Table of Contents

 

 

 

 

PART I

 

1

Introduction

 

 

How to use this book

 

 

Evidence Based Practice

 

 

PART II

 

2

Assessment of Patient

 

 

Admission

 

 

Observations

 

 

Respiratory

 

 

Cardiac

 

 

Vital Signs

 

 

Discharge Planning

 

 

Transferring a Patient

 

3

Allergy and Anaphylaxis

 

 

Food allergies

 

 

Latex allergy

 

4

Biopsies

 

 

Skin

 

 

Liver

 

 

Duodenal

 

 

Bone Marrow/ Harvesting

 

 

Renal

 

5

Blood Administration

 

 

An overview of the history of transfusion

 

 

Administration of red blood cells and platelets

 

 

Administration of plasma and cryoprecipitate

 

 

Administration of albumin

 

 

Administration of coagulation factors

 

 

Administration of immunoglobulin

 

6

Bowel Care

 

 

Bowel wash outs

 

 

Stoma Care

 

7

Burns and Scalds

 

 

Management of burns and scalds

 

8

Child Protection.

 

9

Complimentary Therapies

 

 

Massage

 

 

Aromatherapy

 

 

Acupuncture

 

 

Homeopathy

 

10

Cytotoxic Drugs

 

 

Handling and administration

 

 

Protection of the environment

 

 

Protection of children, staff and parents

 

 

Drug administration

 

11

Ear Care and Eye Care

 

 

Cleaning

 

 

Syringing

 

 

Perforation

 

 

Hearing aids

 

 

Cochlear implants

 

 

Cleaning

 

 

Installation of drops

 

 

Application of pads

 

 

Care on contact lens

 

12

Fluid Balance

 

 

Peritoneal dialysis

 

 

Haemodialysis

 

 

Central Venovenous Haemofiltration (CVVH)

 

13

Hygiene - personal

 

 

Bathing

 

 

Mouth care

 

 

Nail care

 

 

Toileting

 

14

Immunizations

 

15

Infection Control

 

 

Aseptic technique

 

 

Barrier nursing/protective/source

 

 

Blood spillage

 

 

Decontamination of feeding equipment

 

 

Hand hygiene

 

 

Linen disposal

 

 

Protective clothing

 

 

Sharps injuries

 

 

Universal precautions

 

 

Waste disposal

 

16

Infusions and Intravascular Access

 

 

Arterial lines/monitoring

 

 

Cannulation

 

 

Extravasation

 

 

Implanted devices

 

 

Percutaneous central catheters

 

 

Percutaneous intravenous catheters

 

 

Peripheral lines

 

 

Subcutaneous

 

 

Tunnelled central catheters

 

17

Investigations

 

 

General skeletal

 

 

Radiological Investigations

 

 

Investigational radiology

 

 

Nuclear medicine

 

 

Glomerula filtration

 

 

Micturating cystogram

 

 

Magnetic resonance imaging (MRI)

 

 

Fluoroscopy

 

 

Ultrasound

 

 

Specimens

 

 

Blood taking principles

 

 

Blood glucose estimation

 

 

Cerebrospinal fluid

 

 

Faeces

 

 

PH studies

 

 

Urine

 

18

Medicines - Administration of

 

 

Nurse prescribing

 

 

Working out drug doses

 

 

Routes of administration

 

 

Oral

 

 

Rectal

 

 

Buccal

 

 

Intravenous

 

 

Subcutaneous

 

 

Intra-muscular

 

 

Intradermal

 

 

Intraosseus

 

 

Intrathecal

 

 

Epidural

 

 

Inhalation

 

 

Intra-nasal

 

 

Skin patches

 

19

Moving and Handling

 

 

Moving and Handling

 

 

Restraint

 

20

Neonatal Care

 

 

Incubator care

 

 

Neonatal screening

 

 

Phototherapy

 

 

Replogle tubes

 

 

Thermoregulation

 

 

Umbilical care

 

 

Vitamin K

 

21

Neurological Care

 

 

External ventricular drainage

 

 

Lumbar puncture

 

 

Management of convulsions

 

 

Neurological observations

 

22

Nutrition and Feeding

 

 

Nutritional requirements

 

 

Breast feeding

 

 

Nutrition from pre-term to teenage

 

 

Enteral feeding

 

 

Transpyloric feeding

 

 

Sham feeding

 

 

Total parental nutrition (TPN)

 

23

Orthopaedic Care

 

 

Traction

 

 

Plaster care

 

 

Pin site care

 

24

Pain Management

 

 

Introduction

 

 

Pain management (overview)

 

 

Assessment of pain

 

 

Entonox

 

 

Epidural analgesia

 

 

Patient controlled and nurse controlled analgesia

 

 

Subcutaneous local anaesthetic infusions

 

 

Transcutaneous electrical nerve stimulation (TENS)

 

25

Palliative Care

 

 

Introduction

 

 

Assessment

 

 

Symptoms

 

 

Signs of impending death

 

 

Using a syringe driver

 

 

Last offices

 

 

Funerals

 

 

Bereavement

 

26

Peri-operative Care

 

 

Pre-operative care

 

 

Intra-operative management

 

 

Post-operative care

 

 

Removal of drains and packs

 

27

Play as a Therapeutic Tool.

 

28

Poisoning/Overdose

 

 

Gastric aspiration and lavage

 

29

Respiratory Care

 

 

Artificial ventilation

 

 

Chest drain

 

 

Extra corporeal membranous oxygenation

 

 

Long-term ventilation

 

 

Oxygen therapy

 

 

Suction

 

 

Tracheostomy care

 

30

Resuscitation Practices

 

 

Basic life support

 

 

Advanced life support

 

 

Not for resuscitation

 

31

Sedation

 

 

Nurse led sedation

 

 

Withdrawal of opiates/benzodiazepines

 

32

Skin Care

 

 

Nappy area care

 

 

Pressure sores (prevention and management)

 

 

Wet wraps

 

33

Urinary Catheter Care

 

 

Intermittent catheterisation

 

 

Supra-pubic

 

 

Urethral

 

 

Urodynamic investigations

 

 

Appendices

 

 

Biochemical values and laboratory tests

 

 

Normal values

 

 

Child development

 

 

Patient information sheets