The Royal Marsden Hospital manual of clinical nursing procedures.

Previous ed.: 2008.

Includes bibliographical references and index.

10. Respiratory care:- Overview--Respiratory therapy--Oxygen therapy--Humidification--Continuous positive airway pressure--Chest drain--Tracheostomy and laryngectomy care--Tracheostomy: dressing change--Tracheostomy: suctioning--Tracheostomy:changing the inner cannula--Tracheostomy: tube change--Cardiopulmonary resusitation--Procedure guidelines for chapter 10.--PART 3:- Supporting the patient through the diagnostic process--11. Interpreting diagnostic tests:- Overview--Diagnostic tests--Blood: obtaining samples from a peripheral vein (venepuncture)--Blood sampling from a central venous catheter--Arterial sampling--Blood tests--Blood cultures--Antimicrobial drug assay--Cerebrospinal fluid (CSF) obtained by lumbur puncture--Semen collection--Cervical uterine smear (pap smear)--Specimen collection: swab sampling--Specimen collection: urine sampling--Specimen collection: faecal sampling--Specimen collection:respiratory tract secretion sampling--Specimen collection: pleural fluid--Endoscopic investigations--Gastroscopy--Colonoscopy--Cystoscopy--Liver biopsy--Radiological investigations: X-ray--Magnetic resonance imaging (MRI)--Computed tomography (CT)--Procedure guidelines for chapter ll.--12. Haematological procedures:- Overview--Bone marrow procedures--Aspiration and trephine biopsy--Bone marrow harvest--Apheresis--Procedure guidelines for chapter 12.--13. Observations:- Overview--Observations--Pulse--Twelve-lead electrocardiogram (ECG) Blood pressure--Central venous pressure--Respiration and pulse oximetry--Peak flow--Temperature--Urinalysis--Blood glucose--Neurological observations-- Procedure guidelines for chapter 13.--14. Radionuclide investigations and therapy:- Overview-- Radiation--Radiation protection--Diagnostic radioisotope procedures (nuclear medicine)--Unsealed source therapy--Sealed source therapy--Sealed source iodine -125 seeds used in prostate malignancies--Intraoral sealed sources--Procedure guidelines for chapter 14--PART 4: Supporting the patient through treatment:- 15. Cytotoxic therapy:- Overview--Cytotoxic therapy--Cytotoxic handling--Administration of cytotoxic medications by nurses--Intravenous administration of cytotoxic drugs--Extravasation of vesicant drugs--Oral administration of cytotoxic drugs--Intramuscular and subcutaneous administration of cytotoxic drugs--Topical application of cytotoxic drugs--Intrathecal administration of cytotoxic drugs--Intrapleural instillation of cytotoxic drugs--Intravesical instillation of cytotoxic drugs--Intraperitoneal instillation of cytotoxic drugs--Intra-arterial administration of cytotoxic drugs--Alopecia--Procedure guideline for chapter 15--16. Medicines management:- Overview--Medicines management--Self-administration of medicines--Controlled drugs--Routes of administration--Oral administration--Topical administration--TGransdermal administration--Rectal administration--Vaginal administration--Pulmonary administration--Opthalmic administration--Nasal administration--Otic administration--Injections and infusions--Intradermal injection--Subcutaneous injection--Subcutaneous infusion--Intramuscular injections--Intravenous injections and infusions--Procedure guidelines for chapter 16--17: Perioperative care:- Overview--Perioperative care--Intraoperative care--Intraoperative care: anaesthesia--Intraoperative care: Theatre--Intraoperative care: recovery--Postoperative care--Procedure guidelines for chapter 17.--18. Vascular access devices: insertion and management:- Overview--Vascular accaess devices--Peripheral cannulas--Midline catheters--Peripherally inserted central catheters (PICC)--Removal of peripherally inserted central catheters--Short-term percutaneous central venous catheters (non-tunnelled)--Removal of short-term percutaneous central venous catheters (non-tunnelled)--Skin-tunnelled catheters--Implanted ports--Arterial cannulas--Removal of arterial cannula--Procedure guidelines for chapter 18. Chapter 19: Wound management:- Overview--Wounds--Fungating wounds--Radiotherapy skin reactions--Pressure ulcers--Surgical wounds--Suturing--Removal of sutures or staples--Wound drains--Plastic surgery--Negative pressure wound therapy--Procedure guidelines for chapter 19.

PART 1: Managing the patient journey:- 1. The context of nursing-- Introduction--Political factors--Economic factors--Social factors--Technical factors--Conclusion--2. Assessment, discharge and end of life care-- Overview--Inpatient assessment and the process of care--Preoperative assessment--Discharge planning--Care of the dying patient--Last offices--Procedure guidelines for chapter 2--3. Infection prevention and control--Overview--Infection prevention and control--Aseptic technique--Source isolation--Protective isolation--Prevention and management o inoculation injury--Management of waste in the healthcare environment--Management of soiled linen in the healthcare environment--Procedure guidelines for Chapter 3--4. Risk Management:- Overview--Risk management--The assessment and mitigation of important clinical risks-- Venous thromboembolism--Pressure ulcers--Prevention of falls--Key principles of risk management--PART 2: Supporting the patient with human functioning:- 5. Communication--Overview--Communication-- Informing patients--Managing challenging issues with communication--Denial and collusion--Anxiety--Panci attacks (acute anxiety)--Depression--Suicidal ideation--Anger, aggression and violence management--Delirium--Aquired communication disorders--Communication for an individual with a laryngectomy--Procedure guidelines for chapter 5--6. Elimination:- Overview--Normal elimination--Assisting the patient with normal elimination--Urinary elimination--Penile sheaths--Urinary catheterization-Suprapubic catheterization--Intermittant catheterization--Urinary diversions--Bladder irrigation--Faecal elimination--Diarrhoea--Constipation--Enemas--Suppositories--Digital rectal examination--Manual excavation--Stoma care and intestinal (bowel) obstruction and ileus--Stoma care--Intestinal (bowel) obstruction and ileus--procedure guidelines for chapter 6.--7. Moving and positioning:- Overview--Moving and positioning--Positioning the patient: sitting in bed--Positioning the patient: side-lying--Positioning the patient: in a chair/wheelchair--Moving the patient from sitting to standing--Moving and positioning the unconscious patient--Moving and positioning the patient with an artifical airway--Moving and positioning the patient with respiratory compromise--Positioning to maximize ventilation/perfusion matching--Positioning to minimize the work of breathing--Positioning to maximize the drainage of secretions--Moving and positioning the patient with neurological impairment--Moving and positioning of the patient with actual or suspected spinal cord compression (SCC) or spinal cord injury (SCI)--Moving and positioning the patient with an amputation--Procedure guidelines for chapter 7--8. Nutrition, fluid balance and blood transfusion:-Overview--Fluid balance--Nutritional status--Provision of nutritional support: oral--Nutritional management of patients with dysphagia--Enteral tube feeding--Enteral tube insertion--Enteral tube care--Administration of enteral tube feed--Enteral feeding tubes:administration of medication--Enteral feeding tubes: unblocking--Parenteral nutrition--Transfusion of blood and blood components--Procedure guidelines for chapter 8.-- 9 Patient comfort:- Overview--Personal hygiene--Eye care--Ear care--Mouth care--Pain-- Pain management--Epidural and intrathecal analgesia--Entonox administration--Abdominal paracentesis--Compression therapy in the management of lymphoedema--Assessment of the patient withb lymphoedema--Compression bandaging--Compression garments--Procedure guidelines for chapter 9.

Clinical skills procedures are a fundamental aspect of nursing care. This title provides the underlying theory and evidence for procedures related to every aspect of a patient's care.