Skills in Clinical Nursing, 6/E
Audrey J. Berman, Ph.D., RN, AOCN
Shirlee Snyder, EdD, RN
Christina Jackson

ISBN-10: 0135128374
ISBN-13: 9780135128374

Publisher: Prentice Hall
Copyright: 2009
Format: Paper; 904 pp
Published: 07/14/2008

Suggested retail price: $84.95
Buy from myPearsonStore



Skills in Clinical Nursing is intended as a primary textbook for nursing education programs and as a reference for practicing nurses.

 

Completely revised and updated to reflect significant changes in practice Skills in Clinical Nursing 6e, provides current information in a clear, concise format and continues to be a definitive source for clinical nursing skills. Progressing from the simple to the complex, each chapter places techniques in perspective to client anatomy, physiology, and pathophysiology. Applying the nursing process to each technique, it illustrates a detailed step-by-step implementation while providing a thorough overview of the rationale and purpose.

The sixth edition of Skills in Clinical Nursing has been revised, reorganized, and updated to reflect the changes in practice that have occurred since the previous edition. It includes:

  • The 166 most important skills performed by nurses, including all common variations, organized from the simple to the more complex
  • A total of 684 color illustrations
  • New chapters such as Assisting with Mechanical Ventilation, Orthopedic Care, and End-of-Life Care
  • New Skills such as Assisting with a Sitz Bath, Performing Surgical Hand Sepsis, and Performing Postmortem Care
  • UNIQUE! Emphasis on Holistic Care to encompass the body-mind-spirit of every client encounter
  • UNIQUE! What If …. Concept maps help nurses visualize the steps of skills and unexpected outcomes of skills
  • NEW! Client Teaching Considerations, and Culturally Competent Care features to assist nurses in providing a positive client encounter
  • NEW! Clinical Alerts, Clinical Manifestations, and Practice Guidelines to remind nurses of client safety issues, signs and symptoms, and clinical do’s and don’ts
  • NEW! End of chapter NCLEX® review questions help students review chapter material and prepares them to answer NCLEX® questions effectively. Alternate style NCLEX® questions are included
  • NEW! Sample Documentation for specific skills to act as a model for nurses. Delegation is highlighted as part of the Planning phase of each skill to help the nurse make critical judgments about what to delegate
  • Expanded! Focus on Clinical Reasoning aids nurses in making appropriate clinical judgments and decisions through clinical cases
  • Companion CD! Every book includes a CD-ROM with Skill Checklists and NCLEX® review questions for every chapter.

Hallmark Features

The sixth edition builds on the successful aspects of previous editions. The strong emphasis on assisting the learner and practitioner has been maintained by including:

  • Learning outcomes
  • Detailed step-by-step implementation of skills
  • Key Terms list the important vocabulary covered in each chapter.
  • Lifespan Considerations highlight how nursing care is adapted for infants, children, adolescents, and elders
  • Ambulatory and Community Settings usually relate directly to a particular skill and address adaptations that are necessary when performing skills in the home and outpatient environments
  • References and Selected Bibliography
  • Extensive use of tables, boxes, and diagrams

 

  • NEW! Chapters on Assisting with Mechanical Ventilation, Orthopedic Care, and End-of-Life Care.
  • NEW! Skills such as Assisting with a Sitz Bath, Performing Surgical Hand Sepsis, and Performing Postmortem Care.
  •  

    New Features

    • Client Teaching Considerations: give tips and tools to help clients facilitate self-care, monitor potential problems, perform prescribed therapies, and assist in other client experiences.
    • Clinical Alert: a few sentences that pertain to special attention information, such as safety, that relates to the narrative or skills material.
    • Clinical Manifestations: bulleted lists of signs and symptoms of conditions related to skills.
    • Culturally Competent Care: presents what the nurse may do differently in a situation in consideration of a client’s cultural background.
    • Practice Guidelines: instant-access summaries of clinical do’s and don’ts in bulleted list format
    • Sample Documentation: examples of narrative nurses notes for specific skills.
    • Test Your Knowledge Questions: NCLEX-style items covering all steps of the nursing process related to skills.
    • What If...:  visual presentations of complex skills where one is able to anticipate what might go wrong, i.e., unexpected outcomes.
         

     

     

    Unit 1    Introduction

     

    Chapter 1    Foundational Skills                           

    Skill 1-1   Hand Hygiene

    Skill 1-2   Using Standard Precautions

    Skill 1-3   Applying and Removing Personal Protective Equipment (Gloves, Gown, Mask, Eyewear

    Skill 1-4   Assisting with Invasive Procedures

     

    Unit 2    Health Assessment

     

    Chapter 2    Vital Signs                                                                         

    Skill 2-1   Assessing Body Temperature                                

    Skill 2-2   Assessing Peripheral Pulses                                   

    Skill 2-3   Assessing an Apical Pulse                                     

    Skill 2-4   Assessing an Apical-Radial Pulse                         

    Skill 2-5   Assessing Respirations                                          

    Skill 2-6   Assessing Blood Pressure                                      

    Skill 2-7   Assessing Oxygen Saturation (Pulse Oximeter)    

     

    Chapter 3    Health Assessment                             

    Skill 3-1   Assessing Appearance and Mental Status

    Skill 3-2   Assessing the Skin                                                 

    Skill 3-3   Assessing the Hair                                                 

    Skill 3-4   Assessing the Nails                                                

    Skill 3-5   Assessing the Skull and Face

    Skill 3-6   Assessing the Eye Structures and Visual Acuity  

    Skill 3-7   Assessing the Ears and Hearing                            

    Skill 3-8   Assessing the Nose and Sinuses                            

    Skill 3-9   Assessing the Mouth and Oropharynx                  

    Skill 3-10   Assessing the Neck                                             

    Skill 3-11   Assessing the Thorax and Lungs                         

    Skill 3-12   Assessing the Heart and Central Vessels            

    Skill 3-13   Assessing the Peripheral Vascular System          

    Skill 3-14   Assessing the Breasts and Axillae                       

    Skill 3-15   Assessing the Abdomen                                      

    Skill 3-16   Assessing the Musculoskeletal System               

    Skill 3-17   Assessing the Neurologic System

    Skill 3-18   Assessing the Female Genitals and Inguinal AreaSkill 3-19   Assessing the Male Genitals and Inguinal Area

    Skill 3-20   Assessing the AnusSkill 3-21   Assessing Intake and Output 

     

    Chapter 4    Diagnostic Testing                                                                 

    Skill 4-1   Obtaining a Capillary Blood Specimen and Measuring Blood Glucose   

    Skill 4-2   Obtaining and Testing a Stool Specimen  

    Skill 4-3   Collecting a Routine Urine Specimen                   

    Skill 4-4   Collecting a Timed Urine Specimen                      

    Skill 4-5   Collecting a Urine Specimen for Culture and Sensitivity by the Clean Catch Method

    Skill 4-6   Performing Urine Testing Skill 4-7   Collecting A Sputum Specimen

    Skill 4-8   Obtaining Nose and Throat Specimens

    Skill 4-9   Obtaining a Wound Drainage Specimen

     

    Unit 3    Assisting with Client Hygiene and Comfort

     

    Chapter 5    Client Hygiene                                   

    Skill 5-1   Bathing the Adult or Pediatric Client                   

    Skill 5-2   Providing Perineal-Genital Care                            

    Skill 5-3   Brushing and Flossing the Teeth                           

    Skill 5-4   Providing Special Oral Care for the Unconscious or Debilitated Client

    Skill 5-5   Providing Hair Care

    Skill 5-6   Providing Foot Care                                              

    Skill 5-7   Removing, Cleaning, and Inserting a Hearing Aid            

     

    Chapter 6    Bed-Making                                                               

    Skill 6-1   Changing an Unoccupied Bed                              

    Skill 6-2   Changing an Occupied Bed                                              

     

    Chapter 7    Infection Control                                                       

    Skill 7-1    Establishing and Maintaining a Sterile Field

    Skill 7-2    Applying and Removing Sterile Gloves (Open Method)             

    Skill 7-3    Implementing Transmission-Based Precautions

     

    Chapter 8    Heat and Cold Therapy                                             

    Skill 8-1   Applying Dry Heat Measures: Hot Water Bottle, Electric Heating Pad, Aquathermia Pad, Disposable Hot Pack

    Skill 8-2   Applying Dry Cold Measures: Ice Bag, Ice Collar, Ice Glove, Disposable Cold Pack

    Skill 8-3   Applying Compresses and Moist Packs

     

    Chapter 9    Pain Management                 

    Skill 9-1   Assessing the Client in Pain

    Skill 9-2   Managing Pain with a PCA Pump

    Skill 9-3   Managing a TENS Unit

    Skill 9-4   Providing a Back Massage

    Skill 9-5   Teaching Progressive Relaxation

    Skill 9-6   Assisting with Guided Imagery

     

    Unit 4    Mobility and Safety            

     

    Chapter 10 Positioning the Client                                                                 

    Skill 10-1   Supporting the Client’s Position in Bed

    Skill 10-2   Moving a Client Up in Bed         

    Skill 10-3   Turning a Client to a Lateral or Prone Position in Bed

    Skill 10-4   Logrolling a Client

    Skill 10-5   Assisting the Client to Sit on the Side of the Bed (Dangling)

    Skill 10-6   Transferring between Bed and Chair

    Skill 10-7   Transferring between Bed and Stretcher

    Skill 10-8   Using a Hydraulic Lift

     

    Chapter 11      Mobilizing the Client                                                                         

    Skill 11-1   Assisting the Client in Use of a Wheelchair                        

    Skill 11-2   Assisting the Client to Ambulate                        

    Skill 11-3   Assisting the Client to Use a Cane

    Skill 11-4   Assisting the Client to Use Crutches

    Skill 11-5   Assisting the Client to Use a Walker                  

     

    Chapter 12      Fall Prevention and Restraints                                   

    Skill 12-1   Using a Bed or Chair Exit Safety Monitoring Device

    Skill 12-2   Applying Restraints                                             

    Skill 12-3   Implementing Seizure Precautions                      

     

    Chapter 13 Maintaining Joint Mobility                                                                                              

    Skill 13-1   Performing Passive Range of Motion Exercises                         

    Skill 13-2   Using a Continuous Passive Motion Device       

     

    Unit 5    Medication Administration

     

    Chapter 14    Drug Calculations

     

    Chapter 15    Administering Oral and Enteral Medications            

    Skill 15-1    Administering Oral Medications

    Skill 15-2    Administering Medications by Enteral Tube

     

    Chapter 16    Administering Topical Medications                           

    Skill 16-1     Applying Dermatologic Medications                

    Skill 16-2     Administering Ophthalmic Medications           

    Skill 16-3     Administering Otic Medications

    Skill 16-4     Administering Nasal Medications

    Skill 16-5     Administering Metered-Dose Inhaler Medications                  

    Skill 16-6     Administering Vaginal Medications

    Skill 16-7     Administering Rectal Medications                    

     

    Chapter 17    Administering Parenteral Medications                      

    Skill 17-1     Preparing Medications from Ampules               

    Skill 17-2     Preparing Medications from Vials                     

    Skill 17-3     Mixing Medications Using One Syringe

    Skill 17-4     Administering an Intradermal Injection for Skin Tests

    Skill 17-5     Administering a Subcutaneous Injection          

    Skill 17-6     Administering an Intramuscular Injection         

    Skill 17-7     Adding Medications to Intravenous Fluid Containers

    Skill 17-8     Administering Intermittent Intravenous Medications Using a Secondary Set

    Skill 17-9     Administering Intravenous Medications Using IV Push          

     

    Chapter 18    Administering Intravenous Therapy                                                 

    Skill 18-1     Performing Venipuncture

    Skill 18-2     Starting an Intravenous Infusion

    Skill 18-3     Using an Infusion Pump or Controller              

    Skill 18-4     Maintaining Infusions

    Skill 18-5     Maintaining Intermittent Infusion Devices

    Skill 18-6     Discontinuing Infusion Devices                        

    Skill 18-7     Administering Blood Transfusions

    Skill 18-8     Managing Central Lines

    Skill 18-9     Performing Central Line Dressing Changes      

    Skill 18-10   Working with Implanted Vascular Access Devices

     

    Unit 6    Nutrition and Elimination

     

    Chapter 19    Feeding Clients                                                            

    Skill 19-1   Assisting an Adult to Eat                                    

    Skill 19-2   Inserting a Nasogastric Tube

    Skill 19-3   Removing Nasogastric Tube                               

    Skill 19-4   Administering a Tube Feeding                            

    Skill 19-5   Administering a Gastrostomy or Jejunostomy Feeding

    Skill 19-6   Providing Total Parenteral Nutrition

     

    Chapter 20    Assisting with Urinary Elimination                           

    Skill 20-1   Assisting with a Urinal

    Skill 20-2   Applying an External Urinary Device                 

    Skill 20-3   Performing Urinary Catheterization                    

    Skill 20-4   Performing Catheter Care and Removal

    Skill 20-5   Performing Bladder Irrigation                                         

    Skill 20-6   Performing Urinary Ostomy Care

     

    Chapter 21    Assisting with Fecal Elimination                               

    Skill 21-1   Assisting with a Bedpan                                     

    Skill 21-2   Administering an Enema                                     

    Skill 21-3   Removing a Fecal Impaction                                                       

    Skill 21-4   Changing a Bowel Diversion Ostomy Appliance                       

     

    Chapter 22    Caring for Clients with Peritoneal Dialysis     

    Skill 22-1   Assisting with Peritoneal Dialysis Catheter Insertion

    Skill 22-2   Conducting Peritoneal Dialysis Procedures

     

    Unit 7    Circulatory and Ventilatory Support

     

    Chapter 23    Promoting Circulation                                                

    Skill 23-1   Applying Antiemboli Stockings

    Skill 23-2   Applying a Sequential Compression Device

     

    Chapter 24    Breathing Exercises        

    Skill 24-1   Teaching Abdominal (Diaphragmatic) Breathing                       

    Skill 24-2   Using an Incentive Spirometer

     

    Chapter 25    Oxygen Therapy                                                        

    Skill 25-1   Administering Oxygen by Cannula, Face Mask, or Face tent    

    Skill 25-2   Measuring Peak Expiratory Flow

     

    Chapter 26    Suctioning                                                                  

    Skill 26-1   Oropharyngeal, Nasopharyngeal, and Nasotrachial Suctioning

    Skill 26-2   Suctioning a Tracheostomy or Endotracheal Tube                      

     

    Chapter 27    Caring for the Client with a Tracheostomy               

    Skill 27-1   Providing Tracheostomy Care

    Skill 27-2   Capping a Tracheostomy Tube with a Speaking Valve

     

    Chapter 28     Assisting with Mechanical Ventilation

    Skill 28-1   Caring for the Client on a Mechanical Ventilator

    Skill 28-2   Weaning the Client from a Ventilator

     

    Chapter 29    Caring for the Client with Chest Tube Drainage       

    Skill 29-1   Assisting with Chest Tube Insertion

    Skill 29-2   Maintaining Chest Tube Drainage

    Skill 29-3   Assisting with Chest Tube Removal

     

    Chapter 30    Administering Emergency Measures to the Hospitalized Client

    Skill 30-1   Clearing an Obstructed Airway

    Skill 30-2   Performing Rescue Breathing

    Skill 30-3   Administering External Cardiac Compressions

    Skill 30-4   Delivering Automated External Defibrillation    

     

    Unit 8    Wounds and Injury Care

     

    Chapter 31    Performing Wound and Pressure Ulcer Care             

    Skill 31-1   Assessing Wounds and Pressure Ulcers              

    Skill 31-2   Performing a Dry Dressing Change

    Skill 31-3   Applying a Transparent Wound Barrier              

    Skill 31-4   Applying a Hydrocolloid Dressing

    Skill 31-5   Irrigating a Wound

    Skill 31-6   Assisting with a Sitz Bath                                   

    Skill 31-7   Performing a Damp-to-Damp Dressing Change

    Skill 31-8   Using Alginates on Wounds                                                                   

    Skill 31-9   Applying Bandages and Binders

     

    Chapter 32    Orthopedic Care                                            

    Skill 32-1   Providing Initial Cast Care

    Skill 32-2   Providing Ongoing Cast Care

    Skill 32-3   Caring for Clients in Skeletal Traction 

     

    Chapter 33    Performing Perioperative Care                                   

    Skill 33-1 Conducting Preoperative Teaching

    Skill 33-2 Performing a Surgical Hand Antisepsis/Scrub

    Skill 33-3 Applying a Sterile Gown and Sterile Gloves (Closed Method)    

    Skill 33-4 Managing Gastrointestinal (GI) Suction

    Skill 33-5 Cleaning a Sutured Wound and Changing a Dressing on a Wound with a Drain

    Skill 33-6 Maintaining Closed Wound Drainage

    Skill 33-7 Removing Sutures           

     

    Chapter 34    End-of-Life Care

    Skill 34-1 Meeting the Physiologic Needs of the Dying Client

    Skill 34- 2 Performing Postmortem Care                                                                                           

          

    Providing current information in a clear, concise format, the Sixth edition of Skills in Clinical Nursing continues to be a definitive source for the most important clinical nursing skills (including all common variations). Each chapter contains concise introductory material, placing skills in perspective to client anatomy, physiology, and pathophysiology, and provides an overview of the rationale and purpose of the skills.  The presentation of each skill follows the steps of the nursing process.

     

    • NEW! Chapters on Assisting with Mechanical Ventilation, Orthopedic Care, and End-of-Life Care.
    • NEW! Skills such as Assisting with a Sitz Bath, Performing Surgical Hand Sepsis, and Performing Postmortem Care.
    • UNIQUE! Emphasis on Holistic Care to encompass the body-mind-spirit of every client encounter.
    • UNIQUE! What If …. Concept maps help nurses visualize the steps of skills and unexpected outcomes of skills.
    • NEW! Client Teaching Considerations, and Culturally Competent Care features to assist nurses in providing a positive client encounter.
    • NEW! Clinical Alerts, Clinical Manifestations, and Practice Guidelines to remind nurses of client safety issues, signs and symptoms, and clinical do’s and don’ts.
    • NEW! End of chapter NCLEX® review questions help students review chapter material and prepares them to answer NCLEX® questions effectively. Alternate style NCLEX® questions are included.
    • NEW! Sample Documentation for specific skills to act as a model for nurses. Delegation is highlighted as part of the Planning phase of each skill to help the nurse make critical judgments about what to delegate.
    • Expanded! Focus on Clinical Reasoning aids nurses in making appropriate clinical judgments and decisions through clinical cases.
    • Companion CD! Every book includes a CD-ROM with Skill Checklists and NCLEX® review questions for every chapter.

    View a Sample Chapter PDF:

    • Instructor Resource CD for Skills in Clinical Nursing, 6/E
      Berman & Snyder
      © 2009 | Prentice Hall | CD-ROM Only | Instock
      ISBN-10: 0135128382 | ISBN-13: 9780135128381


    • Instructor's Resource Manual for Skills in Clinical Nursing, 6/E
      Berman & Snyder
      © 2009 | Prentice Hall | On-line Supplement | Instock
      ISBN-10: 0135020433 | ISBN-13: 9780135020432
      View Downloadable Files

    • MyNursingLab Instructor Access Code, 6/E
      Prentice Hall
      © 2008 | Prentice Hall | Digital Access Code | Instock
      ISBN-10: 0135008085 | ISBN-13: 9780135008089


    • MyNursingLab/Skills (access code required)
      Pearson
      © 2009 | Prentice Hall | Website | Instock
      ISBN-10: 0135055342 | ISBN-13: 9780135055342


    • Test Item File for Skills in Clinical Nursing, 6/E
      Berman & Snyder
      © 2009 | Prentice Hall | On-line Supplement | Instock
      ISBN-10: 0135020441 | ISBN-13: 9780135020449
      View Downloadable Files

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