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Showing posts with label PROCEDURES. Show all posts
Showing posts with label PROCEDURES. Show all posts

Friday, June 8, 2012

ADMINISTERING AN INTRAMUSCULAR INJECTION

THEORY:






EVALUATION:

ADMINISTERING AN INTRAMUSCULAR INJECTION
Time Allotment: 5 mins

1. Assemble the equipment
2. Explain the procedure to patient
3. Withdraw medication from vial with prescribed amount of medication
4. Do not add air to syringe remove needle and replace with new needle.
5. Lactate the site of choice. Don disposable gloves
6. Clean area thoroughly with antimicrobial swab, using friction. Allow alcohol to dry
7. Remove needle cap by pulling it straight off
8. Displace skin in a Z-track manner by pulling to one side, or spread skin at the site using your non dominant hand
9. Hold syringe in your dominant hand between thumb and forefinger quickly dart needle using your dominant hand
10. As soon as needle is in place, move your non dominant hand to hold lower end of syringe. Slide your dominant hand to tip of barrel.
11. Aspirate slowly pulling back on plunger to determine whether the needle is in a blood vessel. If blood is aspirated discard needle syringe and medication. Prepare new sterile setup and inject in another site
12. If blood is not aspirated, inject slowly the solution
13. Remove needle slowly and steadily. Release displace tissue if Z-track technique is used
14. Appky gentle pressure at site with a small dry sponge
15. Do not recap used needle, Discard needle and syringe in appropriate receptacle.

BLOOD TRANSFUSION

Theory:








Evaluation :


BLOOD TRANSFUSION:

1.Obtain blood product and check for:
a. ABO group and Rh type
b, Amount
c. Serial number
d. Expiration date
e. VDRL

2. Verify clients identity
3. do hand hygiene. Put on gloves
4. prepare the blood bag. Invert the blood pack gently several times to mix cells with plasma
5. Prepare the blood set. Close the clamp. Attach gauge 180r 19 needle with cap at adapter of the blood set.
6. Exposed the port of the blood bag by pulling back the tab and insert the piercing pin (spike)
7. Hang the bag , open the clamp. Squeeze the filter chamber and allow the blood flow until the needs to remove it.
8. clamp the primary IV line of plain NSS near the Y-port
9. disinfect the Y-port , uncap the G18 Needle and attach to the Y-port, secure with plaster
10. Open the clamp of the blood set and run blood slowly for the first 15 minutes at 10-15 gtts/min
11. observed client closely for 5-10 minutes. If there are no adverse reactions . regulate according to order of physician.

Wound care

Theory:






Proecedures:






EVALUATION:

Wound care:
1. Assist patient into a comfortable position with easy access to wound area
2. Carefully remove old dressing using small amount of sterile normal saline solution, if necessary
3. Note presence , amount , type, color, odor, of any drainage on the dressing and inspect wound site fro size drainage and appearance.
4. Put on sterile gloves
5. Clean the wound with sterile cleaning solution (top bottom, center outside)
6. Dry the area using sterile gauze sponge
7. Apply layers of dressing over the wound (1s, 2nd and 3rd outer layer)
8. Remove and discard gloves , secure dressing with plaster
9. Label dressing and remove all remaining equipment

SUCTIONING ON ENDOTRACHEAL TUBE

SUCTIONING ON ENDOTRACHEAL TUBE
1. Explain the procedure to patient and reassure him or her that you will interrupt procedures if the patient indicates respiratory difficulty.
2. Gather Equipment and provide privacy for patient
3. Perform hand hygiene
4. Assist the patient to a semi-fowlers position or fowler's postion
5. Turn suction in appropriate pressure
6. Place clean towel if being used, across patients chest, don goggles, mask and gown if necessary
7. Open sterile kit or set up equipment and prepare to suction
8. Don sterile gloves or one sterile glove on dominant hand and clean glove on non-dominant hand
9. Connect sterile suction catheter to suction tubing that is held with unsterile glove hand.
10. Keeping catheter wrapped around sterile hand, remove ventilator from the endotracheal tube with nonsterile hand.
11. Hyperoyganate or hyperventilate with manual resuscitation bag three to five times between suctioning. Keep the catheter sterile, gently insert the catheter into the endotracheal tube. Advancing until patient begins cough or resistance is met. Do not occlude Y port when inserting catheter.
12. Apply intermittent suction by occluding the Y port with thumb of unsterilized gloved hand. Gently rotate catheter with thumb and index finger of sterile gloved hand as catheter is being withdrawn. Do not allow suctioning to continue for more than 10 seconds
13. Flush catheter with saline solution and repeat suctioning as needed and according to patient toleration of procedure. Allow patient to rest at least 30 seconds- 1 min between suctioning and replace oxygen delivery setup if necessary. Reconnect to the ventilator and hyper oxygenate with AMBU Bag three to five times between suctioning
14. When procedure is completed, turn off suction and disconnect catheter from suction tubing. Remove gloves inside out and dispose gloves.

MAKING AN UNOCCUPIED BED

1. Loosen all linens roll soiled inside bootm sheet
2. Place bottom sheet with its center fold in the center of the bed and tuck securely at head part
3. Place rubber sheet and cotton draw sheet, then tuck.
4. Move to other side of the bed and secure bottom sheet under head and mattress and miter corner. Pull remainder of sheet and tuck snugly. Do the same for rubber and cotton draw sheet
5. Placed top sheet on bed with center fold in center of the bed and with tem even with the ehad of the mattress. Unfold and tuck under food of bed. Miter corner.
6. Fold upper 6 inches and make a cuff . Move to other side of bed to complete theprocedure
7. Change pillowcase and place pillow at head of bed with opening facing towards the window, and not the door
8. Fanfold top linens
9. Make patient comfortable and do after care

CATHETERIZATION

FEMALE CATHETERIZATION
1. Provide privacy.
2. Assist the patient to dorsal recumbent position with Knees flexed.
3. Do diagonal draping with bath blanket.
4. Do perineal care with downward strokes cleansing each side.
5. Put on sterlle gloves. Lubricate & insert catheter tip intomeatus.
6. Inflate balloon of foley catheter then check its security by gently pulling until resistance is felt.
7. attach catheter to drainage bag.
8. Anchor catheter to inner aspect of thigh.
9. Make patient comfortable & do after care.



MALE CATHETIRIZATION
1. Provide privacy
2. Position patient on his back with thighs slightly apart
3. Do draping exposing the peris
4. Don gloves, clean perilearea with downward strokes
5. Lubricate catheter and insert tip into meatus
6. Inflate balloon of foley catheter then check its security by gently pulling until resistance is felt.
7. Attach catheter to drainage bag
8. Anchor catheter to upper thigh or lower abdomen with penis directed towards patient chest
9. Make patient comfortable and do after care

MAKING AN UNOCCUPIED BED

1. Loosen all linens roll soiled inside bootm sheet
2. Place bottom sheet with its center fold in the center of the bed and tuck securely at head part
3. Place rubber sheet and cotton draw sheet, then tuck.
4. Move to other side of the bed and secure bottom sheet under head and mattress and miter corner. Pull remainder of sheet and tuck snugly. Do the same for rubber and cotton draw sheet
5. Placed top sheet on bed with center fold in center of the bed and with tem even with the ehad of the mattress. Unfold and tuck under food of bed. Miter corner.
6. Fold upper 6 inches and make a cuff . Move to other side of bed to complete theprocedure
7. Change pillowcase and place pillow at head of bed with opening facing towards the window, and not the door
8. Fanfold top linens
9. Make patient comfortable and do after care

Multimedia Primary Care Procedures

Multimedia Primary Care Procedures by http://free-medical-books.com

Multimedia Primary Care Procedures: ( DVD - Only ) Presented by Medical Books
Michael Tuggy MD, Jorge Garcia MD, Gary Newkirk MD
* Publisher: Saunders
* Number Of Pages:
* Publication Date: 2005-09-23
* ISBN-10 / ASIN: 1416000917
* ISBN-13 / EAN: 9781416000914

This fast access, ‘how-to’ multimedia apparatus offers step-by-step superintendence to healing as well as surgical procedures ordinarily achieved in a ambulatory setting, together with ‘hot’ topics such as colonoscopy, colposcopy, no-scalpel vasectomy, dermatologic procedures, as well as some-more – all during a click of your mouse. Watch glorious surgical margin video clips of procedural techniques. Accompanied by veteran voice-overs explaining cognitive aspects as well as technical ‘pearls.’ Download studious instructions as well as access. Stay sideways of procedural skills as well as raise your use with this state of a art reference.

* DVD: * Presents 65 video clips, to perspective upon Personal Computer as well as TV, display all a procedures we have been expected to perform. * Detailed, step-by-step instructions upon how to perform any procession – in imitation or offline. * Includes studious training guides, in English as well as Spanish- for endorsed aftercare. * ICD-9/CPT codes during your finger tips for each procedure. * Sub-surface structure of a body is super-imposed upon a video on condition which picturesque representation. Unique, interactive interface allows we to name a content which we wish to perspective whilst examination a video.

Download:
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Nursing Procedures


Nursing Procedures




Publisher: Lippincott Williams & Wilkins
Number Of Pages: 848
Publication Date: 2004-01-01
Sales Rank: 298665
ISBN / ASIN: 1582552819
EAN: 9781582552811
Binding: Hardcover
Manufacturer: Lippincott Williams & Wilkins
Studio: Lippincott Williams & Wilkins
Book Description:


The newly revised Fourth Edition of this popular and widely used reference is a start-to-finish guide for nearly 400 basic and advanced nursing procedures. It provides step-by-step instructions for each procedure, explains how to use and troubleshoot equipment, and presents key information on rationales, cautions, complications, patient teaching, and documentation. The user-friendly format includes checklists, quick-scanning tables, logos that flag essential information, and more than 700 illustrations and photographs of equipment and techniques. This edition features a brand-new chapter on psychiatric nursing procedures and new entries on prone positioning, surgical site verification, ST segment monitoring, swallowing and aspiration precautions, and bispectral index monitoring (BIS).





Nurse Educator Manual: Essential Skills and Guidelines for Effective Practice

Nurse Educator Manual:Essential Skills and Guidelines
for Effective Practice





By Adrianne E. Avillion

* Publisher: HCPro, Inc.
* Number Of Pages: 250
* Publication Date: 2005-07-05
* ISBN-10 / ASIN: 1578396239
* ISBN-13 / EAN: 9781578396238
* Binding: Ring-bound


Product Deion:
This manual has everything a nurse educator needs! Developed by a nursing education specialist the Nurse Educator Manual helps new educators hit the ground running with fresh, innovative, ready-to-use training programs. Use this manual to revitalize your existing programs and stay on top of all the new technologies in healthcare. Discover the advantages of computer-based training and distance learning nursing education programs have never been so flexible and convenient! The Nurse Educator Manual is divided into 14 specialized sections. Read through from beginning to end or select the most pertinent topic that fits your immediate need!

Download:


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Nursing Care: From Theory to Practice

Link

Nursing Care: From Theory to Practice
Publisher:Wiley | Pages:200 | 2005-11-29 | ISBN:1861564317 | PDF | 0.3 MB

The relationship between nursing theory and practice has been an area of intense professional debate for many years. With new governmental directives relating to how nurses care for patients, the debate continues about how and why nurses' care has never been more important. This book looks at all the key issues. It explores the historical basis upon which nurses care, and provides an invaluable theoretical resource to enable nurses from all areas of practice to understand better what care actually is. In addition to this important area it considers the difficulties in researching care. The key strength of this book is the way it exposes the thoughts, feelings and beliefs of nurses who are currently practising. The book will provide practical and theoretical information for both academics and practicing nurses.




http://www.egoshare.com/download.php?id=3DA4CC9116

OR

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OR

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NO MIRRORS PLEASE...

The Biological Basis of Nursing: Clinical Observations

Link
The Biological Basis of Nursing: Clinical Observations
Routledge | 2000 | ISBN: 0415212545 | Pages: 192 | PDF | 2.31 MB


This is a unique book which integrates explanations of essential nursing procedures with the biological knowledge that underpins practice. It is aimed at all students preparing for clinical practice in nursing.
Clinical practitioners and nurse educators should benefit from this useful textbook, which underpins the practicalities of clinical observation with biological science - an essential quality in the evolving role of the nurse within modern healthcare delivery. - Anne Phillips, Community Nurse


Inc. Barcharts, "Nursing Care Procedures Laminated Reference Guide"

Link

Inc. Barcharts, "Nursing Care Procedures Laminated Reference Guide"
Barcharts | 2007 | ISBN: 1423203011, 1423207424 | 6 pages | PDF | 2 MB



RS Link:
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How to read a Chest X ray- Video Lecture

How to read a Chest X ray- Video Lecture



It is in DAT format so rename it from .DAT to .MPG to run in media player
http://ifile.it/dl

Medical Students - MEGA Physical Examination Videos Collection DVD

Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice, 22/e 2007by: Michael Swash, Michael Glynn,



Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice, 22/e 2007
by: Michael Swash, Michael Glynn,

  • Publisher: Saunders Ltd.
  • Number Of Pages: 560
  • Publication Date: 2007-04-20
  • Sales Rank: 540943
  • ISBN / ASIN: 0702027995
  • EAN: 9780702027994
  • Binding: Paperback
  • Manufacturer: Saunders Ltd.
  • Studio: Saunders Ltd.
  • Average Rating: 4.5
  • Total Reviews: 2


Book Description:
Hutchison's Clinical Methods, first published over a century ago, is the classic textbook on clinical examination. It provides an outstanding source of learning and reference for undergraduate medical students and postgraduate doctors. It seeks to teach an integrated approach to clinical practice, so that new methods and investigations are grafted onto established patterns of clinical practice, rather than added on as something extra. The text is organised so that both system-related and problem-oriented chapters are included. Particular emphasis is placed on the importance of the doctor-patient relationship, the essential skills needed for clinical examination, and for planning the appropriate choice of investigations in diagnosis and management.



CHM Format
TOC in TriPane, Full size images embeded, Removal of links in HTML
RAR 1x100 + 1x65 MB


Code:
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New CHM Format
TOC in TriPane, Full size images embeded, Removal of links in HTML
RAR 1x100 + 1x65 MB
Code:
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Surgical Techniques -Textbook for medical studentsMedicina Kцnyvkiadу Rt. | 2006 | ISBN: 9634827853 | 120 pages | PDF | 6 MB

Surgical Techniques -Textbook for medical students
Surgical Techniques -Textbook for medical students
Medicina Kцnyvkiadу Rt. | 2006 | ISBN: 9634827853 | 120 pages | PDF | 6 MB
Download Links (8 Mb)

http://hotfile.com/dl/24030020/3f80fcc/9634827853_Boros_Surgical_Techniques.pdf.html


Mirror (Rapidshare):

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A Collection of Medical Procedures Step by Step Guide

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A Collection of Medical Procedures Step by Step Guide
Pdf | English | 5MB
List of books on readmore
Skill 01[1].Temperature..pdf
Skill 02[1]..Pulse.pdf
Skill 03[1]..Respiration.pdf
Skill 04[1]..Blood Pressure.pdf
Skill 05[1]..Pulse Oximetry.pdf
Skill 06[1]..Capillary Blood Draw.pdf
Skill 07[1]..Venipuncture.pdf
Skill 08[1]..Blood Draw from a Central Venous Catheter.pdf
Skill 09[1]..Nasopharyngeal Swab.pdf
Skill 10[1]..Throat Culture.pdf
Skill 11[1]..Collection of Stool Specimen.pdf
Skill 12[1]..Collection of Urine Specimen.pdf
Skill 13[1]..Collection of a Midstream.pdf
Skill 14[1]..Assisting with Child during Bone Marrow.pdf
Skill 15[1]..Assisting with Child during Lumbar Puncture.pdf
Skill 16[1]..Assisting with Collection of Cerebrospinal.pdf
Skill 17[1]..Sponge Bath.pdf
Skill 18[1]..Insertion of a Peripheral IV Line.pdf
Skill 19[1]..Dressing Change Central Venous Line.pdf
Skill 20[1]..Insertion of a Nasogastric Tube.pdf
Skill 21[1]..Management of Gastrointestinal Suction.pdf
Skill 22[1]..Nasogastric Tube Irrigation.pdf
Skill 23[1]..Nasogastric Tube Lavage.pdf
Skill 24[1]..Administration of a Bolus Feeding.pdf
Skill 25[1]..Administration of NG, NJ, Gastrostomy and.pdf
Skill 26[1]..Changing a Fecal Ostomy Appliance.pdf
Skill 27[1]..Emptying an Ostomy Pouch.pdf
Skill 28[1]..Administration of Enemas.pdf
Skill 29[1]..Urinary Catheterization.pdf
Skill 30[1]..Petaling a Cast.pdf
Skill 31[1]..Pin Site Care.pdf
Skill 32[1]..Care of the Child in an External Fixation.pdf
Skill 33[1]..Pin Care, External Fixation Device.pdf
Skill 34[1]..EVD Maintaining System at Correct Level and Functioning.pdf
Skill 35[1]..EVD Client Assessment.pdf
Skill 36[1]..EVD Monitoring Cerebrospinal Fluid (CSF).pdf
Skill 37[1]..EVD Changing the Drainage Bag.pdf
Skill 38[1]..EVD General Nursing Care and Safety.pdf
Skill 39[1]..Assisting with Chest Tube Insertion.pdf
Skill 40[1]..Preparing the Chest Tube Drainage System.pdf
Skill 41[1]..Care of the Child with a Chest Tube.pdf
Skill 42[1]..Assisting with Removal of Chest Tube.pdf
Skill 43[1]..Oxygen Administration.pdf
Skill 44[1]..Bulb Suctioning.pdf
Skill 45[1]..Nasotracheal Suctioning.pdf
Skill 46[1]..Tracheostomy Monitoring.pdf
Skill 47[1]..Tracheostomy Tube Change.pdf
Skill 48[1]..Tracheostomy Tube.pdf
Skill 49[1]..Tracheostomy Suctioning.pdf
Skill 50[1]..Endotracheal Tube Monitoring (ETT).pdf


Download: (Hotfile)

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Mirror :(Rapidshare)

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Multimedia Primary Care Procedures: ( DVD - Only ) Presented by Medical Books Michael Tuggy MD, Jorge Garcia MD, Gary Newkirk MD

Multimedia Primary Care Procedures by http://free-medical-books.com

Multimedia Primary Care Procedures: ( DVD - Only ) Presented by Medical Books
Michael Tuggy MD, Jorge Garcia MD, Gary Newkirk MD
* Publisher: Saunders
* Number Of Pages:
* Publication Date: 2005-09-23
* ISBN-10 / ASIN: 1416000917
* ISBN-13 / EAN: 9781416000914

This fast access, ‘how-to’ multimedia apparatus offers step-by-step superintendence to healing as well as surgical procedures ordinarily achieved in a ambulatory setting, together with ‘hot’ topics such as colonoscopy, colposcopy, no-scalpel vasectomy, dermatologic procedures, as well as some-more – all during a click of your mouse. Watch glorious surgical margin video clips of procedural techniques. Accompanied by veteran voice-overs explaining cognitive aspects as well as technical ‘pearls.’ Download studious instructions as well as access. Stay sideways of procedural skills as well as raise your use with this state of a art reference.

* DVD: * Presents 65 video clips, to perspective upon Personal Computer as well as TV, display all a procedures we have been expected to perform. * Detailed, step-by-step instructions upon how to perform any procession – in imitation or offline. * Includes studious training guides, in English as well as Spanish- for endorsed aftercare. * ICD-9/CPT codes during your finger tips for each procedure. * Sub-surface structure of a body is super-imposed upon a video on condition which picturesque representation. Unique, interactive interface allows we to name a content which we wish to perspective whilst examination a video.

Download:
http://uploading.com/files/J8PN409J/1479_MMPrCrPr.part01.rar.html
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Nursing Lecture on Gastrointestinal Tract GIT system

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