This easy to use handbook provides focused content for both basic and advanced procedures within the scope of practice for nurse practitioners. A succinct, yet practical reference, it teaches and illustrates a total of 77 common procedures performed by NPs and PAs. This second edition includes 30 new procedures and clear illustrations of the relevant anatomy and procedures. An indispensable resource for the primary care setting, it features a convenient spiral binding and a numbered list of procedures for quick clinical reference and easy double-checking.
Comprehensive coverage is provided on the basic and advanced procedures performed by NPs and PAs in primary care practice.
A consistent format offers easy access to information.
Step-by-step numbered procedures are included for quick reference.
Procedural and anatomical references are clearly illustrated.
The spiral/lay flat binding allows users to easily refer to book in a clinical setting.
New to this Edition
An introductory chapter covers legal, educational, and reimbursement factors related to performing procedures.
30 new procedures include Suture Removal, Scabies and Herpes Scraping, Care of First and Second Degree Burns, Nail Avulsion, Animal and Human Bites, Audiometry, Peak Flow Meter, Treatment of Hemorrhoids, Ganglion Cyst Aspiration, and Incision and Draining of Bartholin Cysts.
6 new advanced procedures are highlighted with special icons.
Additional content is included on tooth avulsion and dental procedures common in primary care practice.
A new chapter on Genitourinary Procedures (Chapter 9) includes prostrate massage and self-injection treatment for impotence.
An anatomy and pathophysiology review is featured in each chapter.
More than 300 illustrations clearly demonstrate the steps of each procedure.
Reimbursement information includes the relevant CPT codes.
A generic sample patient education form is provided in an appendix.
Alphabetical Procedure List 1. Issues Relating to Primary Care Procedures NEW! 2. General Laboratory Procedures Basic concepts of specimen collection Blood cultures Finger stick blood glucose testing 3. Dermatological Procedures Skin Preparation Wound care Topical application of hemostatic agents NEW! Anesthesia - topical, local & digital nerve block Suturing simple lacerations Suture removal NEW! Wound closure with topical skin adhesive NEW! Staple insertion and removal NEW and ADVANCED! Skin lesion removal Excision biopsy (elliptical) ADVANCED! Punch biopsy NEW and ADVANCED! Shave biopsy NEW and ADVANCED! Wart removal Abscess incision and drainage Cyst removal Skin tag removal Skin Specimen Collection Scabies scraping NEW! Herpes scraping - Tzanck smear NEW! Fungal scraping - the KOH test Other Types of Wound Care Care of first and second degree burns NEW! Ulcer debridement Unna paste boot and debridement for stasis, ischemic and diabetic foot ulcers NEW! Foot and Nail Care Nail care in the at-risk patient NEW! Corn and callus management Ingrown toenail and paronychia management Subungual hematoma evacuation Nail avulsion NEW! Skin Trauma Resulting from Bites or Foreign Objects Animal and human bites NEW! Fishhook removal NEW! Tick removal Foreign body removal from skin NEW! Ring removal NEW! Body piercing NEW! Skin caught in zipper NEW! 4. Eye, Ear, Nose, and Mouth Procedures Eye Procedures Removal of foreign body from the eye Treatment of corneal abrasion Ear Procedures Removal of foreign body from the ear Cerumen disimpaction Tympanometry NEW! Audiometry NEW! Nose Procedures Epistaxis and nasal packing Removal of foreign body from the nose Mouth Procedures Tooth avulsion and fracture NEW! 5. Respiratory Procedures Nebulizer treatment Spirometry Peak flow meter NEW! 6. Cardiovascular Procedures Electrocardiogram Continuous electrocardiography (Holter monitoring) Doppler ultrasound of lower extremities 7. Gastrointestinal Procedures Nasogastric tube insertion and removal Gastric lavage Anoscopy Rectal prolapse reduction Treatment for Hemorrhoids NEW! 8. Orthopedic Procedures Fracture immobilization Splinting - wrist and hand Splinting - ankle sprains Reduction of subluxed radial head Arthrocentesis and joint or bursae injection NEW and ADVANCED! Ganglion cyst aspiration NEW! 9. Genitourinary Procedures NEW! Prostate massage NEW! Bedside cystometrogram Self-injection treatments for impotence NEW! Urinalysis Urine culture 10. Women's Health Procedures Papanicolaou smear test The wet mount Treatment of condylomata acuminata Pessary use Diaphragm fitting Cervical cap placement Injectable contraceptives Norplant insertion and removal NEW and ADVANCED! Incision and drainage of Bartholin cyst NEW and ADVANCED! Intrauterine device (IUD) NEW and ADVANCED! 11. General Procedures of X-Ray Interpretation Appendices A: Sample checklist for certification B: Informed consent form C: Sample patient education handout
By Marilyn Winterton Edmunds, PhD, ANP/GNP, Adjunct Faculty, School of Nursing, Johns Hopkins University, Baltimore, Maryland; Editor, JNP: The Journal for Nurse Practitioners.; Maren Stewart Mayhew, MS, ANP, Nurse Practitioner, The Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Walter Reed Army Medical Center, Rockville, Maryland; Marilyn Winterton Edmunds, PhD, ANP/GNP, Adjunct Faculty, School of Nursing, Johns Hopkins University, Baltimore, Maryland; Editor, JNP: The Journal for Nurse Practitioners. and Maren Stewart Mayhew, MS, ANP, Nurse Practitioner, The Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Walter Reed Army Medical Center, Rockville, Maryland