Advanced Practice Nursing Procedures

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Awarded second place in the 2020 AJN Book of the Year Award in the Adult Primary Care category

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Here is an illustrated, easy-to-reference handbook with step-by-step instructions for the procedures most commonly performed by primary care clinicians in office, hospital, and other outpatient settings. Organized by major body systems, each section reviews the diagnostic procedures for that system, followed by all of the information you need to perform the procedure.

Begin with an overview and a list of methods for performing the procedure, followed by rationales, indications and contraindications. The procedure section lists the required equipment and provides step-by-step instructions for performing the procedure. You’ll also have CPT coding guidelines and health promotion and safety prevention tips for client teaching as well as post-procedure care.

A Definite Book for any Learning Clinician, Easy To Read and Understand With Pictures…
”I would definitely say this is by far one of the best books I have gotten. Pictures, clear and precise information as well as easy to read and understand. Definitions for everything being performed as well as information regarding irregular findings.”—Amazon Reviewer

SECTION ONE: DERMATOLOGIC PROCEDURES

Diagnostic Testing
1 Punch Biopsy
2 Skin Biopsy
3 Wood's Light Examination

Procedures
4 Abscesses--Incision and Drainage: Furuncle, Felon, Paronychia, Pilonidal Cyst, Perianal Cyst
5 Bites - Ants, Arthropods (spiders), Bees, and Wasps
6 Bites - Cats, Dogs, and Humans
7 Burns - Debridement
8 Digital Nerve Block
9 Fishhook Removal
10 Nail Removal
11 Ring Removal
12 Sebaceous Cyst Removal
13 Skin Closure - Dermabond Application
14 Skin Lesion Removal - Cautery and Cryosurgery
15 Skin Lesion Removal - Keloids, Moles, Corns, Calluses
16 Skin Tag (Acrochordon) Removal
17 Soft Tissue Aspiration
18 Staple Insertion
19 Staple Removal
20 Steri-Strip Application
21 Subungual Hematoma Excision
22 Suture Insertion
23 Suture Selection
24 Suture Removal
25 Tick Removal
26 Topical Hemostatic Agent Application
27 Ulcer Debridement

SECTION TWO: MUSCULOSKELETAL PROCEDURES

Diagnostic Testing
28 Bone Marrow Aspiration and Biopsy
29 X-ray Interpretation - Bones

Procedures
30 Arthrocentesis
31 Compartment Syndrome Assessment
32 Clavicle Immobilization Techniques - Clavicle Strap, Figure Eight, Sling and Swath
33 Crutch Walking
34 Dislocation Reduction
35 Ganglion Cyst Aspiration and Injection
36 Intra-Articular and Bursa Corticosteroid Injection
37 Sling Application
38 Splinting and Taping
39 Trigger Point Injection

SECTION THREE: GENITOURINARY AND BREAST PROCEDURES

Diagnostic Testing
40 Breast Biopsy - Fine Needle Aspiration
41 Breast Examination
42 Colposcopy - Endocervical Curettage and Cervical Biopsy
43 Endometrial Biopsy
44 Specimen Collection - Gram's Stain, Wet Mount (Saline and KOH)
45 Specimen Collection - Papanicolaou (Pap) Smear

Procedures
46 Administration of Vaginal Medications and Condoms
47 Bartholin Cyst Abscess - Incision and Drainage
48 Cervical Cap Fitting, Insertion, and Removal
49 Cervical Lesions - Cryotherapy
50 Condyloma Acuminata Removal
51 Diaphragm Fitting, Insertion, and Removal
52 IUD Fitting, Insertion, and Removal
53 Nexplanon Insertion
54 Nexplanon Removal
55 Paracervical Nerve Block
56 Pessary Insertion
57 Vaginal Examination

SECTION FOUR: OBSTETRICAL PROCEDURES

Diagnostic Testing
58 At-Risk Fetal Assessment - Third Trimester Testing
59 Leopold’s Maneuver
60 Fundal Assessment
61 Obstetric Ultrasound

Procedures
62 Emergency Delivery
63 Teaching Breastfeeding


SECTION FIVE: HEAD – EYES, EARS, NOSE, AND MOUTH

Diagnostic Testing
64 Audiometry Testing
65 Tympanometry
66 Visual Function Evaluation - Snellen, Illiterate E, Pictorial

Procedures—Eyes
67 Corneal Abrasion and Foreign Body Removal - Eye
68 Eye Drop Insertion
69 Eye Irrigation
70 Eye Trauma Stabilization
71 Eyebrow Laceration Repair
72 Eyelid Eversion

Procedures--Ears/Nose
73 Auricular Hematoma Evacuation
74 Cerumen Impaction Removal - Irrigation of the Ear and Curette Technique
75 Epistaxis Control
76 Laryngoscopy - Indirect and Direct Flexible
77 Nasal Lavage (Irrigation)
78 Removal of Foreign Body - Ear and nose

Procedures--Mouth
79 Frenotomy for Ankyloglossia
80 Lip Laceration Repair
81 Tongue Laceration Repair
82 Tooth Avulsion and Fracture

SECTION SIX: CARDIOVASCULAR PROCEDURES

Diagnostic Testing
83 Doppler Technique
84 Electrocardiogram (EKG) Interpretation
85 Electrocardiogram (EKG) Lead Placement
86 Holter Monitor Application - Continuous 24-hr Ambulatory Cardiac Monitoring
87 Stress Testing (Stress EKG)
88 Type of Pacemakers

Procedures
89 Arterial Puncture
90 Blood Culture Specimen Collection
91 Central Venous Catheter Access (Portacath)
92 Defibrillation
93 Unna's Boot Application
94 Venipuncture

SECTION SEVEN: RESPIRATORY PROCEDURES


95 Aerosol/Inhalation Administration (Nebulizer)
96 Assessing Respiratory Distress
97 Peak Flowmeter
98 Pulmonary Function Testing (Spirometry)
99 Pulmonary Stress Test—Simple
100 X-ray Interpretation - Chest

Procedures
101 Chest Tubes for Emergency Transport
102 Flail Chest Stabilization - With or Without Open Chest Wound
103 Stab/Penetrating Wound Stabilization

SECTION EIGHT: GASTROINTESTINAL PROCEDURES

Diagnostic Testing
104 Anoscopy
105 Hemoccult
106 Flexible Sigmoidoscopy
107 Urea Breath Test
108 X-ray Interpretation - Abdominal

Procedures
109 Gastric Lavage
110 Inguinal Hernia Reduction
111 Percutaneous Endoscopic Gastrostomy (PEG) Tube Reinsertion
112 Perianal Skin Tags/External Hemorrhoidal Skin Tags
113 Pilonidal Cyst/Abscess Incision and Drainage (I & D)
114 Prostate Massage
115 Rectal Prolapse Reduction
116 Thrombosed Hemorrhoid Removal

GLOSSARY
INDEX