Introduction | p. vii |
General Facility Procedures | |
Admission/Readmission | p. 2 |
Discharge/Transfer | p. 4 |
Documentation | p. 6 |
Postmortem Management | p. 8 |
Resident Rights | p. 10 |
Infection Control Procedures | |
Handwashing Technique | p. 14 |
Standard Precautions | p. 16 |
Transmission-Based Precautions | p. 20 |
Sterile/Clean Technique | p. 25 |
Vital Signs Procedures30Blood Pressure, Brachial | |
Blood Pressure, Brachial | p. 30 |
Blood Pressure, Standing/Sitting | p. 33 |
Height and Weight, Standing/Bed/Chair | p. 35 |
Pulse, Apical | p. 38 |
Pulse, Apical/Radial | p. 40 |
Pulse, Peripheral | p. 42 |
Pulse, Radial | p. 44 |
Pulse, Oximetry | p. 46 |
Respirations | p. 48 |
Temperature, Oral/Axillary/Rectal/Tympanic with Electronic Thermometer | p. 50 |
Temperature, Oral/Axillary/Rectal with Mercury Thermometer | p. 52 |
Personal Hygiene Procedures | |
Backrub | p. 56 |
Bath, Cooling Sponge | p. 58 |
Applying a Hypothermia Blanket | p. 60 |
Bath, Sitz | p. 62 |
Bath, Tub/Shower | p. 64 |
Bed, Occupied | p. 66 |
Bed, Unoccupied | p. 69 |
Bedbath, Complete | p. 71 |
Dentures | p. 74 |
Dressing/Personal Grooming | p. 76 |
Eye Glasses/Contact Lenses | p. 78 |
Eye Management of the Unconscious Resident | p. 80 |
Eye Prosthesis | p. 82 |
Foot Management | p. 84 |
Hair, Grooming/Shampoo | p. 86 |
Hearing Aids | p. 88 |
Nail Management | p. 90 |
Oral/Teeth Management | p. 92 |
Oral Management of the Unconscious Resident | p. 94 |
Perineal Management | p. 96 |
Shaving, Electric/Safety Razors | p. 98 |
Vaginal Irrigation | p. 100 |
Medication Administration Procedures | |
Ear Drops | p. 104 |
Eye Drops/Ointment | p. 106 |
Inhalation (Hand-Held Metered Dose) | p. 108 |
Inhalation (Small Volume Nebulizer) | p. 110 |
Intradermal Injection | p. 112 |
Intramuscular Injection | p. 115 |
Mouth/Throat | p. 118 |
Nasal Drops/Spray | p. 120 |
Nasogastric/Gastrostomy Tube | p. 122 |
Oral Tablet/Liquid | p. 124 |
Rectal Suppository | p. 126 |
Skin | p. 128 |
Subcutaneous Injection | p. 130 |
Sublingual/Buccal | p. 133 |
Transdermal | p. 135 |
Vaginal Suppository Cream | p. 137 |
Intravenous Therapy | |
Infusion Control Device | p. 140 |
Intravenous Fluid Management | p. 142 |
Medications, Intravenous Infusion | p. 145 |
Venipuncture for Intravenous Therapy, Butterfly/Angiocatheter | p. 148 |
Neurologic Procedures | |
Neurologic Checks | p. 152 |
Seizure Precautions | p. 155 |
Transcutaneous Electrical Nerve Stimulation (TENS) | p. 157 |
Cardiovascular Procedures | |
Ace Elastic Bandage | p. 160 |
Antiembolism Hose | p. 162 |
Holter Monitor | p. 164 |
Permanent Pacemaker | p. 166 |
Right Atrial Catheter Management | p. 168 |
Pulmonary Procedures | |
Airway Suctioning | p. 174 |
Breathing Exercises, Cough/Deep/Pursed Lip | p. 177 |
Breathing Therapy Devices | p. 179 |
Laryngectomy Stoma Management | p. 182 |
Oxygen Administration | p. 184 |
Postural Drainage | p. 186 |
Tracheostomy Management | p. 188 |
Renal/Urologic Procedures | |
Catheterization, Female/Male | p. 192 |
Catheterization, Intermittent Urethral/Continent Vesicostomy | p. 195 |
Catheter Management | p. 197 |
Intake and Output (IandO) | p. 200 |
Peritoneal Dialysis | p. 202 |
Toileting, Bedpan/Urinal | p. 205 |
Toileting, Commode/Bathroom | p. 207 |
Urinary Diversion Management | p. 209 |
Urinary Incontinence Management | p. 211 |
Gastrointestinal Procedures | |
Bowel Diversion Management | p. 216 |
Bowel Incontinence Management | p. 219 |
Enemas | p. 221 |
Fecal Impaction Removal | p. 223 |
Feeding, Assistive/Complete | p. 225 |
Gastrostomy Tube Management | p. 227 |
Nasogastric Tube Management | p. 230 |
Total Parenteral Nutrition | p. 233 |
Musculoskeletal Procedures | |
Assistive Devices, Ambulatory | p. 238 |
Assistive Devices, Bed | p. 240 |
Hydraulic Lift | p. 242 |
Immobilization Devices, Casts/Traction | p. 244 |
Immobilization Devices, Splints/Slings/Collars/Straps | p. 246 |
Muscle-Strengthening Exercises | p. 248 |
Positioning/Movement in Bed | p. 250 |
Positioning the Unconscious Resident | p. 254 |
Range of Motion, Active/Passive/Assistive | p. 256 |
Restraints | p. 259 |
Transfer, Wheelchair/Gerichair | p. 262 |
Integumentary Procedures | |
Cold Applications, Dry | p. 266 |
Cold Applications, Wet | p. 268 |
Pressure Ulcer Management | p. 270 |
Gelatin Compression Boot | p. 273 |
Hot Applications, Dry | p. 275 |
Hot Applications, Wet | p. 277 |
Pediculosis and Scabies, Treatment of | p. 280 |
Stump Management | p. 283 |
Wound Care, Dressing Change | p. 285 |
Wound Care, Irrigation | p. 287 |
Wound Care, Suture/Staple Removal | p. 289 |
Specimen Procedures | |
Blood Collection/Testing | p. 292 |
Feces Collection/Testing | p. 294 |
Urine Collection/Testing | p. 296 |
Emergency Procedures | |
Airway Insertion, Oral-Nasal | p. 300 |
Cardiopulmonary Resuscitation | p. 302 |
Choking/Aspiration | p. 305 |
Resuscitation Bag | p. 307 |
Psychosocial Procedures | |
Behavior Management | p. 310 |
Cognitive Enhancement | p. 312 |
Communication Facilitation | p. 314 |
Environmental Safety | p. 316 |
Relaxation Therapy | p. 318 |
Socialization Facilitation | p. 320 |
Spiritual Facilitation | p. 322 |
Therapeutic Activities | p. 323 |
NANDA Nursing Diagnoses | p. 325 |
References | p. 327 |
Index | p. 329 |
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