Contents
Unit I-Actions Basic to Nursing Care
1 Vital Signs
Temperature
Oral
Rectal
Tympanic
Axillary
Respiratory rate
Pulse
Radial
Apical
Blood pressure
Manual
Machine
Using a bed scale
Using an infant radiant warmer
2 Assessment
In-Depth Photo Guide of Head to Toe Assessment
Collecting a Blood Sample
Labs (Vacutainer)
Culture and Sensitivity (Needle)
3 Safety
Cloth Wrist Restraints
Posey Vest
Elbow Restraints
Leather Restraints
4 Asepsis
Handwashing
Preparing a Sterile Field
Donning and Removing Sterile Gloves
Using Personal Protective Equipment
5 Medications
Administering Oral Medications
Removing Medication from an Ampule
Removing Medication from a Vial
Mixing Insulins in One Syringe
Administering an Intradermal Injection
Administering a Subcutaneous Injection
Administering an Intramuscular Injection
Adding Medications to an IV Solution Container
Adding a Bolus IV Medication to an Existing IV
Administering IV Medications by Piggyback, Volume-Control Administration Set, or Mini Infusion Pump
Introducing Drugs Through a Heparin or Intravenous Lock Using the Saline Flush
Applying Transdermal Patches
Instilling Eyedrops
Administering an Eye Irrigation
Instilling Ear Drops
Administering an Ear Irrigation
Instilling Nose Drops
Inserting Vaginal Suppository or Cream
Applying a Subcutaneous Insulin Pump
6 Perioperative Nursing
Preoperative Patient Care: Hospitalized Patient
Postoperative Care When Patient Returns to Room
Applying a Baer Hugger
Unit II-Promoting Healthy Physiologic Responses
7 Hygiene
Giving a Bed Bath
Applying Antiembolism Stockings
Making an Unoccupied Bed
Making an Occupied Bed
Assisting Patient with Oral Care
Providing Oral Care for the Dependent Patient
Bed Shampoo
Providing Denture Care
Removing and Cleaning Contact Lenses
Assisting with a Sitz Bath
8 Skin Integrity and Wound Care
Removing Sutures
Removing Staples
Care of Drains
Penrose
T-Tube
Jackson-Pratt
Hemovac
Cleaning a Wound and Applying a Sterile Dressing
Collecting a Wound Culture
Irrigating a Sterile Wound
Applying a Wound Vac
Applying an External Heating Device
Applying Warm Sterile Compresses to an Open Wound
Using a Cooling Blanket
Applying Ice
Applying Montgomery Straps
9 Activity
Turning a Patient in Bed
Assisting with Passive Range of Motion
Assisting a Patient Up in Bed (2 Nurses)
Transferring a Patient from Bed to Stretcher
Transfer from Bed to Chair
Transfer from Bed to Chair (2 Nurses)
Using a Hoyer Lift
Ambulating a Patient
Assisting with a Walker
Assisting with Crutch Walking
Assisting with a Cane
Applying Plexi Pulses
Applying SCDs
Applying a Continuous Passive Motion Machine
Applying a Sling
Applying a Figure-Eight Bandage
Applying a Compression Bandage
Caring for a Cast
Assisting with Cast Application
Skin Traction
Skeletal Traction
External Fixation Devices
Caring for Halo Traction

10 Comfort
Giving a Back Massage
Applying a TENS Unit
Assessing Pain
Care of an Epidural
Applying a Train of Four
Care of a PCA
11 Nutrition
Inserting a Nasogastric Tube
Administering a Tube Feeding
Removing a Nasogastric Tube
Irrigating a Nasogastric Tube Connected to Suction
Monitoring Blood Glucose Level
Caring for a Gastric Tube
Applying Suction to a Gastric Tube
12 Urinary Elimination
Offering and Removing a Bedpan or Urinal
Catheterizing the Female Urinary Bladder
Catheterizing the Male Urinary Bladder
Irrigating the Catheter Using the Closed System
Giving a Continuous Bladder Irrigation
Applying a Condom Catheter
Changing a Stoma Appliance On an Ileal Conduit
Collecting Urine (C&S, Urinalysis)
Adult Patient
Pediatric Patient
Caring for a Suprapubic Catheter
Caring for a Tinkhoff Catheter
Caring for a Hemodialysis Fistula
13 Bowel Elimination
Administering a Cleansing Enema
Inserting a Rectal Suppository
Changing or Emptying an Ostomy Appliance
Applying a Fecal Incontinence Bag
Inserting a Rectal Tube
Irrigating a Colostomy
Collecting Stool (Culture, Ovum & Parasite, Hemoccult)

14 Oxygenation
Using a Pulse Oximeter
Caring for a Chest Tube
Assisting with Removal of Chest Tube
Instructing Patient to Use a MDI
Small Volume Nebulizer
Administering Oxygen by Nasal Cannula
Administering Oxygen by Mask
Inserting an Oropharyngeal Airway
Suctioning the Nasopharyngeal and Oropharyngeal Areas
Suctioning the Tracheostomy
Providing Tracheostomy Care
Inserting a Nasal Trumpet
Retaping an Endotracheal Tube
Suctioning an Endotracheal Tube
Open System
Closed System
Collecting a Sputum Specimen Via an Endotracheal Tube
Collecting a Sputum Specimen
Teaching Patient to Use Incentive Spirometer
Using a Bag Valve, Mask
Using an Oxygen Hood
Using an Oxygen Tent
Administering a Nebulized Treatment with IPPB
Applying CPAP
15 Fluid, Electrolyte, and Acid Base Balance
Starting an Intravenous Infusion
Caring for a PICC Line
Changing IV Solution and Tubing
Monitoring an IV Site
Changing an IV Dressing
Capping a Primary Line for Intermittent Use
Administering a Blood Product
Packed Red Blood Cells
Platelets
Cryoprecipitate
Albumin
Fresh Frozen Plasma
Accessing a Port-a-Cath
Drawing Blood from a Port
Deaccessing a Port
Caring for a Triple Lumen/ Quad Lumen Catheter
Drawing Blood from a Multi Lumen Catheter
Measuring a Central Venous Pressure
Dressing Change for a Central Line
Infusing Hyperalimentation (TPN/ PPN)
Infusing Lipids
Care of Central Lines
Hickman/ Broviac
Groshong
16 Cardiovascular Care
Applying an ECG
Three Lead
Five Lead
Applying a 12 Lead EKG
Assisting with Insertion of a Swan Ganz
Zeroing a Central Line
Using a Swan Ganz
Providing Care of a Temporary Pacemaker
Performing an Allen's Test
Removing a Femoral Line
Arterial
Venous
Care for an Arterial Line
Drawing Blood from an Arterial Line
Removing a Radial Arterial Line
Caring for Intra Aortic Balloon Pump
Using the Defibrillator
Synchronous
Asynchronous
17 Neurological Care
Care of an External Ventriculostomy
Care of a Codman Monitoring Device
Using a Kinetic Rotating Bed
Unit III-Integrated Case Studies
Basic Case Studies
Intermediate Case Studies
Advanced Case Studies
Index



Library of Congress Subject Headings for this publication: Nursing, Nursing Process, Nursing Care methods