Advanced Practice Nursing Procedures

Advanced Practice Nursing Procedures 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 4206_FM_ ix 206_FM_ ix 12/30/2014 10:56:42 AM 2/30/2014 10:56:42 AM Process Cyan rocess CyanProcess Magenta rocess MagentaProcess Yellow rocess YellowProcess Black rocess Black 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 4206_FM_ x 206_FM_ x 12/30/2014 10:56:42 AM 2/30/2014 10:56:42 AM Process Cyan rocess CyanProcess Magenta rocess MagentaProcess Yellow rocess YellowProcess Black rocess Black 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 4206_FM_ xi 206_FM_ xi 12/30/2014 10:56:42 AM 2/30/2014 10:56:42 AM Process Cyan rocess CyanProcess Magenta rocess MagentaProcess Yellow rocess YellowProcess Black rocess Black xii Contents Procedures—Mouth 82. Laryngoscopy—Indirect and Direct Flexible, 380 83. Nasal Lavage (Irrigation), 383 84. Removal of Foreign Body—Ear and Nose, 387 85. Frenotomy for Ankyloglossia, 390 86. Lip Laceration Repair, 393 87. Tongue Laceration Repair, 396 88. Tooth Avulsion and Fracture, 399 Section Five: CARDIOVASCULAR PROCEDURES, 403 Diagnostic Testing 89. Doppler Technique, 403 90. Electrocardiogram (EKG) Interpretation, 406 91. Electrocardiogram (EKG) Lead Placement, 424 92. Holter Monitor Application—Continuous 24-Hour Ambulatory Cardiac Monitoring, 427 93. Stress Testing (Stress EKG), 430 94. Types of Pacemakers, 435 Procedures 95. Arterial Puncture, 437 96. Blood Culture Specimen Collection, 441 97. Capillary Blood Collection—Heel/Finger Stick, 445 98. Central Venous Catheter Access (Portacath), 447 99. Defibrillation, 451 100. Unna’s Boot Application, 453 101. Venipuncture, 457 Section Six: RESPIRATORY PROCEDURES, 463 102. Aerosol/Inhalation Administration (Nebulizer), 463 103. Assessing Respiratory Distress, 466 104. Peak Flowmeter, 469 105. Pulmonary Function Testing (Spirometry), 472 106. Pulmonary Stress Test, 476 107. X-Ray Interpretation—Chest, 480 4206_FM_ xii 206_FM_ xii 12/30/2014 10:56:42 AM 2/30/2014 10:56:42 AM Process Cyan rocess CyanProcess Magenta rocess MagentaProcess Yellow rocess YellowProcess Black rocess Black Contents xiii Procedures 108. Chest Tubes for Emergency Transport, 488 109. Flail Chest Stabilization—With or Without Open Chest Wound, 491 110. Stab/Penetrating Wound Stabilization, 496 Section Seven: GASTROINTESTINAL PROCEDURES, 499 Diagnostic Testing 111. Anoscopy, 499 112. Hemoccult, 502 113. Flexible Sigmoidoscopy, 504 114. Urea Breath Test, 512 115. X-Ray Interpretation—Abdominal, 514 Procedures 116. Abdominal Paracentesis, 521 117. Gastric Lavage, 524 118. Inguinal Hernia Reduction, 529 119. Nasogastric Tube Insertion, 532 120. Percutaneous Endoscopic Gastrostomy (PEG) Tube Reinsertion, 534 121. Perianal Skin Tags/External Hemorrhoidal Skin Tags, 539 122. Pilonidal Cyst/Abscess Incision and Drainage (I&D), 541 123. Prostate Massage, 544 124. Rectal Prolapse Reduction, 547 125. Thrombosed Hemorrhoid Removal, 549