Advanced Nursing Skills: Principles and Practice by Molly Courtenay

By Molly Courtenay

The increased practices and new roles which nurses are at the moment venture are usually in parts during which a valid wisdom of the lifestyles sciences is vital. This publication examines a couple of complex nursing abilities, in every one case describing the learn facts upon which the systems mentioned are dependent in addition to the sensible points of the methods themselves. the data of the lifestyles sciences that underpins those abilities is usually provided in each one bankruptcy and is usually basically associated with the complex practices defined. even if aimed essentially at put up registered nurses, nurses present process pre-registration nurse schooling will locate this ebook worthy as they themselves might be concerned to a constrained quantity within the practices defined.

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Today, The Scope of Professional Practice,1 in conjunction with the reduction injunior doctors' hours, has allowed nurses to establish a niche in the area of IV fluid and drug delivery. It is now common practice in the majority of clinical settings for nurses to be responsible for this advanced nursing skill. An overview of the vascular system and blood was presented in Chapter 1. Here, this knowledge is applied to the methods by which IV drugs are administered, and the advantages and disadvantages of this route are highlighted.

Local applications of Emla and Glycryl Trinitrate ointment before venepuncture. Anaesthesia 1990; 45: 5254 9. , Barbone, M. Infiltration and phlebitis: assessment, management and documentation. Journal of Home Health Care Practice 1994; 7(1): 1621 10. A. Infusion thrombophlebitis: a prospective comparison of 645 Vialon and Teflon cannulae in anaesthetic and postoperative use. Anaesthesia and Intensive Care 1988; 16(3): 265271. 11. , Butcher, J. Phlebitis associated with peripheral cannulae. Professional Nurse 1996; 12(1): 5154.

The patient is extremely anxious. Will this affect his veins? How? · What interventions might you employ to improve venous access? · Which veins would you avoid using? 6. Why are the median cubital veins impractical for venepuncture? 7. Consider a patient undergoing venepuncture. What steps should be taken throughout the procedure to prevent the development of infection in both the patient and practitioner? 8. What special precautions are necessary when taking blood from a patient with delayed clotting times?

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