Advanced Practice Nursing Procedures- mARGARET cOLYAR

ix Contents Section One: DERMATOLOGICAL PROCEDURES, 1 Diagnostic Testing 1. Punch Biopsy, 1 2. Skin Biopsy, 5 3. Wood’s Light Examination, 11 Procedures 4. Abscesses—Incision and Drainage: Furuncle, Felon, Paronychia, Pilonidal Cyst, Perianal Cyst, 13 5. Bites: Ants, Arthropods (Spiders), Bees, and Wasps, 20 6. Bites—Cats, Dogs, and Humans, 24 7. Burns—Debridement, 27 8. Digital Nerve Block, 34 9. Fishhook Removal, 36 10. Nail Removal, 41 11. Ring Removal, 48 12. Sebaceous Cyst Removal, 54 13. Skin Closure—Dermabond Application, 59 14. Skin Lesion Removal—Cautery and Cryosurgery, 62 15. Skin Lesion Removal—Keloids, Moles, Corns, Calluses, 68 16. Skin Tag (Acrochordon) Removal, 73 17. Soft Tissue Aspiration, 79 18. Staple Insertion, 82 19. Staple Removal, 84 20. Steri-Strip Application, 87 21. Subungual Hematoma Excision, 89 22. Suture Insertion, 94 23. Suture Selection, 101 24. Suture Removal, 103 25. Tick Removal, 107 26. Topical Hemostatic Agent Application, 114 27. Ulcer Debridement, 117 x Contents Section Two: MUSCULOSKELETAL PROCEDURES, 121 Diagnostic Testing 28. Bone Marrow Aspiration and Biopsy, 121 29. Lumbar Puncture, 126 30. X-Ray Interpretation—Bones, 131 31. Arthrocentesis, 135 32. Compartment Syndrome Assessment, 138 Procedures 33. Clavicle Immobilization Techniques: Clavicle Strap, Figure Eight, Sling and Swath, 143 34. Crutch Walking, 146 35. Dislocation Reduction, 152 36. Ganglion Cyst Aspiration and Injection, 166 37. Intra-Articular and Bursa Corticosteroid Injection, 170 38. Sling Application, 180 39. Splinting and Taping, 183 40. Trigger Point Injection, 202 Section Three: GENITOURINARY AND BREAST PROCEDURES, 205 Diagnostic Testing 41. Bladder Catheterization Insertion and Removal, 205 42. Breast Biopsy—Fine Needle Aspiration, 211 43. Breast Examination, 214 44. Colposcopy—Endocervical Curettage and Cervical Biopsy, 221 45. Endometrial Biopsy, 227 46. Specimen Collection—Gram Stain, Wet Mount (Saline and KOH), 230 47. Specimen Collection—Papanicolaou (Pap) Smear, 234 Procedures 48. Administration of Vaginal Medications and Condoms, 240 49. Bartholin Cyst Abscess—Incision and Drainage, 243 50. Cervical Cap Fitting, Insertion, and Removal, 246 51. Cervical Lesions—Cryotherapy, 249 52. Circumcision and Dorsal Penile Nerve Block, 252 53. Condyloma Acuminata Removal, 258 54. Diaphragm Fitting, Insertion, and Removal, 263 Contents xi 55. IUD Fitting, Insertion, and Removal, 266 56. Nexplanon Insertion, 274 57. Nexplanon Removal, 277 58. Paracervical Nerve Block, 279 59. Pessary Insertion, 281 Diagnostic Testing 60. Vaginal Examination, 285 61. Vasectomy, 289 62. At-Risk Fetal Assessment—Third Trimester Testing, 294 63. Leopold's Maneuver, 297 64. Fundal Assessment, 300 65. Obstetric Ultrasound, 302 Procedures 66. Emergency Delivery, 305 67. Teaching Breastfeeding, 308 Section Four: HEAD: EYES, EARS, NOSE, AND MOUTH, 313 Diagnostic Testing 68. Audiometry Testing, 313 69. Occipital Nerve Block, 317 70. Tympanometry, 321 71. Visual Function Evaluation—Snellen, Illiterate E, Pictorial, 330 Procedures—Eyes 72. Corneal Abrasion and Foreign Body Removal—Eye, 335 73. Eye Drop Insertion, 341 74. Eye Irrigation, 345 75. Eye Trauma Stabilization, 348 76. Eyebrow Laceration Repair, 354 77. Eyelid Eversion, 358 Procedures—Ears/Nose 78. Auricular Hematoma Evacuation, 360 79. Cerumen Impaction Removal—Irrigation of the Ear and Curette Technique, 363 80. Ear Piercing, 367 81. Epistaxis Control, 370