Essential Clinical Procedures 4th Edition by Richard Dehn, David Asprey ISBN 9780323624688 0323624685

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ISBN 10: 0323624685
ISBN 13: 9780323624688
Author: Richard Dehn, David Asprey

Provide safe and effective care to every patient with the fully revised 4th Edition of Essential Clinical Procedures . Written by experts in the field, this widely used reference shows you step by step how to perform more than 70 of the most common diagnostic and treatment-related procedures in today’s primary care and specialist settings. You’ll find clear, concise coverage of the skills you need to know , including new and advanced procedures and new procedure videos .

Essential Clinical Procedures 4th Edition Table of contents:

Chapter 1: Anoscopy

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Follow-Up Care and Instructions

Chapter 2: Arterial Puncture

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 3: Blood Pressure Measurement

Abstract

Introduction

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Selecting Proper Cuff Size

Time of Measurement

Training and Competencies

Materials for Blood Pressure Measurement

Special Considerations

Assessment of Orthostatic Blood Pressure

Materials for Measuring Orthostatic Blood Pressure

Follow-Up Care and Instructions

Chapter 4: Casting and Splinting

Abstract

Background and History

Indications

Contraindications

Potential Complications

Expected Outcomes

Essential Anatomy and Physiology

Patient Preparation

Materials

Materials Used for Applying a Short-Arm Cast

Materials Used for Applying a Short-Leg Cast

Materials Used for Applying a Short-Arm Ulnar Gutter Splint

Materials Used for Applying a Short-Leg Posterior Mold Splint

Materials Used for Applying a Lower Leg Sugar Tong Splint

Follow-Up Care and Instructions

Future Considerations

Chapter 5: Cryosurgery

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 6: Dermatologic Procedures

Abstract

Biopsy

Materials Used to Perform a Shave or Saucerization Biopsy

Materials Used to Perform a Snip Biopsy

Materials Used to Perform a Cure ttage

Punch Biopsy

Materials Used to Perform a Punch Biopsy

Excisional Biopsy

Materials Used to Perform an Excisional Biopsy

Electrosurgery

Materials Used to Perform Electrosurgery

Acne Surgery

Materials Used to Perform Acne Surgery

Chapter 7: Draining/Evacuation of Subungual Hematomas

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Disposal of Materials

Chapter 8: Endometrial Biopsy

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy

Anatomy, Physiology and Pathophysiology

Patient Preparation

Materials

Follow-Up Care and Instructions

Supplementary and Alternative Procedures

Chapter 9: Endotracheal Intubation

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Pharmacology

Local Anesthetics

Other Methods of Anesthesia

Neuromuscular Blocking Drugs

Nondepolarizing Neuromuscular Blockade Agents

Physical Preparation

Follow-Up Care and Instructions

Chapter 10: Epistaxis and Nasal Foreign Body Removal

Abstract

Epistaxis

Essential Anatomy and Physiology

Cause of Nasal Bleeding and Pathophysiology

Patient Preparation

Materials

Follow-Up Care and Instructions

Nasal Foreign Body Removal

Essential Anatomy and Physiology

Materials

Follow-Up Care and Instructions

Chapter 11: Foot Examination of the Patient With Diabetes

Abstract

Background and History

Indications

Contraindications

Potential Complications

Review of Essential Anatomy and Physiology

Patient Preparation

Materials Utilized for Performing the Diabetic Foot Examination

Special Considerations

Follow-Up Care and Instructions

Chapter 12: Incision and Drainage of an Abscess

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Clinical Evaluation

Treatment

Source of Infection

Patient Preparation

Materials

Special Considerations

Pain Relief

Follow-Up Care and Instructions

Chapter 13: Injections

Abstract

Background and History

Indications

Contraindications

Potential Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Documentation and Follow-Up Care

Chapter 14: Inserting Intravenous Catheters

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 15: Joint and Bursal Aspiration

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Pathophysiology: Joint Aspiration

Patient Preparation: Joint Aspiration

Materials Used for Performing Joint and Bursal Aspiration

Follow-Up Care and Instructions: Joint Aspiration

Essential Anatomy and Physiology: Bursal Aspiration

Patient Preparation: Bursal Aspiration

Follow-Up Care and Instructions: Bursal Aspiration

Chapter 16: Local Anesthesia

Abstract

Background and History

Essential Anatomy and Physiology

Indications

Contraindications

Potential Complications

Patient Preparation

Materials Used for Administering Anesthetics

Follow-Up Care and Instructions

Chapter 17: Lumbar Puncture

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 18: Nasogastric Tube Placement

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 19: Obtaining Blood Cultures

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-up Care and Instructions

Disposal of Materials

Chapter 20: Office Pulmonary Function Testing

Abstract

Background and History

Indications

Contraindications and Patient Considerations

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 21: Introduction to Point-of-Care Ultrasonography (POCUS)

Abstract

Background and History

Indications

Pro Tips and Trouble Shooting

Chapter 22: Procedural Sedation

Abstract

Background and History

Definitions

Indications

Contraindications

Potential Complications

Patient Preparation

Essential Anatomy and Physiology

Materials

Monitoring

Agents for Procedural Sedation

Discharge Criteria

Chapter 23: Recording an Electrocardiogram

Abstract

Background and History

Indications

Long-Term ECG Recording

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 24: Reduction of the Shoulder/Finger Subluxations

Abstract

Shoulder Subluxation or Dislocation

Finger Subluxation or Dislocation

Distal Interphalangeal Joint

Metacarpophalangeal Joint

Referral Decisions

Chapter 25: Removal of Cerumen and Foreign Bodies From the Ear

Abstract

Background and History

Indications

Contraindications

Potential Complications2,6,10

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Chapter 26: Ring Removal

Abstract

Background and history

Indications

Contraindications

Potential complications

Essential anatomy and physiology

Patient preparation

Materials

Special considerations

Standard precautions

Follow-up care and instructions

Disposal of materials

Chapter 27: The Pelvic Examination and Obtaining a Routine Papanicolaou Smear

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Internal Anatomy

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Interpretation of the Pap Test

Chapter 28: Trauma-Oriented Ocular Examination, Corneal Abrasion, and Ocular Foreign Body Removal

Abstract

Background and History

Indications

Contraindications

Cautions and Considerations

Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Patient Discharge Instructions for Corneal Abrasion

Chapter 29: Treating Ingrown Toenails

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Follow-Up Care and Instructions

Chapter 30: Urinary Bladder Catheterization

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Types of Catheters

Catheter Size Requirements

Follow-Up Care and Instructions

Chapter 31: Venipuncture

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Patient Preparation

Materials

Special Considerations

Follow-Up Care and Instructions

Disposal of Materials

Chapter 32: Wound Closure

Abstract

Background and History

Indications

Contraindications

Potential Complications

Essential Anatomy and Physiology

Classification of Wounds

Wound Closure Classification

Patient Preparation

Materials Used for Performing Irrigation, Cleansing, and Debridement

Suture Selection

Other Instruments

Special Considerations

Materials Used for Using Skin Staplers

Materials Used for Applying Wound Adhesives

Follow-Up Care and Instructions for Sutured or Stapled Wounds

Suture Removal

Staple Removal

Follow-Up Care and Instructions for Adhesive-Closed Wounds

Example of a Wound Closure Procedure Note

Disposal of Materials

Chapter 33: Wound Dressing Techniques

Abstract

Background and History

Indications

Contraindications

Essential Anatomy and Physiology

Wound Healing

Prevention of Infection in Wounds

Patient Preparation

Materials

Negative-Pressure Wound Therapy

Follow-Up Care and Instructions

Conclusion and Resources

Chapter 34: Informed Consent

Abstract

Brief History of Informed Consent

The Clinician-to-Patient Relationship: An Enduring Bond

The Four Cs: Capacity, Competency, Clarity, and Consent

Minors

Standards of Disclosure

Types of Consent

Capacity Concerns

Handling Patient Lack of Capacity

A Long View of Informed Consent: When Consent Lives On and On

Codes of Ethics

Chapter 35: Standard Precautions

Abstract

Background and History

Body Substance Isolation

Universal Precautions

Standard Precautions

Gloves, Gowns, Masks, and Other Protective Barriers as Part of Universal Precautions

The Application of Standard Precautions in Clinical Procedures

Chapter 36: Sterile Technique

Abstract

Statements

Background and History

Indications and Principles of Sterile Technique

Contraindications and Potential Complications

Patient Preparation

Materials

Special Considerations

Follow-up Care and Instructions

Disposal of Materials

Chapter 37: Patient Education Concepts

Abstract

Background and History

A Model for Patient Education

Appropriate use of Interviewing Techniques

Specific Suggestions for Enhancing the Patient Education Process

Other Factors Influencing Patient Education

Conclusion

Chapter 38: Outpatient Coding for Medical Services

Abstract

Background and History

Purpose of Accurate Medical Record Documentation

The Outpatient Coding Process

Criteria in Selecting the Proper Evaluation and Management Service Codes

Historical Data Collection

Example A

Example B

Medical Decision-Making

Types of Medical Decision Making

Example C

Other Contributing Factors in Documentation and Coding of Patient Encounters

Summary

Chapter 39: Procedural Notes and Documentation

Abstract

Background and History

Other Points for Consideration in Recording Clinical Procedures

Clinical Procedure Notes

Clinical Procedure Note Format

Conclusion

Chapter 40: Giving Sad and Bad News

Background and History

Indications

Preparing to Share Bad News

A Procedure for Sharing Bad News

Disbelief

Shock

Denial

Fear and Anxiety

Guilt

Depression

Crying and Tears

Awkward Question

Sad and Bad News Presented to Children

Conclusion and Further Thoughts

Index

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