLOOD GLUCOSE MONITORING
19.9. CHECKLIST FOR OBTAINING A NASAL SWAB
19.10. CHECKLIST FOR OROPHARYNGEAL TESTING
19.11. LEARNING ACTIVITIES
XIX. GLOSSARY
Chapter 20 Wound Care
20.1. WOUND CARE INTRODUCTION
20.2. BASIC CONCEPTS RELATED TO WOUNDS
20.3. ASSESSING WOUNDS
20.4. WOUND THERAPY
20.5. WOUND DRESSINGS
20.6. SAMPLE DOCUMENTATION
20.7. CHECKLIST FOR WOUND ASSESSMENT
20.8. CHECKLIST FOR SIMPLE DRESSING CHANGE
20.9. CHECKLIST FOR WOUND CULTURE
20.10. CHECKLIST FOR INTERMITTENT SUTURE REMOVAL
20.11. CHECKLIST FOR STAPLE REMOVAL
20.12. CHECKLIST FOR WOUND CLEANSING, IRRIGATION, AND PACKING
20.13. CHECKLIST FOR DRAIN MANAGEMENT
20.14. LEARNING ACTIVITIES
XX. GLOSSARY
Chapter 21 Facilitation of Elimination
21.1. FACILITATION OF ELIMINATION INTRODUCTION
21.2. BASIC CONCEPTS
21.3. PREVENTING CAUTI
21.4. INSERTING AND MANAGING INDWELLING URINARY CATHETERS
21.5. OBTAINING URINE SPECIMEN FOR CULTURE
21.6. REMOVING AN INDWELLING URINARY CATHETER
21.7. MANAGING OSTOMIES
21.8. APPLYING THE NURSING PROCESS TO CATHETERIZATION
21.9.
SAMPLE DOCUMENTATION
21.10. CHECKLIST FOR FOLEY CATHETER INSERTION (MALE)
21.11. CHECKLIST FOR FOLEY CATHETER INSERTION (FEMALE)
21.12. CHECKLIST FOR OBTAINING A URINE SPECIMEN FROM A FOLEY CATHETER
21.13. CHECKLIST FOR FOLEY REMOVAL
21.14. CHECKLIST FOR STRAIGHT CATHETERIZATION - FEMALE/MALE (WITH URINE SPECIMEN COLLECTION)
21.15. CHECKLIST FOR OSTOMY APPLIANCE CHANGE
21.16. LEARNING ACTIVITIES
XXI. GLOSSARY
Chapter 22 Tracheostomy Care & Suctioning
22.1. TRACHEOSTOMY CARE & SUCTIONING INTRODUCTION
22.2. BASIC CONCEPTS RELATED TO SUCTIONING
22.3. ASSESSMENTS RELATED TO AIRWAY SUCTIONING
22.4. OROPHARYNGEAL AND NASOPHARYNGEAL SUCTIONING CHECKLIST & SAMPLE DOCUMENTATION
22.5. CHECKLIST FOR TRACHEOSTOMY SUCTIONING AND SAMPLE DOCUMENTATION
22.6. CHECKLIST FOR TRACHEOSTOMY CARE AND SAMPLE DOCUMENTATION
22.7. SUPPLEMENTARY VIDEOS
22.8. LEARNING ACTIVITIES
XXII. GLOSSARY
Chapter 23 IV Therapy Management
23.1. IV THERAPY MANAGEMENT INTRODUCTION
23.2. IV THERAPY BASICS
23.3. INTRAVENOUS THERAPY ASSESSMENT
23.4. SAMPLE DOCUMENTATION
23.5. CHECKLIST FOR PRIMARY IV SOLUTION ADMINISTRATION
23.6. CHECKLIST FOR SECONDARY IV SOLUTION ADMINISTRATION
23.7. SAMPLE DOCUMENTATION
23.8. CHECKLIST FOR DISCONTINUING AN IV
23.9. SUPPLEMENTARY VIDEOS RELATED TO IV THERAPY
23.10. LEARNING ACTIVITIES
XXIII. GLOSSARY
Answer Key
Appendix A - Hand Hygiene and Vital Signs Checklists
Appendix B - Wound Dressings
Appendix C - Head-to-Toe Assessment Checklist
Appendix D: Information Related to Other Skills Referenced on the NCLEX-PN Test Plan.

Nursing skills

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