Nursing: Perfecting Clinical Procedures (Nursing Series by Springhouse

By Springhouse

The Nursing sequence of handbooks offers center nursing details within the transparent, conversational, functional kind of the award-winning Nursing magazine. each one guide positive aspects to-the-point bulleted textual content, explanatory illustrations, and icons that echo known column names within the journal.

Perfecting medical Procedures covers greater than 250 medical and nursing methods. assurance of every technique contains objective, gear, apparatus practise, key steps, distinctive issues, sufferer educating, and documentation. Icons comprise Action Stat! for pressing interventions, Alert for vital medical evidence, Do's & Don'ts for method and intervention suggestion, and Device Safety for apparatus precautions and secure use.

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Rule of Nines The Rule of Nines quantifies BSA in percentages, either in fractions of nine or multiples of nine. To use this method, mentally assess the patient’s burns by the body chart shown at right. Add the corresponding percentages for each body section burned. Use the total—a rough estimate of burn extent—to calculate initial fluid replacement needs. 41⁄2% 41⁄2% 18% 18% 41⁄2% 41⁄2% 41⁄2% 41⁄2% 1% 9% 9% 9% 9% Lund-Browder chart The Rule of Nines isn’t accurate for infants and children because their body proportions differ from those of adults.

Pushing and pulling ▪ Stand close to the object and place one foot slightly ahead of the other, as in a walking position. Tighten the leg muscles and set the pelvis by simultaneously contracting the abdominal and gluteal muscles. ▪ To push, place your hands on the object and flex your elbows. qxd 8/22/08 2:14 PM Page 41 Bone growth stimulation, electrical 41 by shifting weight from the back leg to the front leg, and apply smooth, continuous pressure using leg muscles. ▪ To pull, grasp the object and flex your elbows.

Select a smoothing rate (the time during which data is analyzed for calculation of the bispectral index; usually 15 or 30 seconds) using the “advanced setup” button based on your facility’s policy. Read and record the bispectral index value. Special considerations ▪ Always evaluate the bispectral index val- ue in light of other patient assessment findings—don’t rely on the bispectral index value alone. ) ▪ Keep in mind that movement may occur with low bispectral index values. Be alert for possible artifact that could falsely elevate bispectral index values.

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