Skills in Clinical Nursing

Series
Prentice Hall
Author
Audrey J. Berman / Shirlee Snyder  
Publisher
Pearson
Cover
Softcover
Edition
8
Language
English
Total pages
864
Pub.-date
February 2015
ISBN13
9780133997439
ISBN
013399743X
Related Titles



Description

For use as a primary textbook in clinical nursing education programs, and as a reference for practicing nurses

 

Help each student think like a nurse using a clear, consistent presentation of nursing skills

Consistency and accessibility are essential to student success in the Fundamentals of Nursing course. With its clear, approachable, writing style, Skills in Clinical Nursing sets the foundation for nursing excellence. It provides detailed procedures on  the most relevant skills performed by nurses as they enter practice. It includes all common variations and is organized from the simplest to the most complex. This edition has been revised and updated to reflect current practice, responding to extensive feedback from clinical nurses, market surveys, and the authors’ own teaching and practice experience. Each chapter contains concise introductory material, placing skills in the context of anatomy, physiology, and pathophysiology, and clearly explaining their purpose and rationale. Each skill is then presented in exceptional step-by-step detail, with over 800 illustrations. Skills coverage is complemented by critical-thinking insights on using assessment data, and essential guidance on appropriate delegation to unlicensed assistive personnel (UAP). Students will learn to think like nurses as they see how the material they are reading is applied in nursing practice.

Features

Help each student think like a nurse using a clear, consistent presentation of nursing skills

  • Give students both the detailed step-by-step instructions they need, and the context to use these instructions effectively and professionally. Step-by-step instructions are organized into a coherent, easy-to-understand nursing process framework.
  • ENHANCED: Make learning complicated skills easier and more intuitive.  Full-color photos and illustrations give students a visual representation of critical steps. The enhanced photo program includes more than 150 new photos and drawings to help students visualize concepts.
  • NEW: Link QSEN competencies and make connections to nursing practice. This edition has incorporated QSEN competencies and specific expectations in special QSEN features. The QSEN features will guide students to learn and maintain safety and quality in their provision of nursing care by providing specific examples of how they relate to everyday practice.
    • NEW: Help students succeed with an increasingly diverse client population. Culturally Responsive Care features highlight diversity and special considerations in nursing care.  
    • NEW: Help students succeed in any care facility or environment. Ambulatory and Community Settings features provide information about performing skills in diverse healthcare facilities and settings.
    • NEW: Reinforce safe nursing practices. Safety Alerts correlate to the National Patient Safety Goals and identify other crucial safety issues.
  • NEW: Help students become effective members of a collaborative health care team. A section on Interprofessional Practice is included where relevant in specific skills to reinforce that multiple members of a health care team may be performing the same skill. Recognition of the overlapping of scopes of practice emphasizes the importance of a team approach to client care.
  • Ensure that students always know why they are doing what they are doing. Easy-to-find rationales give students a clearer understanding of why critical steps are performed.
  • Help students understand how skills fit together in real-world practice. The Applying the Nursing Process Feature ties each unit’s content together in a complete case study.
  • Empower students to choose the method that works most effectively with each patient. Variations present alternative methods of performing certain skills
  • Prepare students to provide safe and efficient care as part of teams that include Unlicensed Assistive Personnel (UAP). Delegation features explain when it is appropriate for nurses to delegate, and how to delegate tasks to Unlicensed Assistive Personnel (UAP).
  • Help students visualize the performance of skills, anticipate unexpected outcomes, and respond to them quickly, safely, and effectively. “What If” features visually represent the flow of a skill in concept map format, exploring unexpected outcomes, and presenting options for them.
  • Help students avoid errors, anticipate high-risk situations, and respond effectively to unexpected outcomes. Clinical Alerts highlight high-risk situations and other important information.
  • Help students quickly and accurately select the right procedures and skills. Practice Guidelines provide instant-access summaries of common procedures and clinical practice
  • Prepare students to provide the best possible care to geriatric and pediatric patients. Lifespan Considerationspresent key age-related care issues.
  • Help students become more effective at patient teaching, one of today’s most critical nursing roles. Patient Teaching Considerationspresent tips and tools to help patients facilitate self-care and wellness.
  • Help students go beyond rote skills performance to become thoughtful, highly effective professionals. Focus on Clinical Thinking sections at the end of each chapter, promote critical thinking with application-oriented scenarios and questions
  • Help students find additional reliable information to explore skills even more thoroughly. Readings and References provide evidence-based sources and additional reading to support chapter content.
  • Provide a clear, approachable introduction. Consistency and approachability are key for new nursing students. A very clear, approachable writing style makes this book popular with students and instructors.
  • Offer a consistent, seamless skills presentation. Because Kozier & Erb’s Fundamentals of Nursing, Tenth Edition and the Skills in Clinical Nursing books are written by the same author team, fundamentals students experience a seamless presentation, style, and experience throughout. Contact your Pearson representative to package Kozier & Erb’s Fundamentals of Nursing, Tenth Edition with the authors’ Skills in Clinical Nursing, Eighth Edition.

 

Keep your course current

  • NEW: Stay up-to-date with current standards of care. This edition continues to value and update standards of care as evidenced by the current CDC and WHO definitions and guidelines, 2014 National Patient Safety Goals for hospitals and long-term care, Infusion Nursing Society guidelines, ANA Scope & Standards, 2014 Hypertension Guidelines; IHI Pressure Ulcer Prevention Guidelines, OSHA/CDC BBP and Infection Prevention Standards, and Cancer Screening Guidelines.

 

New to this Edition

Help each student think like a nurse using a clear, consistent presentation of nursing skills

  • Make learning complicated skills easier and more intuitive.  Full-color photos and illustrations give students a visual representation of critical steps. The enhanced photo program includes more than 150 new photos and drawings to help students visualize concepts.
  • Link QSEN competencies and make connections to nursing practice. This edition has incorporated QSEN competencies and specific expectations in special QSEN features. The QSEN features will guide students to learn and maintain safety and quality in their provision of nursing care by providing specific examples of how they relate to everyday practice.
    • Help students succeed with an increasingly diverse client population. Culturally Responsive Care features highlight diversity and special considerations in nursing care.  
    • Help students succeed in any care facility or environment. Ambulatory and Community Settings features provide information about performing skills in diverse healthcare facilities and settings.
    • Reinforce safe nursing practices. Safety Alerts correlate to the National Patient Safety Goals and identify other crucial safety issues.
  • Help students become effective members of a collaborative health care team. A new section on Interprofessional Practice is included where relevant in specific skills to reinforce that multiple members of a health care team may be performing the same skill. Recognition of the overlapping of scopes of practice emphasizes the importance of a team approach to client care.
  • Offer a consistent, seamless skills presentation. Because Kozier & Erb’s Fundamentals of Nursing, Tenth Edition and the Skills in Clinical Nursing books are written by the same author team, fundamentals students experience a seamless presentation, style, and experience throughout. Contact your Pearson representative to package Kozier & Erb’s Fundamentals of Nursing, Tenth Edition with the authors’ Skills in Clinical Nursing, Eighth Edition.

Keep your course current

  • Stay up-to-date with current standards of care. This edition continues to value and update standards of care as evidenced by the current CDC and WHO definitions and guidelines, 2014 National Patient Safety Goals for hospitals and long-term care, Infusion Nursing Society guidelines, ANA Scope & Standards, 2014 Hypertension Guidelines; IHI Pressure Ulcer Prevention Guidelines, OSHA/CDC BBP and Infection Prevention Standards, and Cancer Screening Guidelines.

 

 

 

Table of Contents

Brief Table of Contents¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

Unit 1¿Introduction

1. Foundational Skills ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

Unit 2 Health Assessment ¿

2. Vital Signs ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

3. Health Assessment ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

4. Diagnostic Testing ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

Unit 3 Assisting with Client Hygiene and Comfort ¿

5. Client Hygiene ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

6. Bed-Making ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

7. Infection Control ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

8. Heat and Cold Therapy ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

9. Pain Management ¿¿¿¿¿¿¿¿¿¿¿¿¿

Unit 4 Mobility and Safety

10. Positioning the Client ¿¿¿¿¿¿ ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿ ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

11. Mobilizing the Client ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

12. Fall Prevention and Restraints ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

13. Maintaining Joint Mobility ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

Unit 5 Medication Administration

14. Drug Calculations

15. Administering Oral and Enteral Medications ¿¿¿¿¿¿¿¿

16. Administering Topical Medications ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

17. Administering Parenteral Medications ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

18. Administering Intravenous Therapy ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

Unit 6 Nutrition and Elimination

19. Feeding Clients ¿¿¿ ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

20. Assisting with Urinary Elimination ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

21. Assisting with Fecal Elimination ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

22. Caring for Clients with Peritoneal Dialysis ¿¿¿¿

Unit 7 Circulatory and Ventilatory Support

23. Promoting Circulation ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

24. Breathing Exercises ¿¿¿¿¿¿¿¿¿

25. Oxygen Therapy ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

26. Suctioning ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

27. Caring for the Client with a Tracheostomy ¿¿¿¿¿¿¿¿¿¿¿

28. Assisting with Mechanical Ventilation

29. Caring for the Client with Chest Tube Drainage ¿¿¿

30. Administering Emergency Measures to the Hospitalized Client

Unit 8 Wounds and Injury Care

31. Performing Wound and Pressure Ulcer Care ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

32. Orthopedic Care ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

33. Performing Perioperative Care ¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿¿

34. End-of-Life Care

¿

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Author

A San Francisco Bay Area native, Audrey Berman received her BSN from the University of California— San Francisco and later returned to that campus to obtain her MS in physiologic nursing and her PhD in nursing. Her dissertation was entitled Sailing a Course through Chemotherapy: The Experience of Women with Breast Cancer. She worked in oncology at Samuel Merritt Hospital prior to beginning her teaching career in the diploma program at Samuel Merritt Hospital School of Nursing in 1976. As a faculty member, she participated in the transition of that program into a baccalaureate degree and in the development of the Master of Science and doctor of nursing practice programs. Over the years, she has taught a variety of medical-surgical nursing courses in the prelicensure programs. She currently serves as the dean of nursing at Samuel Merritt University (an affiliate of Sutter Health) and is the 2014-2016 president of the California Association of Colleges of Nursing.

 

Dr. Berman has traveled extensively, visiting nursing and healthcare institutions in Australia, Botswana, Brazil, Germany, Israel, Japan, Korea, the Philippines, the Soviet Union, and Spain. She serves on the board of directors for the Bay Area Tumor Institute and the East Bay American Heart Association. She is a member of the American Nurses Association and Sigma Theta Tau and is a site visitor for the Commission on Collegiate Nursing Education. She has twice participated as an NCLEX-RN item writer for the National Council of State Boards of Nursing. She has presented locally, nationally, and internationally on topics related to nursing education, breast cancer, and technology in health care.

 

Dr. Berman authored the scripts for more than 35 nursing skills videotapes in the 1990s. She was a coauthor of the sixth, seventh, eighth, and ninth editions of Fundamentals of Nursing and, with Shirlee Snyder, coauthor of the fifth, sixth, and seventh editions of Skills in Clinical Nursing.

 

Shirlee J. Snyder graduated from Columbia Hospital School of Nursing in Milwaukee, Wisconsin, and subsequently received a bachelor of science in nursing from the University of Wisconsin—Milwaukee. Because of an interest in cardiac nursing and teaching, she earned a master of science in nursing with a minor in cardiovascular clinical specialist and teaching from the University of Alabama in Birmingham. A move to California resulted in becoming a faculty member at Samuel Merritt Hospital School of Nursing in Oakland, California. Shirlee was fortunate to be involved in the phasing out of the diploma and ADN programs and development of a baccalaureate intercollegiate nursing program. She held numerous positions during her 15-year tenure at Samuel Merritt College, including curriculum coordinator, assistant director—instruction, dean of instruction, and associate dean of the Intercollegiate Nursing Program. She is an associate professor alumnus at Samuel Merritt College. Her interest and experiences in nursing education resulted in Shirlee obtaining a doctorate of education focused in curriculum and instruction from the University of San Francisco.

 

Dr. Snyder moved to Portland, Oregon, in 1990 and taught in the ADN program at Portland Community College for 8 years. During this teaching experience she presented locally and nationally on topics related to using multimedia in the classroom and promoting ethnic and minority student success. Another career opportunity in 1998 led her to the Community College of Southern Nevada in Las Vegas, Nevada, where Dr. Snyder was the nursing program director with responsibilities for the associate degree and practical nursing programs for 5 years. During this time she coauthored the fifth edition of Kozier & Erb’s Techniques in Clinical Nursing with Audrey Berman.

 

In 2003, Dr. Snyder returned to baccalaureate nursing education. She embraced the opportunity to be one of the nursing faculty teaching the first nursing class in the baccalaureate nursing program at the first state college in Nevada, which opened in 2002. From 2008-2012, she was the dean of the School of Nursing at Nevada State College in Henderson, Nevada.  She is currently retired.

 

Dr. Snyder enjoyed traveling to the Philippines (Manila and Cebu) in 2009 to present all-day seminars to approximately 5,000 nursing students and 200 nursing faculty.  She is a member of the American Nurses Association and Sigma Theta Tau. She has been a site visitor for the National League for Nursing Accrediting Commission and the Northwest Association of Schools and Colleges.