Nursing Procedures

Learning Objectives

After completing this course, you will be able to:

Chapter 1: Fundamental Procedures

  1. Identify correct procedures for patient admission, transfer and discharge.
  2. Name assessment techniques relating to performing a head to toe physical assessment
  3. Enumerate tips for writing an effective patient care plan.
  4. Describe safety and mobility guidelines relating to restraints and devices to assist in progressive ambulation.
  5. Describe good body mechanics and explain transfer techniques.
  6. Identify a variety of special beds.
  7. Describe care techniques relating to personal hygiene and patient comfort.
  8. Discuss nutrition and elimination.
  9. Implement preoperative and postoperative care.
  10. Discuss spiritual and terminal care.

Chapter 2: Infection Control

  1. Recite general principles of hand washing and isolation equipment use.
  2. Identify reportable diseases.
  3. Discuss guidelines for universal precautions, respiratory isolation and neutropenic isolation.

Chapter 3: Specimen Collection and Testing

  1. Differentiate blood specimen collection techniques such as venipuncture, cultures and arterial puncture.
  2. Differentiate urine collection for various urine tests.
  3. Conduct stool specimen collection.
  4. Describe other various specimen collection techniques and tests.

Chapter 4: Physical Treatments

  1. Describe benefits and contraindications for heat and cold application.
  2. Prepare and implement use of hyperthermia-hypothermia blanket.
  3. Implement Sitz baths, therapeutic baths and soaks.
  4. Explain the application and assessment of support devices such as antiembolism stockings, sequential compression therapy, elastic bandages, binders and pressure dressings.
  5. Explain the management of surgical wounds.
  6. Describe suture removal and removal of skin staples and clips.
  7. Explain the management of wound dehiscence and evisceration.
  8. Explain the management of traumatic wounds.
  9. Describe and differentiate external radiation therapy, radiation implant therapy and radioactive iodine therapy.

Chapter 5: Drug Administration

  1. Differentiate and implement different types of topical drug administration such as topical skin and transdermal drug administration; eye medications, ear drops, inhalers, nasal medications, vaginal medications.
  2. Differentiate and implement various enteral drug administration techniques such as oral, nasogastric tube buccal, sublingual and rectal.
  3. Differentiate and implement various parenteral drug administration techniques such as subcutaneous, intradermal, intramuscular, and Z-track injections as well as intraosseous infusion and drug infusion through a secondary IV line and IV bolus.
  4. Explain the preparation and handling of chemotherapeutic drugs.
  5. Explain the administration of chemotherapeutic drugs.
  6. Describe various special administration techniques such as epidural administration, drug infusion through a reservoir, endotracheal administration and implants.

Chapter 6: Intravascular Therapy

  1. Describe the preparation and implementation of I.V. therapy lines such as use of a volume-control set, peripheral I.V. lines, intermittent infusion device.
  2. Explain the maintenance of peripheral I. V. sites and systems.
  3. Prepare for and describe the implementation of central venous and arterial lines and implanted vascular access devices.
  4. Explain flow rate calculation.
  5. Explain the use of I. V. controllers and pumps.
  6. Explain equipment preparation and administration of TPN and lipid emulsions.
  7. Describe patient monitoring during TPN.
  8. Explain equipment preparation, nursing procedures, and guidelines for transfusion of blood and blood components.
  9. Explain the management of transfusion reactions.
  10. Discuss autologous transfusion.

Chapter 7: Cardiovascular Care

  1. Describe various cardiovascular monitoring devices such as ECG, arterial pressure monitoring, pulmonary artery pressure monitoring, central venous pressure monitoring and cardiac output measurement.
  2. Differentiate between various cardiovascular treatments such as pacemakers, code management, CPR, defibrillation, synchronized cardioversion, vagal maneuvers, ventricular assist device, IABP, PTCA, balloon valvuloplasty, and antishock trousers.

Chapter 8: Respiratory Care

  1. Differentiate various respiratory monitoring.
  2. Explain obstructed airway management.
  3. Differentiate various airway devices.
  4. Explain tracheostomy care, tracheal suctioning, endotracheal tube care.
  5. Describe cricothyrotomy.
  6. Differentiate various oxygen administration treatments.
  7. Describe chest physiotherapy, thoracentesis, chest tube insertion and thoracic drainage.

Chapter 9: Neurologic Care

  1. Explain neurologic assessment and neurologic vital signs.
  2. Differentiate various intracranial pressure monitoring techniques.
  3. Explain cerebral blood flow monitoring.
  4. Describe various treatments such as cerebrospinal fluid drains, halo-vest and skull tong traction, and TENS unit treatment.
  5. Describe some pain assessment techniques.

Chapter 10: Gastrointestinal Care

  1. Discuss NG tube insertion and removal and NG tube care.
  2. Discuss gastric lavage.
  3. Describe tube feeding techniques and procedures.
  4. Differentiate nasoenteric-decompression tubes and esophageal tubes.
  5. Describe nasoenteric-decompression and esophageal tube care.
  6. Explain rectal tube insertion and removal.
  7. Explain administration of an enema.
  8. Describe and differentiate various transabdominal assess procedures such as gastrostomy, colostomy, ileostomy, T-tube, abdominal paracentesis and peritoneal lavage.

Chapter 11: Renal and Urologic Care

  1. Describe procedures relating to indwelling urinary catheters.
  2. Explain intermittent self-catheterization.
  3. Describe surgical urinary diversion.
  4. Explain various dialysis procedures such as peritoneal dialysis, hemodialysis and continuous arteriovenous hemofiltration.

Chapter 12: Orthopedic Care

  1. Describe various orthopedic supports and explain procedures.
  2. Identify some traction and fixation devices.
  3. Explain stump and prosthesis care.
  4. Explain arthroplasty care.
  5. Explain electrical bone growth stimulation.

Chapter 13: Skin Care

  1. Describe pressure ulcers and explain pressure ulcer care.
  2. Explain burn care.
  3. Identify biological burn dressings.
  4. Explain mechanical debridement.
  5. Explain skin graft care.
  6. Discuss ultraviolet light therapy and laser therapy.

Chapter 14: Eye, Ear and Nose Care

  1. Discuss the implementation of procedures involving eye, ear and nose care.

Chapter 15: Maternal - Neonatal Care

  1. Discuss procedures for fetal assessment.
  2. Discuss the labor and delivery process.
  3. Discuss neonatal monitoring.
  4. Discuss various neonatal treatments.
  5. Discuss neonatal feeding techniques.
  6. Explain the procedures of circumcision and RhoGAM administration.

Chapter 16: Pediatric Care

  1. Explain the process of urine collection in the pediatric patient.
  2. Discuss procedures for various treatments that apply to the pediatric patient such as drug administration, I.V. therapy, mist tent therapy, CPR, Bryant’s traction and hip spica cast care.

Chapter 17: Geriatric Care

  1. Discuss the management of incontinence.
  2. Discuss drug therapy as it relates to the elderly patient.
  3. Discuss the prevention and management of falls.

Evaluation of Individual Objectives

To assess the effectiveness of the course material, we ask that you evaluate your achievement of each learning objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory). Please indicate your responses next to each learning objective and return it to us with your completed exam.

Contents Outline
Fundamental procedures
Infection control
Specimen collection and testing
Physical treatments
Drug administration
Intravascular therapy
Cardiovascular care
Respiratory care
Neurologic care
Gastrointestinal care
Renal and urologic care
Orthopedic care
Skin care
Eye, ear, and nose care
Maternal-neonatal care
Pediatric care
Geriatric care
¨ The book will be a useful resource; the course was well planned to cover the broad scope of clinical responsibilities for registered nurses. Well done."

C.R., New Cumberland, WV

¨ I have never given any home study course an excellent rating until now. I was pleasantly surprised at how easy this course was to understand.Thank you!"

J.W., Plainview, TX
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