Mosby s Nursing Skills Pediatric Skills and Procedures
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1 Mosby s Nursing Skills Pediatric Skills and Procedures Administrative Task Airways Pediatric Nursing, Pediatric Admission Discharge Transfer Endotracheal Tube: Closed Suctioning Endotracheal Tube: Open Suctioning Endotracheal Tube: Skin and Oral Care Endotracheal Tube: Taping Extubation: Assisting Extubation: Performing (AP) Nasopharyngeal and Oropharyngeal Airway: Insertion and Care Nasopharyngeal Suctioning Tracheostomy Tube: Change Tracheostomy Tube: Closed Suctioning Tracheostomy Tube: Decannulation (AP) Tracheostomy Tube: Open Suctioning Tracheostomy Tube: Stoma Care and Tie Change 1
2 Airways Respiratory; Emergencies Anthropometric Measurements, Pediatric General Nursing, Pediatric Laryngeal Mask Airway: Insertion (AP) Airway Positioning Cricothyroidotomy: Assisting Cricothyroidotomy: Performing (AP) Intubation: Assisting Intubation: Performing (AP) Growth Assessment: Obtaining Anthropometric Measurements Cardiac Arterial and Venous Sheath Removal Atrial Electrogram Atrial Overdrive Pacing Cardioversion (AP) Defibrillation: External (AP) Electrocardiogram: Obtaining and Monitoring a 12-Lead ECG Epicardial Pacer Wire Removal: Performing (AP) Implantable Cardioverter/Defibrillator Open Sternotomy: Assisting Pericardial Catheter: Emptying Drainage Bag Pericardial Catheter: Intermittent Aspiration 2
3 Cardiac (continued) Pericardial Catheter: Occlusions Pericardiocentesis: Assisting Chest Physiotherapy Chest Tubes Pediatric Pediatric Advanced Practice Nursing Pediatric Permanent Pacemaker: Assessing Function Pulmonary Hypertension: Management Transcutaneous Pacing: Initiation and Monitoring Transesophageal Pacing: Assisting Transvenous and Epicardial Pacing: Monitoring Transvenous Pacemaker Insertion: Performing (AP) Postural Drainage with Percussion and Vibration Chest Tube Placement: Assisting Chest Tube Placement: Performing (AP) Chest Tube Removal: Assisting Chest Tube Removal: Performing (AP) Closed Chest-Drainage System: Management of Wet and Dry Suction Closed Chest-Drainage System: Set-Up of Wet and Dry Suction Dental and Throat Esophageal Foreign Body Removal: Assisting Elimination, Pediatric, Pediatric, Pediatric Esophageal Foreign Body Removal: Performing (AP) Tooth Preservation and Replantation: Performing (AP) Urinary Catheters: Suprapubic Catheter Care 3
4 Enteral Nutrition Gastrointestinal Pediatric Pediatric Pediatric Pediatric Enteral Nutrition: Administration Enteral Nutrition: Initiation (AP) Enteral Nutrition: Selection of Formulas and Fortification Enteral Nutrition: Transition to Gastric Bolus and Oral Feedings (AP) Orogastric/Nasogastric Tube: Insertion and Removal Transplyoric Feeding Tube: Insertion Abdominal Paracentesis: Assisting Abdominal Paracentesis: Performing (AP) Balloon Gastrostomy Tube (GT) and Low-Profile GT: Removal and Reinsertion Bowel Irrigation/Enema Esophagogastric Tamponade Tube: Care and Management Gastric Lavage Gastrostomy and Gastrostomy- Jejunostomy Tubes: Care and Management Intraabdominal Pressure Monitoring: Continous Intraabdominal Pressure Monitoring: Intermittent Ostomy Appliance: Change Percutaneous Peritoneal Lavage: Assisting ph study: Care and Management 4
5 Hematologic Apheresis: Assisting Hemodynamic Pediatric Pediatric, Pediatric General Nursing, Automated Red Cell Exchange Transfusion Blood and Blood Component: Administration Bone Marrow Aspiration and Biopsy: Assisting Bone Marrow Aspiration and Biopsy: Performing (AP) Manual Red Cell Exchange Transfusion Transfusion Reaction: Management Whole Blood Exchange Transfusion Doppler Ultrasound for Assessment of Blood Pressure and Peripheral Pulses Hemodynamic Monitoring Flow-Directed Pulmonary Artery Catheter: Assisting with Insertion Flow-Directed Pulmonary Artery Catheter: Cardiac Output Measurement Flow-Directed Pulmonary Artery Catheter: Removal Left Atrial Intracardiac Line Removal: Performing (AP) Left Atrial Intracardiac Line: Care and Management Pressure Transducer Systems Pulmonary Artery Intracardiac Line Removal: Performing (AP) Pulmonary Artery Intracardiac Line: Care and Management Right Atrial Intracardiac Line Removal: Performing (AP) Right Atrial Intracardiac Line: Care and Management Ventricular Assist Device: Management 5
6 Housekeeping Hygiene Hygiene; Dental and Throat Hymodynamic Monitoring; Intravenous and Vascular Access Hymodynamic Monitoring; Intravenous and Vascular Access; Renal, Pediatric, Pediatric ; Pediatric, Pediatric, Pediatric Pediatric Pediatric Pediatric Acute and Cirical Care Nursing Pediatric Pediatric Pediatric Pediatric Neonatal Bed Making: Occupied Bathing a Patient: Complete or Partial Bed Baths Hair Care: Shampooing Hair of a Bed-Bound Child Oral Care: Unconscious or Debilitated Patient Oral Hygiene Arterial Catheter Blood Sampling: Closed Blood Conservation Method Arterial Catheter Blood Sampling: Stopcock Method Arterial Catheter: Dressing Change Arterial Catheter: Removal Arterial Catheter: Set-Up and Assisting with Insertion Central Venous Nontunneled Catheter: Removal Central Venous Nontunneled Catheter: Blood Sampling Central Venous Nontunneled Catheter: Central Venous Pressure Monitoring Central Venous Nontunneled Catheter: Dressing Change Central Venous Nontunneled Catheter: Access Insertion Assist Central Venous Tunneled Catheter: Dressing Change Central Venous Tunneled Catheter: Flushing Central Venous Tunneled Catheter: Permanent Catheter Repair (Broviac or other brand) Central Venous Catheters for Hemodialysis or Hemofiltration: Blood Sampling 6
7 Intravenous and Vascular Access, Pediatric, Pediatric, Pediatric Pediatric Pediatric Pediatric Pediatric Pediatric Increased Intracranial Pressure: Positioning the Patient Venous Access via Cutdown: Performing (AP) Arterial Catheter Insertion: Performing (AP) Arterial Puncture: Performing (AP) Central Venous Nontunneled Catheter Insertion: Performing (AP) Continuous Intravenous Medication Infusion (Pediatric) Fluid Administration, Rapid: Pressure Bag Method Fluid Administration, Rapid: Pressure Infusion Device Fluid Administration, Rapid: Syringe Method Hydration and Rehydration: Fluid Calculations Intraosseous Needle Placement: Performing (AP) Intraosseous Needle: Care and Removal Peripheral Intravenous Line: Insertion Peripherally Inserted Central Venous Catheter (PICC) Insertion: Performing (AP) Peripherally Inserted Central Venous Catheter: Dressing Change Peripherally Inserted Central Venous Catheter: Flushing Catheter Peripherally Inserted Central Venous Catheter: Removal 7
8 Intravenous and Vascular Access Intravenous and Vascular Access; Neonatal Intravenous and Vascular Access; Specimen Collection Medications Nursing, Nursing, Nursing, Nursing, Nursing, Pediatric Pediatric Pediatric Pediatric Pediatric Totally Implantable Central Venous Port: Accessing Totally Implantable Central Venous Port: De-accessing Venipuncture for Blood Sampling Peripheral Intravenous Catheter: Discontinuing an IV Peripheral Intravenous Catheter: Dressing Changes Umbilical Vessel Cannulation: Performing (AP) Umbilical Vessel Catheter: Drawing Blood Samples Umbilical Vessel Catheter: Infusions Umbilical Vessel Catheter: Removal (AP) Umbilical Vessel Catheter: Securing Umbilical Vessel Catheter: Use of Double Lumen UVC Venipuncture: Blood Cultures Venipuncture: VACUTAINER Method Medication Administration: Topical Emergency Medication Preparation and Administration Intradermal Injection Intramuscular Injection Intranasal Medication Oral Medication Rectal Medication 8
9 Medications (continued) Medications; Intravenous and Vascular Access Medications; Ophthalmic Medications; Otic Mobility, Transfer, and Ambulation; Musculoskeletal Musculoskeletal Pediatric Pediatric Pediatric Pediatric Pediatric, Pediatric Nursing, Nursing, Nursing, Nursing,,, Pediatric Subcutaneous Injection Intravenous Medication: Drip Method Intravenous Medication: Heparin Lock Method Intravenous Medication: Syringe Pump Method Ophthalmic Medication Otic Medication Ambulation Cast Removal: Assisting Cold Therapy Skeletal Traction: Assisting Skin Traction: Assisting Sling Application Splinting: Plaster and Fiberglass Brace and Splint Application Cervical Collar: Applying (AP) Cervical Traction Maintenance External Fixation Device: Pin Care External Fixator Lengthening Device: Adjustments Intracompartment Pressure Monitoring 9
10 Nasal Nasal Foreign Body Removal: Assisting Neonatal Neonatal; Enteral Nutrition, Pediatric Pediatric Neonatal Nasal Foreign Body Removal: Performing (AP) Neonatal Positioning Phototherapy Skin-to-Skin Contact/Kangaroo Care Breast Milk: Administration, Collection, and Storage Neurologic Bispectral Index Monitoring Pediatric Pediatric Pediatric Cerebral Tissue Oxygenation Monitoring: Insertion Assist, Monitoring, and Care Cerebrospinal Fluid Drainage: Assessment Cerebrospinal Fluid Sampling from Ventriculostomy/ External Ventricular Drain (AP) Externalization of a VP Shunt Externalized Ventricular Drain: Management Halo/Vest Application: Assisting Halo/Vest: Vest Maintenance and Cleaning Intracranial Catheter: Assisting with Insertion, Set-Up, and Care of Fluid-Coupled System Intracranial Pressure Monitoring Intracranial/Intraparenchymal Catheter: Insertion Assist, Monitoring, and Care for Intracranial Catheter-Tip Transducer Intraventricular Catheter with Catheter- Tip Transducer: Assisting with Insertion, Monitoring, and Care 10
11 Neurologic (continued) Intraventricular Catheter: Fluid- Coupled System: Assisting with Insertion, Monitoring, and Care Ophthalmic Oral Nutrition Pediatric Pediatric Pediatric Pediatric, Pediatric General Nursing,,, Pediatric Nursing,, Pediatric Jugular Venous Saturation Monitor: Insertion Assist, Monitoring, and Care Lumbar Puncture: Assisting Lumbar Puncture: Performing (AP) Peripheral Nerve Stimulator Ventriculoperitoneal Shunt Tap: Assisting Ventriculoperitoneal Shunt Tap: Performing (AP) Eye Irrigation Eye Patching Ophthalmic Foreign Body Immobilization Ophthalmic Foreign Body Removal: Assisting Ophthalmic Foreign Body Removal: Performing (AP) Visual Acuity Assessment Aspiration Precautions Nutritional Assessment/Screening Otic Cerumen Removal Emergency Nursing Emergency Nursing, Pediatric Ear Wick Insertion Otic Foreign Body Removal (AP) 11
12 Oxygen and Ventilation Pain Management, Pediatric Nursing, Nursing, Nursing,, Pediatric Pediatric Incentive Spirometry Noninvasive Oxygen Delivery Devices High-Frequency Oscillatory Ventilation Manual Ventilation Devices Mechanical Ventilation: Conventional Modes Negative Pressure Ventilation Noninvasive Positive Pressure Ventilation (CPAP, BiPAP) Weaning from Ventilatory Support Pain Management Pain Management: Nonpharmacologic Aids Distraction Pain Management: Nonpharmacologic Aids Guided Imagery Digital Block: Performing (AP) Intravenous Regional Anesthesia Assisting Epidural Catheter: Assisting with Insertion Epidural Catheter: Removal Neonatal Locally Administered Anesthetic Infusions Pain Assessment Scales Patient-Controlled Analgesia Sedation Assessment Scales Sedation for Procedures (AP) 12
13 Parenteral Nutrition Patient Assessment Patient Assessment; Elimination Patient Assessment; Gastrointenstinal Patient Assessment; Musculoskeletal Patient Assessment; Pulmonary Patient Education Pediatric Pediatric Nursing, Nursing, Nursing, Nursing, Nursing,, Pediatric, Pediatric, Pediatric, Pediatric Emergency Nursing, Pediatric Nursing,, Pediatric Parenteral Nutrition: Administration Parenteral Nutrition: Cycling (AP) Parenteral Nutrition: Initiation and Advancement (AP) Parenteral Nutrition: Transitioning to Enteral or Oral Feeding (AP) General Assessment Emergency Department Assessment: Primary Assessment Emergency Department Assessment: Secondary Assessment Intake and Output Assessment Abdomen Assessment Musculoskeletal, Neurologic, and Peripheral Vascular Assessment Thorax and Lung Assessment Enteral Nutrition in the Home: Teaching the Family and/or Child Home Oxygen Equipment: Teaching the Family and/or Child Measuring Blood Pressure: Teaching the Family and/or Child Measuring Body Temperature: Teaching the Family and/or Child Measuring Pulse: Teaching the Family and/or Child Medication Administration: Teaching the Family and/or Child Tracheostomy Care and Suctioning in the Home: Teaching the Family and/or Child 13
14 Preoperative and Postoperative Care Pulmonary, Pediatric, Pediatric Nursing, Pediatric Nursing,, Pediatric Pediatric Pediatric Postoperative Care: Convalescent Period Postoperative Care: Immediate Recovery Period Surgery Preparation Closed Surgical Drain: Care and Management Decompression Tube: Insertion and Care Staple Removal Bronchoscopy: Assisting Peak Expiratory Flow Measurement Arterial Blood Gas Analysis Auto-PEEP Calculation End-Tidal CO2 Measurement: Continuous Monitoring Indices of Oxygenation and Ventilation Mixed Venous O2 Saturation: Continuous Monitoring Negative Inspiratory Force Measurement Pleural Catheter: Care Pleural Pigtail Catheter: Insertion (AP) Pronation Therapy Pulse Oximetry Thoracentesis: Assisting Pulmonary Cardiac Extracorporeal Membrane Oxygenation 14
15 Pulmonary; Respiratory Emergencies Renal Pediatric Pediatric Pediatric Pediatric Pediatric Pediatric Aerosolized Medication: Nebulized Medication Metered-Dose Inhaler: Using with an Artificial Airway Metered-Dose Inhaler: Using with Spacer Metered-Dose Inhaler: Using without Spacer Needle Thoracostomy: Performing (AP) Thoracentesis: Performing (AP) Continuous Bladder Irrigation Continuous Renal Replacement Therapies Hemodialysis: Assisting Indwelling Urinary Catheter: Insertion Indwelling Urinary Catheter: Irrigation Indwelling Urinary Catheter: Removal Indwelling Urinary Catheter: Urinalysis Collection Peritoneal Dialysis: Catheter Exit Site Care Peritoneal Dialysis: Discontinuation Peritoneal Dialysis: Pass Management Urine Culture: Indwelling Catheter or Suprapubic Tube Urine Culture: Intermittent Catheterization 15
16 Renal; Specimen Collection Respiratory Emergencies Safety Specimen Collection Thermoregulation Thermoregulation; Neonatal Pediatric Thermoregulation; Neonatal Pediatric, Pediatric General Nursing, Nursing, Pediatric Pediatric Pediatric Pediatric Nursing, Pediatric Neonatal, Pediatric General Nursing,, Pediatric General Nursing, Pediatric Urine Culture: Suprapubic Aspirate (AP) Dyspnea: Positioning the Patient Seizure Precautions Intrahospital Transport Outside Facility Transport Protective/Restraint Devices: Application and Monitoring Providing a Safe Environment Specimen Collection: Sputum Blood Glucose Monitoring Skin Puncture for Blood Sampling: Fingerstick and Heelstick Heat Lamp Hyperthermia Measures Hyperthermia Blanket: Use of BAIR Hugger Warming Unit and Warming Cover Hypo/hyperthermia Blanket: Manual and Automatic Mode Neonatal Thermoregulation Warming Devices: Radiant 16
17 Vital Signs Wound Care Nursing, Nursing, Nursing,, Pediatric, Pediatric Pediatric Pulse Assessment: Apical Pulse Assessment: Radial Respiration Assessment Heart Rate and Blood Pressure: Obtaining an Accurate Measurement Obtaining an Accurate Auxiliary Temperature Measurement Obtaining an Accurate Oral Temperature Measurement Obtaining an Accurate Rectal Temperature Measurement Obtaining an Accurate Tympanic Temperature Measurement Respiratory Rate: Obtaining an Accurate Measurement Wound Drainage Evacuation Fishhook Removal: Performing (AP) Wound Cleansing and Irrigation: Traumatic Wounds Burn Wound Care Donor Site Care: Dressing Reinforcement Donor Site Care: Foul Drainage or Abnormal Color Drain Removal Dressing Wounds with Drains Fistulous Wounds: Care and Management Skin Assessment Techniques 17
18 Wound Care (continued) Skin Graft Care Suturing Wounds (AP) Vacuum-Assisted Closure System: Dressing Change Vacuum-Assisted Closure System: Initiating Therapy Wounds: Cleansing, Irrigating and Dressing Wounds: Obtaining a Culture or Biopsy 18
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