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