Emergency Nursing Procedures

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Author: Jean A. Proehl

ISBN-10: 1416040986

ISBN-13: 9781416040989

Category: Clinical Medicine

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Written by expert emergency nurses across the country, EMERGENCY NURSING PROCEDURES, 4th Edition includes 193 step-by-step emergency procedures, including four new procedures — umbilical vessel cannulation, pelvic splinting, peripheral nerve stimulator (twitch monitoring), and methotrexate for ectopic pregnancy. Detailed illustrations visually reinforce techniques and clearly show steps to procedures — making this handbook an essential and comprehensive resource for any emergency professional.• Includes pediatric and geriatric information, with procedures when appropriate, to help you treat these specialized patient populations. • Consistent format and handy, portable size make this handbook ideal for everyday quick reference. • Emphasis on research-based practice helps you provide the best care possible according to the latest evidence. • Focused on the most essential, practical information, this handbook provides all the information you’ll need on a day-to-day basis.• Introduction includes The Joint Commission’s latest patient safety requirements related to emergency procedures. • Thoroughly updated content reflects changes in practice to keep you up-to-date on emergency care guidelines. • Four procedures have been added: umbilical vessel cannulation, pelvic splinting, peripheral nerve stimulator (twitch monitoring), and methotrexate for ectopic pregnancy. • Redesigned index allows for easy access and retrieval of information — perfect for the fast-paced emergency environment. Doody Review Services Reviewer:Cindy L Davis, DNSc(Central Arkansas Veterans Healthcare System)Description:This book describes common emergency room procedures with vivid illustrations, up-to-date references, and articulate descriptions for a concise, well organized reference for both novice and experienced nurses.Purpose:The purpose is to provide a resource for nurses who may encounter different emergency procedures in their practice. The editor acknowledges that it is difficult for even experienced nurses to keep current on procedures that are infrequently performed in their practice settings and she aims to provide clear, pertinent information about them. Although this is one of many emergency nursing procedure books on the market, it is the fourth edition of a standard text that continues to serve as a handy, quick reference in a uniform and concise way that makes it a worthy acquisition for a nursing library. The book fully meets the objectives by providing clear, well executed descriptions and guidance for nurses performing or assisting in various nursing procedures.Audience:The audience for this book is varied. For experienced nurses, it is a handy review of infrequently done procedures or an update on current information about more commonly performed procedures. For novices, it is a valuable reference to aid in their growth and development as skilled nurses. Advanced practice nurses, residents, and students would benefit from this reference as well. The writing is such that it is not condescending to those with more experience while remaining understandable for novices. The editor has gathered a formidable group of expert authors and specialists in each area lending credibility to the book.Features:The procedures are organized in a logical progression starting with airway, breathing, and circulation and progressing to system/organ specific sections. The book's strong points include the organization of the topics, relevance of the references, vivid illustrations, and readability of the text. The illustrations are numerous and well done. The section on medication administration is particularly helpful. The only shortcoming is the size and weight of the manual. A small reference card/pocket-sized book summarizing some of the more common procedures would be helpful.Assessment:In order for nursing staff to remain current in the frequently changing world of medicine, they must have access to updated texts that incorporate those changes. This fourth edition of an established standard, through current references and evidence-based practices, remains relevant. This is a high quality book that continues to provide important information for all levels of nursing staff.

Assessment ProceduresPrimary Assessment   Jean A. Proehl     2Secondary Assessment   Jean A. Proehl     5Airway ProceduresAirway Positioning   Donna York Clark     10Airway Foreign Object Removal   Donna York Clark     12Oral Airway Insertion   Donna York Clark     17Nasal Airway Insertion   Donna York Clark     19Laryngeal Mask Airway   Donna York Clark     22General Principles of Endotracheal Intubation   Donna York Clark     27Rapid Sequence Intubation   Donna York Clark     34Oral Endotracheal Intubation   Donna York Clark     39Nasotracheal Intubation   Donna York Clark     42Retrograde Intubation   Donna York Clark     45Extubation   Donna York Clark     50Combitube Airway   Andrew J. Bowman     52Cricothyrotomy   Andrew J. Bowman     58Percutaneous Transtracheal Ventilation   Garrett K. Chan     65Tracheostomy   Garrett K. Chan     70Breathing ProceduresPositioning the Dyspneic Patient   Teresa L. Will     77Drawing Arterial Blood Gases   Teresa L. Will   Jean A. Proehl     79Capillary Blood Gases   Garrett K. Chan     85Pulse Oximetry and Carbon Monoxide Oximetry   Mike D. McMahon     87Assessing Pulsus Paradoxus   Teresa L. Will     92Peak Expiratory Flow Measurement   Teresa L. Will     94End-Tidal Carbon Dioxide Detection and Monitoring   Mike D. McMahon     98Oxygen TherapyGeneral Principles of Oxygen Therapy and Oxygen Delivery Devices   Andrew J. Bowman     106Application and Removal of Oxygen Tank Regulators   Andrew J. Bowman     113Noninvasive Assisted Ventilation   Garrett K. Chan     118T-piece   Garrett K. Chan     126SuctioningPharyngeal Suctioning   Teresa L. Will     132Nasotracheal Suctioning   Teresa L. Will   Jean A. Proehl     135Endotracheal or Tracheostomy Suctioning   Teresa L. Will   Jean A. Proehl     139VentilationMouth-to-Mask Ventilation   Ruth L. Schaffler     148Bag-Mask Ventilation   Teresa L. Will     152Anesthesia Bag Ventilation   Teresa L. Will     156Mechanical Ventilators   Renee Semonin Holleran   Michael Rouse   Lori Carpenter     160Inhalation TherapyNebulizer Therapy   Margo E. Layman   Jean A. Proehl     170Metered-Dose Inhaler   Margo E. Layman     173Pleural DecompressionEmergency Needle Thoracentesis   Deborah A. Upton     178Chest Tube Insertion   Deborah A. Upton     181Management of Chest-Drainage Systems   Deborah A. Upton     188One-Way Valve   Deborah A. Upton     191Chest-Drainage Bottles   Deborah A. Upton     193Chest-Drainage Devices: Emerson   Deborah A. Upton     198Chest-Drainage Devices: Pleur-Evac   Deborah A. Upton     202Chest-Drainage Devices: Argyle   Deborah A. Upton     209Chest-Drainage Devices: Atrium   Deborah A. Upton     214Thoracentesis   Deborah A. Upton     219Circulation ProceduresPositioning the Hypotensive Patient   Maureen T. Quigley     224Doppler Ultrasound for Assessment of Blood Pressure and Peripheral Pulses   Maureen T. Quigley     226Measuring Postural Vital Signs   Margo E. Layman     229Pneumatic Antishock Garment   Renee Semonin Holleran     232Therapeutic Phlebotomy   Maureen T. Quigley     237Pericardiocentesis   Andrew A. Galvin     240Emergency Thoracotomy and Internal Defibrillation   Andrew A. Galvin   Jean A. Proehl     244Electrocardiographic Monitoring   Mike D. McMahon     25112-, 15-, and 18-Lead Electrocardiograms   Mike D. McMahon     256Continuous ST-Segment Monitoring   Mike D. McMahon     261Phlebotomy for Laboratory Specimens   June F. Stacey     266Blood Glucose Monitoring   Daun A. Smith     273Vascular AccessPeripheral Intravenous Cannulation   Margo E. Layman   Jean A. Proehl     278Rapid-Infusion Catheter Exchange   Renee Semonin Holleran     283External Jugular Venous Access   Renee Semonin Holleran     286Subclavian Venous Access   Renee Semonin Holleran     289Internal Jugular Venous Access   Renee Semonin Holleran     294Femoral Venous Access   Renee Semonin Holleran     299Venous Cutdown   Renee Semonin Holleran     303Intraosseous Access   Renee Semonin Holleran     306Umbilical Vessel Cannulation   Tamara Bleak     314Accessing Preexisting Central Venous Catheters   Robin A. Scott     322Accessing Implanted Vascular Port Devices   Robin A. Scott     331Declotting Central Venous Access Devices   Ruth Altherr Rench   Teresa L. Will     338Blood Product AdministrationAdministration of Blood Products   Robin A. Scott     344Blood Filters   Robin A. Scott     354Massive Transfusion   Robin A. Scott     356Blood and Fluid Warmers   Andrew J. Bowman     361Blood and Fluid Pressure Infusers   Andrew J. Bowman     372General Principles of Autotransfusion   Deborah A. Upton     378Autotransfusion Devices: Pleur-Evac   Deborah A. Upton     381Autotransfusion Devices: Argyle   Deborah A. Upton     384Autotransfusion Devices: Atrium   Deborah A. Upton     388Electrical TherapyDefibrillation   Mike D. McMahon     396Synchronized Cardioversion   Mike D. McMahon     400Automatic External Defibrillator Operation   Mike D. McMahon     406Emergency Management of the Patient with an Implantable Cardioverter-Defibrillator   Mike D. McMahon     410Cardiac PacingTranscutaneous Cardiac Pacing   Mike McMahon     416Temporary Transvenous Pacemaker Insertion   Patricia A. DeWitt     423Invasive Hemodynamic MonitoringCentral Venous Pressure Monitoring   June F. Stacey     436Arterial Line Insertion and Monitoring   Lucinda W. Rossoll     441Pulmonary Artery Catheter Insertion   Lucinda W. Rossoll     450Neurologic ProceduresPositioning the Patient with Increased Intracranial Pressure   Ruth L. Schaffler     462Lumbar Puncture   June F. Stacey     466Intracranial Pressure Monitoring   Renee Semonin Holleran     472Burr Holes   Daun A. Smith     478Tongs or Open-back Halo for Cervical Traction   Daun A. Smith     483Abdominal and Genitourinary ProceduresDiagnostic Peritoneal Lavage   Jean A. Proehl     490Paracentesis   June F. Stacey     495Intraabdominal Pressure Monitoring   Lucinda W. Rossoll     497Insertion of Orogastric and Nasogastric Tubes   Lucinda W. Rossoll     501Gastric Lavage for Gastrointestinal Bleeding   Joni Hentzen Daniels     507Gastric Lavage for Removal of Toxic Substances   Robin A. Scott     510Whole Bowel Irrigation   Andrew J. Bowman     514Balloon Tamponade of Gastroesophageal Varices   Jean A. Proehl     517Diagnostic Bladder Ultrasound   Lucinda W. Rossoll     525Urinary Bladder Catheterization   Lucinda W. Rossoll     529Suprapubic Urine Aspiration   Lucinda W. Rossoll     536Suprapubic Catheter Insertion   Lucinda W. Rossoll     539Pelvic Examination   Lucinda W. Rossoll     543Assessing Fetal Heart Tones   June F. Stacey     548Emergency Childbirth   June F. Stacey     550Dilatation and Curettage   Robin A. Scott     558Musculoskeletal ProceduresSpinal Immobilization   Kyle Madigan     564Helmet Removal   Kyle Madigan     572General Principles of Splinting   Ruth L. Schaffler     574Ring Removal   Kyle Madigan     580Body Jewelry Removal   Kyle Madigan     584Vacuum Splints   Ruth L. Schaffler     588Air Splints   Ruth L. Schaffler     591Traction Splints   Ruth L. Schaffler     593Pelvic Splinting   Jean A. Proehl     601Sling Application   Ruth L. Schaffler     606Shoulder Immobilization   Ruth L. Schaffler     610Knee Immobilization   Ruth L. Schaffler     614Finger Immobilization   Jean A. Proehl     618Plaster and Fiberglass Splinting   Karen Sue Hoyt     622Removal and Bivalving of Casts   Margo E. Layman     634Elastic Bandage Application   Margo E. Layman     636Skeletal Traction   Jean A. Proehl     639Heat Therapy   Daun A. Smith     642Cold Therapy   Daun A. Smith     643Measuring Compartmental Pressure   Jean A. Proehl     645Measuring and Fitting for Ambulation Aids   Margo E. Layman     652Patient Teaching for Ambulation Aids   Margo E. Layman     656Arthocentesis and Intraarticular Injection   Andrew A. Galvin     662Integumentary ProceduresWound Cleansing and Irrigation   Joni Hentzen Daniels     668Wound Anesthesia: Local Infiltration and Topical Agents   Maureen T. Quigley     673Digital Block   Joni Hentzen Daniels     679Intravenous Regional Anesthesia   Joni Hentzen Daniels   Jean A. Proehl     686Fishhook Removal   Daun A. Smith     691Wound Care for Amputations   Jean A. Proehl     695Surgical Tape Closures   Jean A. Proehl     698Skin Adhesive   Jean A. Proehl     701Suture Removal   Maureen T. Quigley     704Staple Removal   Maureen T. Quigley     707Minor Burn Care   Joni Hentzen Daniels     709Escharotomy   Joni Hentzen Daniels     717Incision and Drainage   Margo E. Layman     721ThermoregulationMeasures to Reverse Hyperthermia   Daun A. Smith   Jean A. Proehl     726Measures to Reverse Hypothermia   Daun A. Smith     729Heat Lamp   Daun A. Smith     734Forced Air Warming Blanket   Daun A. Smith     736Warm/Cool Water-Circulating Blankets   Daun A. Smith     738Continuous Arteriovenous Rewarming   Daun A. Smith     740Ophthalmic ProceduresAssessing Visual Acuity   Maureen T. Quigley     748Contact Lens Removal   Margo E. Layman     752Eye Irrigation   Maureen T. Quigley     755Fluorescein Staining of Eyes   Maureen T. Quigley     761Ophthalmic Foreign Body Removal   Joni Hentzen Daniels     764Instillation of Eye Medications   Maureen T. Quigley     770Eye Patching   Maureen T. Quigley     773Tonometry   Joni Hentzen Daniels     777Immobilization of an Ophthalmic Foreign Body   Joni Hentzen Daniels     783Otic ProceduresInstillation of Ear Medications   Daun A. Smith     788Ear Wick Insertion   Margo E. Layman     789Ear Irrigation   June F. Stacey     792Otic Foreign Body Removal   Daun A. Smith     796Cerumen Removal   Daun A. Smith     801Nasal ProceduresTopical Vasoconstrictors for Epistaxis   Daun A. Smith     806Electrical and Chemical Cautery for Epistaxis   Daun A. Smith     808Anterior Packing for Epistaxis   Daun A. Smith     810Posterior Packing for Epistaxis   Daun A. Smith     815Balloon Catheters for Epistaxis   Daun A. Smith     819Nasal Foreign Body Removal   Daun A. Smith     822Dental and Throat ProceduresIndirect Laryngoscopy   Garrett K. Chan     826Esophageal Foreign Body Removal   Joni Hentzen Daniels     828Tooth Preservation and Replantation   K. Sue Hoyt     832Medication AdministrationNitrous Oxide Administration   Jean A. Proehl     838Sedation   Andrew A. Galvin     842Peripheral Nerve Stimulator   Patricia Kunz Howard     846Streptokinase Administration   Teresa L. Will     850TNK-tPA Administration for Acute Myocardial Infarction   Ruth Altherr Rench   Teresa L. Will     855tPA Administration for Acute Myocardial Infarction or Pulmonary Embolus   Ruth Altherr Rench   Teresa L. Will     861tPA Administration for Acute Ischemic Stroke   Ruth Altherr Rench   Teresa L. Will     868Reteplase Administration for Acute Myocardial Infarction   Teresa L. Will     873High-dose Steroids for Spinal Cord Injury   Daun A. Smith     878Administration of Methotrexate for Ectopic Pregnancy   Daun A. Smith     881Miscellaneous ProceduresDrug and Alcohol Specimen Collection   Renee Semonin Holleran     886Preservation of Evidence   Renee Semonin Holleran     889Sexual Assault Examination   Renee Semonin Holleran     894Collection of Bite Mark Evidence   Ruth L. Schaffler     901Application of Restraints   Teresa L. Will   Jean A. Proehl     906Preparing and Restraining Children for Procedures   Daun A. Smith     912Decontamination   Andrew A. Galvin     917Preparation for Interfacility Ground or Air Transport   Renee Semonin Holleran     922