{"product_id":"the-royal-marsden-manual-of-clinical-nursing-procedures-professional-edition-isbn-9781119634386","title":"The Royal Marsden Manual of Clinical Nursing Procedures, Professional Edition","description":"\u003cp\u003eNow in its tenth edition, \u003ci\u003eThe Royal Marsden Manual of Clinical Nursing Procedures\u003c\/i\u003e has been the definitive, market-leading guide to clinical nursing skills for over three decades. This internationally best-selling title sets the gold standard for nursing care; providing the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence.\u003c\/p\u003e \u003cp\u003eWith over two-hundred detailed procedures, this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and photographs, and includes coverage of infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, discharge, medicines management, and much more. Loved and trusted by millions for over thirty years, \u003ci\u003eThe Royal Marsden Manual of Clinical Nursing Procedures\u003c\/i\u003e continues to be a truly indispensable guide for nursing practice.\u003c\/p\u003e \u003cul\u003e \u003cli\u003eWritten by nurses for nurses\u003c\/li\u003e \u003cli\u003eEmpowers nurses to become informed, skilled practitioners\u003c\/li\u003e \u003cli\u003eReflects current procedures and changes in modern adult nursing practice\u003c\/li\u003e \u003cli\u003eAll procedures are supported by up to date evidence, including detailed rationales for each step of each procedure\u003c\/li\u003e \u003cli\u003eConsiders the clinical governance around the procedures and nursing practice\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003cb\u003eNEW to the Tenth Edition:\u003c\/b\u003e\u003c\/p\u003e \u003cul\u003e \u003cli\u003eEach chapter is linked to the NMC 2018 'Future Nurse: Standards of Proficiency for Registered Nurses' guidance\u003c\/li\u003e \u003cli\u003eIncludes a brand-new chapter on 'Self Care and Wellbeing,' helping nurses to care for themselves emotionally and physically\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003ci\u003eThe Royal Marsden Manual\u003c\/i\u003e is also available online, fully searchable, and annotatable. \u003cb\u003ewww.rmmonline.co.uk\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eBrief table of contents v\u003c\/p\u003e \u003cp\u003eForeword to the tenth edition xv\u003c\/p\u003e \u003cp\u003ePreface xvii\u003c\/p\u003e \u003cp\u003eAcknowledgements xix\u003c\/p\u003e \u003cp\u003eList of contributors xxi\u003c\/p\u003e \u003cp\u003eQuick reference to the procedure guidelines xxv\u003c\/p\u003e \u003cp\u003eHow to use your manual xxix\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 The context of nursing 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 2\u003c\/p\u003e \u003cp\u003eBackground 2\u003c\/p\u003e \u003cp\u003eContext of nursing 2\u003c\/p\u003e \u003cp\u003eEvidence-based practice 7\u003c\/p\u003e \u003cp\u003eStructure of the manual 8\u003c\/p\u003e \u003cp\u003eStructure of the chapters 9\u003c\/p\u003e \u003cp\u003eFinally 9\u003c\/p\u003e \u003cp\u003eReferences 10\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart One Managing the patient journey 13\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Admissions and assessment 14\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 16\u003c\/p\u003e \u003cp\u003eInpatient assessment and the process of care 16\u003c\/p\u003e \u003cp\u003eObservation 24\u003c\/p\u003e \u003cp\u003ePhysical assessment 24\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Discharge care and planning 45\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 46\u003c\/p\u003e \u003cp\u003eDischarge care and planning 46\u003c\/p\u003e \u003cp\u003eDischarging patients from hospital: internal procedures 47\u003c\/p\u003e \u003cp\u003eInterface between primary and secondary care: external processes 53\u003c\/p\u003e \u003cp\u003eInformal carers 58\u003c\/p\u003e \u003cp\u003eThe role of voluntary services 62\u003c\/p\u003e \u003cp\u003eReferences 62\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Infection prevention and control 64\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 66\u003c\/p\u003e \u003cp\u003eInfection prevention and control 66\u003c\/p\u003e \u003cp\u003eHand hygiene 75\u003c\/p\u003e \u003cp\u003ePersonal protective equipment (PPE) 87\u003c\/p\u003e \u003cp\u003eSpecific patient-related procedures 101\u003c\/p\u003e \u003cp\u003eIsolation procedures 105\u003c\/p\u003e \u003cp\u003eEnvironmental hygiene and the management of waste in the healthcare environment 111\u003c\/p\u003e \u003cp\u003ePrevention and management of inoculation injury 118\u003c\/p\u003e \u003cp\u003eWebsites 119\u003c\/p\u003e \u003cp\u003eReferences 119\u003c\/p\u003e \u003cp\u003e4.1 Hand washing 79\u003c\/p\u003e \u003cp\u003e4.2 Hand decontamination using an alcohol-based handrub 80\u003c\/p\u003e \u003cp\u003e4.3 Surgical scrub technique using soap and water 82\u003c\/p\u003e \u003cp\u003e4.4 Surgical scrub technique using an alcohol-based handrub 84\u003c\/p\u003e \u003cp\u003e4.5 Putting on and removing non-sterile gloves 88\u003c\/p\u003e \u003cp\u003e4.6 Applying and removing a disposable apron 89\u003c\/p\u003e \u003cp\u003e4.7 Putting on and removing a disposable mask or respirator 91\u003c\/p\u003e \u003cp\u003e4.8 Putting on or removing goggles or a face-shield 93\u003c\/p\u003e \u003cp\u003e4.9 Donning a sterile gown and gloves: closed technique 94\u003c\/p\u003e \u003cp\u003e4.10 Donning sterile gloves: open technique 98\u003c\/p\u003e \u003cp\u003e4.11 Aseptic technique example: changing a wound dressing 102\u003c\/p\u003e \u003cp\u003e4.12 Source isolation: preparing an isolation room 106\u003c\/p\u003e \u003cp\u003e4.13 Source isolation: entering an isolation room 107\u003c\/p\u003e \u003cp\u003e4.14 Source isolation: leaving an isolation room 108\u003c\/p\u003e \u003cp\u003e4.15 Source isolation: transporting infected patients outside a source isolation area 108\u003c\/p\u003e \u003cp\u003e4.16 Protective isolation: preparing an isolation room 109\u003c\/p\u003e \u003cp\u003e4.17 Protective isolation: entering an isolation room 110\u003c\/p\u003e \u003cp\u003e4.18 Cleaning a hard surface without recontamination 112\u003c\/p\u003e \u003cp\u003e4.19 Safe disposal of foul, infected or infested linen 117\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart Two Supporting patients with human functioning 123\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 Communication, psychological wellbeing and safeguarding 124\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 126\u003c\/p\u003e \u003cp\u003eCommunication 126\u003c\/p\u003e \u003cp\u003eProviding information and making shared decisions 138\u003c\/p\u003e \u003cp\u003eCommunicating with specific populations 141\u003c\/p\u003e \u003cp\u003ePsychological wellbeing 147\u003c\/p\u003e \u003cp\u003eSafeguarding, mental capacity and the Mental Health Act 169\u003c\/p\u003e \u003cp\u003eWebsites 187\u003c\/p\u003e \u003cp\u003eReferences 187\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Elimination 194\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 196\u003c\/p\u003e \u003cp\u003eNormal elimination 196\u003c\/p\u003e \u003cp\u003eAltered urinary elimination 200\u003c\/p\u003e \u003cp\u003eAltered faecal elimination 237\u003c\/p\u003e \u003cp\u003eStoma care 257\u003c\/p\u003e \u003cp\u003eWebsites 272\u003c\/p\u003e \u003cp\u003eReferences 272\u003c\/p\u003e \u003cp\u003e6.1 Slipper bedpan use: assisting a patient 198\u003c\/p\u003e \u003cp\u003e6.2 Commode use: assisting a patient 199\u003c\/p\u003e \u003cp\u003e6.3 Penile sheath application 202\u003c\/p\u003e \u003cp\u003e6.4 Urinary catheterization: male 208\u003c\/p\u003e \u003cp\u003e6.5 Urinary catheterization: female 210\u003c\/p\u003e \u003cp\u003e6.6 Changing a suprapubic catheter 214\u003c\/p\u003e \u003cp\u003e6.7 Urinary catheterization: intermittent self-catheterization patient guidance: male 216\u003c\/p\u003e \u003cp\u003e6.8 Urinary catheterization: intermittent self-catheterization patient guidance: female 217\u003c\/p\u003e \u003cp\u003e6.9 Urinary catheter bag: emptying 219\u003c\/p\u003e \u003cp\u003e6.10 Urinary catheter removal 219\u003c\/p\u003e \u003cp\u003e6.11 Commencing bladder irrigation 223\u003c\/p\u003e \u003cp\u003e6.12 Nephrostomy tube: weekly dressing and bag change and sample collection 227\u003c\/p\u003e \u003cp\u003e6.13 Nephrostomy tube: flushing technique 229\u003c\/p\u003e \u003cp\u003e6.14 Nephrostomy tube: removal of locking pigtail drainage system 230\u003c\/p\u003e \u003cp\u003e6.15 Flushing externalized ureteric stents 232\u003c\/p\u003e \u003cp\u003e6.16 Removal of externalized ureteric stents 233\u003c\/p\u003e \u003cp\u003e6.17 Continent urinary diversion stoma: self-catheterization 236\u003c\/p\u003e \u003cp\u003e6.18 Insertion of a faecal management system 240\u003c\/p\u003e \u003cp\u003e6.19 Insertion of a nasogastric drainage tube 247\u003c\/p\u003e \u003cp\u003e6.20 Removal of a nasogastric drainage tube 249\u003c\/p\u003e \u003cp\u003e6.21 Enema administration 250\u003c\/p\u003e \u003cp\u003e6.22 Suppository administration 252\u003c\/p\u003e \u003cp\u003e6.23 Digital rectal examination 254\u003c\/p\u003e \u003cp\u003e6.24 Digital removal of faeces 256\u003c\/p\u003e \u003cp\u003e6.25 Stoma siting 263\u003c\/p\u003e \u003cp\u003e6.26 Stoma bag change 264\u003c\/p\u003e \u003cp\u003e6.27 Obtaining a clean-catch urine sample from an ileal conduit 265\u003c\/p\u003e \u003cp\u003e6.28 Stoma bridge or rod removal 266\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Moving and positioning 278\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 280\u003c\/p\u003e \u003cp\u003eMoving and positioning: general principles 280\u003c\/p\u003e \u003cp\u003eMoving and positioning an unconscious patient 293\u003c\/p\u003e \u003cp\u003eMoving and positioning a patient with an artificial airway 294\u003c\/p\u003e \u003cp\u003eMoving and positioning a patient with respiratory compromise 298\u003c\/p\u003e \u003cp\u003eMoving and positioning a patient with neurological impairment 301\u003c\/p\u003e \u003cp\u003eMoving and positioning a patient with actual or suspected spinal cord compression or spinal cord injury 313\u003c\/p\u003e \u003cp\u003eMoving and positioning a patient with raised intracranial pressure 325\u003c\/p\u003e \u003cp\u003eMoving and positioning a patient with an amputation 326\u003c\/p\u003e \u003cp\u003eWebsites 329\u003c\/p\u003e \u003cp\u003eReferences 329\u003c\/p\u003e \u003cp\u003e7.1 Positioning a patient: supine 284\u003c\/p\u003e \u003cp\u003e7.2 Positioning a patient: sitting up in bed 285\u003c\/p\u003e \u003cp\u003e7.3 Positioning a patient: side-lying 286\u003c\/p\u003e \u003cp\u003e7.4 Positioning a patient: lying down to sitting up 288\u003c\/p\u003e \u003cp\u003e7.5 Moving a patient from sitting to standing: assisting the patient 289\u003c\/p\u003e \u003cp\u003e7.6 Positioning a patient: in a chair or wheelchair 291\u003c\/p\u003e \u003cp\u003e7.7 Assisting a patient to walk 292\u003c\/p\u003e \u003cp\u003e7.8 Positioning an unconscious patient or a patient with an artificial airway in supine 295\u003c\/p\u003e \u003cp\u003e7.9 Positioning an unconscious patient or a patient with an artificial airway in side-lying 296\u003c\/p\u003e \u003cp\u003e7.10 Positioning a neurological patient with tonal problems in bed 309\u003c\/p\u003e \u003cp\u003e7.11 Positioning a neurological patient with tonal problems in a chair 312\u003c\/p\u003e \u003cp\u003e7.12 Application of a two-piece cervical collar 318\u003c\/p\u003e \u003cp\u003e7.13 Log rolling a patient with suspected or confirmed cervical spinal instability (above T6) 319\u003c\/p\u003e \u003cp\u003e7.14 Log rolling a patient with suspected or confirmed thoracolumbar spinal instability (T7 and below) 321\u003c\/p\u003e \u003cp\u003e7.15 Early mobilization of a patient with spinal considerations 323\u003c\/p\u003e \u003cp\u003e7.16 Positioning a patient with an amputation 327\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Nutrition and fluid balance 334\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 336\u003c\/p\u003e \u003cp\u003eFluid balance 336\u003c\/p\u003e \u003cp\u003eNutritional status 351\u003c\/p\u003e \u003cp\u003eProvision of nutritional support: Oral 359\u003c\/p\u003e \u003cp\u003eNutritional management of patients with dysphagia 364\u003c\/p\u003e \u003cp\u003eEnteral tube feeding 365\u003c\/p\u003e \u003cp\u003eParenteral nutrition 385\u003c\/p\u003e \u003cp\u003eWebsites 389\u003c\/p\u003e \u003cp\u003eReferences 389\u003c\/p\u003e \u003cp\u003e8.1 Fluid input: measurement 345\u003c\/p\u003e \u003cp\u003e8.2 Fluid output: monitoring\/measuring output if the patient is catheterized 346\u003c\/p\u003e \u003cp\u003e8.3 Fluid output: monitoring\/measuring output if the patient is not catheterized 347\u003c\/p\u003e \u003cp\u003e8.4 Fluid output: monitoring\/measuring output from drains 347\u003c\/p\u003e \u003cp\u003e8.5 Fluid output: monitoring\/measuring output from gastric outlets, nasogastric tubes or gastrostomy 348\u003c\/p\u003e \u003cp\u003e8.6 Fluid output: monitoring\/measuring output from bowels 349\u003c\/p\u003e \u003cp\u003e8.7 Fluid output: monitoring\/measuring output from stoma sites 349\u003c\/p\u003e \u003cp\u003e8.8 Measuring the weight and height of a patient 356\u003c\/p\u003e \u003cp\u003e8.9 Feeding an adult patient 362\u003c\/p\u003e \u003cp\u003e8.10 Nasogastric intubation with tubes using an internal guidewire or stylet 369\u003c\/p\u003e \u003cp\u003e8.11 Removal of a nasogastric tube 374\u003c\/p\u003e \u003cp\u003e8.12 Percutaneous endoscopically placed gastrostomy (PEG) tube care 375\u003c\/p\u003e \u003cp\u003e8.13 Radiologically inserted gastrostomy (RIG) tube care 376\u003c\/p\u003e \u003cp\u003e8.14 Removal of T-fasteners 377\u003c\/p\u003e \u003cp\u003e8.15 Changing the balloon water and checking the volume of a balloon gastrostomy 378\u003c\/p\u003e \u003cp\u003e8.16 Jejunostomy feeding tube care including dressing change 379\u003c\/p\u003e \u003cp\u003e8.17 Insertion of a silicone gastrostomy stoma plug 380\u003c\/p\u003e \u003cp\u003e8.18 Enteral feeding tubes: administration of feed using an enteral feeding pump 381\u003c\/p\u003e \u003cp\u003e8.19 Enteral feeding tubes: administration of medication 384\u003c\/p\u003e \u003cp\u003e8.20 Enteral feeding tubes: unblocking 386\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Patient comfort and supporting personal hygiene 394\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 396\u003c\/p\u003e \u003cp\u003ePersonal hygiene 396\u003c\/p\u003e \u003cp\u003eSleep promotion in a hospitalized patient 407\u003c\/p\u003e \u003cp\u003ePatient environment 409\u003c\/p\u003e \u003cp\u003eEye care 413\u003c\/p\u003e \u003cp\u003eEar care 423\u003c\/p\u003e \u003cp\u003eMouth care 427\u003c\/p\u003e \u003cp\u003eWebsites 439\u003c\/p\u003e \u003cp\u003eReferences 439\u003c\/p\u003e \u003cp\u003e9.1 Bedbathing a patient 401\u003c\/p\u003e \u003cp\u003e9.2 Washing a patient’s hair in bed 403\u003c\/p\u003e \u003cp\u003e9.3 Shaving the face: wet shave 405\u003c\/p\u003e \u003cp\u003e9.4 Shaving the face: dry electric shaver 406\u003c\/p\u003e \u003cp\u003e9.5 Making an unoccupied bed 410\u003c\/p\u003e \u003cp\u003e9.6 Making an occupied bed 412\u003c\/p\u003e \u003cp\u003e9.7 Eye swabbing 417\u003c\/p\u003e \u003cp\u003e9.8 Eye irrigation 418\u003c\/p\u003e \u003cp\u003e9.9 Artificial eye care: insertion 420\u003c\/p\u003e \u003cp\u003e9.10 Artificial eye care: removal 420\u003c\/p\u003e \u003cp\u003e9.11 Contact lens removal: hard lenses 421\u003c\/p\u003e \u003cp\u003e9.12 Contact lens removal: soft lenses 422\u003c\/p\u003e \u003cp\u003e9.13 Irrigation of the external auditory canal using an electronic irrigator 425\u003c\/p\u003e \u003cp\u003e9.14 Mouth care 436\u003c\/p\u003e \u003cp\u003e9.15 Mouth care for a patient with dentures 437\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Pain assessment and management 446\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 448\u003c\/p\u003e \u003cp\u003ePain 448\u003c\/p\u003e \u003cp\u003ePain management 456\u003c\/p\u003e \u003cp\u003eRegional analgesia: local anaesthetic nerve blocks and infusions 462\u003c\/p\u003e \u003cp\u003eEpidural analgesia 469\u003c\/p\u003e \u003cp\u003eEntonox administration 481\u003c\/p\u003e \u003cp\u003eNon-pharmacological methods of managing pain 485\u003c\/p\u003e \u003cp\u003eReferences 491\u003c\/p\u003e \u003cp\u003e10.1 Pain assessment 455\u003c\/p\u003e \u003cp\u003e10.2 Peripheral nerve catheter removal 464\u003c\/p\u003e \u003cp\u003e10.3 Epidural sensory blockade: assessment 475\u003c\/p\u003e \u003cp\u003e10.4 Epidural exit site dressing change 475\u003c\/p\u003e \u003cp\u003e10.5 Epidural catheter removal 479\u003c\/p\u003e \u003cp\u003e10.6 Entonox administration 484\u003c\/p\u003e \u003cp\u003e10.7 Preparation for acupuncture and actions post-treatment 490\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 Symptom control and care towards the end of life 496\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 498\u003c\/p\u003e \u003cp\u003eEnd-of-life care 498\u003c\/p\u003e \u003cp\u003eSymptom control 515\u003c\/p\u003e \u003cp\u003eVerification and certification of death 526\u003c\/p\u003e \u003cp\u003eCare after death (last offices) 528\u003c\/p\u003e \u003cp\u003eWebsites 534\u003c\/p\u003e \u003cp\u003eReferences 534\u003c\/p\u003e \u003cp\u003e11.1 Management of dyspnoea (breathlessness) 516\u003c\/p\u003e \u003cp\u003e11.2 Care of a patient who is vomiting 519\u003c\/p\u003e \u003cp\u003e11.3 Abdominal paracentesis 523\u003c\/p\u003e \u003cp\u003e11.4 Terminal sedation 526\u003c\/p\u003e \u003cp\u003e11.5 Verification of death 527\u003c\/p\u003e \u003cp\u003e11.6 Care after death 529\u003c\/p\u003e \u003cp\u003e\u003cb\u003e12 Respiratory care, CPR and blood transfusion 538\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 540\u003c\/p\u003e \u003cp\u003eRespiratory therapy 540\u003c\/p\u003e \u003cp\u003eOxygen therapy 542\u003c\/p\u003e \u003cp\u003eHigh-flow oxygen via a nasal cannula 551\u003c\/p\u003e \u003cp\u003eHumidification 553\u003c\/p\u003e \u003cp\u003eNon-invasive ventilation 555\u003c\/p\u003e \u003cp\u003eChest drain management 562\u003c\/p\u003e \u003cp\u003eTracheostomy and laryngectomy care 578\u003c\/p\u003e \u003cp\u003eBasic life support 607\u003c\/p\u003e \u003cp\u003eTransfusion of blood and blood components 620\u003c\/p\u003e \u003cp\u003eWebsites 645\u003c\/p\u003e \u003cp\u003eReferences 645\u003c\/p\u003e \u003cp\u003e12.1 Oxygen therapy 546\u003c\/p\u003e \u003cp\u003e12.2 High-flow oxygen therapy 552\u003c\/p\u003e \u003cp\u003e12.3 Continuous positive airway pressure (CPAP) 559\u003c\/p\u003e \u003cp\u003e12.4 Chest drain: assisting insertion 567\u003c\/p\u003e \u003cp\u003e12.5 Chest drainage: suction 572\u003c\/p\u003e \u003cp\u003e12.6 Chest drain: changing the bottle 573\u003c\/p\u003e \u003cp\u003e12.7 Chest drain: removal 576\u003c\/p\u003e \u003cp\u003e12.8 Tracheostomy: dressing and tube tape\/tie change 587\u003c\/p\u003e \u003cp\u003e12.9 Tracheostomy: suctioning a patient (single-use suction catheter) 590\u003c\/p\u003e \u003cp\u003e12.10 Tracheostomy: changing an inner cannula 592\u003c\/p\u003e \u003cp\u003e12.11 Tracheostomy: changing a tube 594\u003c\/p\u003e \u003cp\u003e12.12 Tracheostomy: insertion and removal of a speaking valve 597\u003c\/p\u003e \u003cp\u003e12.13 Tracheostomy: decannulation 599\u003c\/p\u003e \u003cp\u003e12.14 Tracheostomy: emergency management 601\u003c\/p\u003e \u003cp\u003e12.15 Laryngectomy care 605\u003c\/p\u003e \u003cp\u003e12.16 Insertion of an oropharyngeal airway 616\u003c\/p\u003e \u003cp\u003e12.17 Basic life support 617\u003c\/p\u003e \u003cp\u003e12.18 Blood product request 634\u003c\/p\u003e \u003cp\u003e12.19 Blood sampling: pre-transfusion 635\u003c\/p\u003e \u003cp\u003e12.20 Blood components: collection and delivery to the clinical area 636\u003c\/p\u003e \u003cp\u003e12.21 Blood component administration 638\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart Three Supporting patients through the diagnostic process 653\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e13 Diagnostic tests 654\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 656\u003c\/p\u003e \u003cp\u003eDiagnostic tests 656\u003c\/p\u003e \u003cp\u003eBlood sampling 660\u003c\/p\u003e \u003cp\u003eVenepuncture: obtaining blood samples from a peripheral vein 662\u003c\/p\u003e \u003cp\u003eCVAD sampling: sampling from a central venous access device 671\u003c\/p\u003e \u003cp\u003eArterial blood sampling 675\u003c\/p\u003e \u003cp\u003eBlood cultures 683\u003c\/p\u003e \u003cp\u003eAntimicrobial drug assay 687\u003c\/p\u003e \u003cp\u003eCerebrospinal fluid obtained by lumbar puncture 689\u003c\/p\u003e \u003cp\u003eSemen collection and analysis 694\u003c\/p\u003e \u003cp\u003eCervical screening 697\u003c\/p\u003e \u003cp\u003eSpecimen collection: swab sampling 701\u003c\/p\u003e \u003cp\u003eSpecimen collection: urine sampling 710\u003c\/p\u003e \u003cp\u003eSpecimen collection: faecal sampling 715\u003c\/p\u003e \u003cp\u003eSpecimen collection: respiratory tract secretion sampling 717\u003c\/p\u003e \u003cp\u003eSpecimen collection: pleural fluid 722\u003c\/p\u003e \u003cp\u003eEndoscopic investigations 723\u003c\/p\u003e \u003cp\u003eLiver biopsy 728\u003c\/p\u003e \u003cp\u003eRadiological investigations: X-ray 730\u003c\/p\u003e \u003cp\u003eMagnetic resonance imaging (MRI) 730\u003c\/p\u003e \u003cp\u003eComputed tomography (CT) 732\u003c\/p\u003e \u003cp\u003eWebsites 733\u003c\/p\u003e \u003cp\u003eReferences 733\u003c\/p\u003e \u003cp\u003e13.1 Venepuncture 666\u003c\/p\u003e \u003cp\u003e13.2 Central venous access devices: taking a blood sample for vacuum sampling 672\u003c\/p\u003e \u003cp\u003e13.3 Central venous access devices: taking a blood sample for syringe sampling 673\u003c\/p\u003e \u003cp\u003e13.4 Arterial puncture: radial artery 678\u003c\/p\u003e \u003cp\u003e13.5 Arterial blood gas sampling: arterial cannula 680\u003c\/p\u003e \u003cp\u003e13.6 Blood cultures: peripheral (winged device collection method) 684\u003c\/p\u003e \u003cp\u003e13.7 Blood cultures: central venous access device 686\u003c\/p\u003e \u003cp\u003e13.8 Blood sampling: antimicrobial drug assay 688\u003c\/p\u003e \u003cp\u003e13.9 Lumbar puncture 692\u003c\/p\u003e \u003cp\u003e13.10 Semen collection 696\u003c\/p\u003e \u003cp\u003e13.11 Cervical uterine smear using liquid-based cytology 699\u003c\/p\u003e \u003cp\u003e13.12 Swab sampling: ear 702\u003c\/p\u003e \u003cp\u003e13.13 Swab sampling: eye 703\u003c\/p\u003e \u003cp\u003e13.14 Swab sampling: nose 704\u003c\/p\u003e \u003cp\u003e13.15 Swab sampling: penis 705\u003c\/p\u003e \u003cp\u003e13.16 Swab sampling: rectum 705\u003c\/p\u003e \u003cp\u003e13.17 Swab sampling: skin 706\u003c\/p\u003e \u003cp\u003e13.18 Swab sampling: throat 707\u003c\/p\u003e \u003cp\u003e13.19 Swab sampling: vagina 708\u003c\/p\u003e \u003cp\u003e13.20 Swab sampling: wound 709\u003c\/p\u003e \u003cp\u003e13.21 Urine sampling: midstream specimen of urine: male 711\u003c\/p\u003e \u003cp\u003e13.22 Urine sampling: midstream specimen of urine: female 712\u003c\/p\u003e \u003cp\u003e13.23 Urine sampling: catheter specimen of urine 713\u003c\/p\u003e \u003cp\u003e13.24 Urine sampling: sampling from an ileal conduit 713\u003c\/p\u003e \u003cp\u003e13.25 Urine sampling: 24-hour urine collection 714\u003c\/p\u003e \u003cp\u003e13.26 Faecal sampling 716\u003c\/p\u003e \u003cp\u003e13.27 Sputum sampling 719\u003c\/p\u003e \u003cp\u003e13.28 Nasopharyngeal wash: syringe method 719\u003c\/p\u003e \u003cp\u003e13.29 Nasopharyngeal wash: vacuum-assisted aspirate method 721\u003c\/p\u003e \u003cp\u003e\u003cb\u003e14 Observations 740\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 742\u003c\/p\u003e \u003cp\u003eObservations 742\u003c\/p\u003e \u003cp\u003ePulse (heart rate) 744\u003c\/p\u003e \u003cp\u003eElectrocardiogram (ECG) 751\u003c\/p\u003e \u003cp\u003eBlood pressure 758\u003c\/p\u003e \u003cp\u003eRespiration and pulse oximetry 766\u003c\/p\u003e \u003cp\u003ePeak flow 777\u003c\/p\u003e \u003cp\u003eTemperature 781\u003c\/p\u003e \u003cp\u003eUrinalysis 788\u003c\/p\u003e \u003cp\u003eBlood glucose 793\u003c\/p\u003e \u003cp\u003eNeurological observations 800\u003c\/p\u003e \u003cp\u003eReferences 814\u003c\/p\u003e \u003cp\u003e14.1 Pulse measurement 749\u003c\/p\u003e \u003cp\u003e14.2 Electrocardiogram (ECG) 755\u003c\/p\u003e \u003cp\u003e14.3 Blood pressure measurement (manual) 763\u003c\/p\u003e \u003cp\u003e14.4 Respiratory assessment and pulse oximetry 775\u003c\/p\u003e \u003cp\u003e14.5 Peak flow reading using a manual peak flow meter 780\u003c\/p\u003e \u003cp\u003e14.6 Tympanic temperature measurement 786\u003c\/p\u003e \u003cp\u003e14.7 Urinalysis: reagent strip 792\u003c\/p\u003e \u003cp\u003e14.8 Blood glucose monitoring 797\u003c\/p\u003e \u003cp\u003e14.9 Neurological observations and assessment 811\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePart Four Supporting patients through treatment 819\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e15 Medicines optimization: ensuring quality and safety 820\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 822\u003c\/p\u003e \u003cp\u003eMedicines management 822\u003c\/p\u003e \u003cp\u003eSelf-administration of medicines 833\u003c\/p\u003e \u003cp\u003eControlled drugs 835\u003c\/p\u003e \u003cp\u003eRoutes of administration 843\u003c\/p\u003e \u003cp\u003eParenteral administration (injections and infusions) 869\u003c\/p\u003e \u003cp\u003eInfiltration and extravasation 918\u003c\/p\u003e \u003cp\u003eWebsites 932\u003c\/p\u003e \u003cp\u003eReferences 932\u003c\/p\u003e \u003cp\u003e15.1 Medication: controlled drug administration 841\u003c\/p\u003e \u003cp\u003e15.2 Medication: oral drug administration 849\u003c\/p\u003e \u003cp\u003e15.3 Medication: topical applications 851\u003c\/p\u003e \u003cp\u003e15.4 Medication: transdermal applications 853\u003c\/p\u003e \u003cp\u003e15.5 Medication: vaginal administration 855\u003c\/p\u003e \u003cp\u003e15.6 Medication: administration by inhalation using a metered dose or dry powder inhaler 858\u003c\/p\u003e \u003cp\u003e15.7 Medication: administration by inhalation using a nebulizer 860\u003c\/p\u003e \u003cp\u003e15.8 Medication: eye administration 864\u003c\/p\u003e \u003cp\u003e15.9 Medication: nasal drop administration 866\u003c\/p\u003e \u003cp\u003e15.10 Medication: ear drop administration 868\u003c\/p\u003e \u003cp\u003e15.11 Medication: single-dose ampoule: solution preparation 872\u003c\/p\u003e \u003cp\u003e15.12 Medication: single-dose ampoule: powder preparation 873\u003c\/p\u003e \u003cp\u003e15.13 Medication: multidose vial: powder preparation using a venting needle 874\u003c\/p\u003e \u003cp\u003e15.14 Medication: multidose vial: powder preparation using the equilibrium method 876\u003c\/p\u003e \u003cp\u003e15.15 Medication: injection administration 877\u003c\/p\u003e \u003cp\u003e15.16 Medication: intradermal injection 879\u003c\/p\u003e \u003cp\u003e15.17 Medication: subcutaneous injection 882\u003c\/p\u003e \u003cp\u003e15.18 Medication: subcutaneous infusion of fluids 885\u003c\/p\u003e \u003cp\u003e15.19 Medication: subcutaneous administration using a CME Medical T34 syringe pump (previously McKinley) 886\u003c\/p\u003e \u003cp\u003e15.20 Medication: intramuscular injection 891\u003c\/p\u003e \u003cp\u003e15.21 Inserting an intraosseous needle 894\u003c\/p\u003e \u003cp\u003e15.22 Removing an intraosseous needle 897\u003c\/p\u003e \u003cp\u003e15.23 Medication: continuous infusion of intravenous drugs 909\u003c\/p\u003e \u003cp\u003e15.24 Medication: intermittent infusion of intravenous drugs 911\u003c\/p\u003e \u003cp\u003e15.25 Medication: injection (bolus or push) of intravenous drugs 914\u003c\/p\u003e \u003cp\u003e15.26 Extravasation management: peripheral cannula 925\u003c\/p\u003e \u003cp\u003e15.27 Extravasation: performing flush-out following an extravasation 928\u003c\/p\u003e \u003cp\u003e\u003cb\u003e16 Perioperative care 940\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 942\u003c\/p\u003e \u003cp\u003ePre-operative care 942\u003c\/p\u003e \u003cp\u003eIntraoperative care 977\u003c\/p\u003e \u003cp\u003ePost-operative care 1001\u003c\/p\u003e \u003cp\u003e16.1 Measuring and applying antiembolic stockings 963\u003c\/p\u003e \u003cp\u003e16.2 Pre-operative care: checking that the patient is fully prepared for surgery 975\u003c\/p\u003e \u003cp\u003e16.3 Caring for the patient in the anaesthetic room 979\u003c\/p\u003e \u003cp\u003e16.4 Operating theatre procedure: maintaining the safety of a patient during surgery 992\u003c\/p\u003e \u003cp\u003e16.5 Handover in the post-anaesthetic care unit (PACU): scrub nurse or operating department practitioner to recovery practitioner 996\u003c\/p\u003e \u003cp\u003e16.6 Safe management of patients in the post-operative care unit (PACU) 997\u003c\/p\u003e \u003cp\u003e16.7 Drainage systems: changing the dressing around the drain site for both open and closed drains 1006\u003c\/p\u003e \u003cp\u003e16.8 Closed drainage systems: changing a vacuum bottle 1007\u003c\/p\u003e \u003cp\u003e16.9 Wound drain removal: closed drainage system 1008\u003c\/p\u003e \u003cp\u003e16.10 Wound drain shortening for open drainage systems 1010\u003c\/p\u003e \u003cp\u003e16.11 Wound drain shortening for closed drainage systems 1012\u003c\/p\u003e \u003cp\u003e\u003cb\u003e17 Vascular access devices: insertion and management 1028\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 1030\u003c\/p\u003e \u003cp\u003eVascular access devices 1030\u003c\/p\u003e \u003cp\u003ePeripheral cannulas 1046\u003c\/p\u003e \u003cp\u003eMidline catheters 1068\u003c\/p\u003e \u003cp\u003ePeripherally inserted central catheters 1073\u003c\/p\u003e \u003cp\u003eShort-term percutaneous central venous catheters (non-tunnelled) 1090\u003c\/p\u003e \u003cp\u003eSkin-tunnelled catheters 1097\u003c\/p\u003e \u003cp\u003eImplanted ports 1102\u003c\/p\u003e \u003cp\u003eArterial cannulas 1110\u003c\/p\u003e \u003cp\u003eReferences 1117\u003c\/p\u003e \u003cp\u003e17.1 Central venous catheter: insertion site dressing change 1042\u003c\/p\u003e \u003cp\u003e17.2 Vascular access devices: maintaining patency 1043\u003c\/p\u003e \u003cp\u003e17.3 Central venous access devices: unblocking an occlusion 1043\u003c\/p\u003e \u003cp\u003e17.4 Peripheral cannula insertion 1053\u003c\/p\u003e \u003cp\u003e17.5 Ultrasound-guided peripheral cannula insertion 1059\u003c\/p\u003e \u003cp\u003e17.6 Midline catheter insertion 1069\u003c\/p\u003e \u003cp\u003e17.7 PICC insertion using modified Seldinger technique (MST) with ultrasound 1082\u003c\/p\u003e \u003cp\u003e17.8 PICC removal 1089\u003c\/p\u003e \u003cp\u003e17.9 Short-term central venous catheter (non-cuffed and non-tunnelled) insertion into the internal jugular vein 1092\u003c\/p\u003e \u003cp\u003e17.10 Short-term central venous catheter (non-cuffed and non-tunnelled): removal 1096\u003c\/p\u003e \u003cp\u003e17.11 Central venous catheter (skin tunnelled): surgical removal 1099\u003c\/p\u003e \u003cp\u003e17.12 Implanted arm PORT insertion using modified Seldinger technique (MST) with ultrasound guidance and ECG technology 1104\u003c\/p\u003e \u003cp\u003e17.13 Implanted ports: insertion and removal of non-coring needles 1107\u003c\/p\u003e \u003cp\u003e17.14 Arterial cannula insertion: preparation and setting up of monitoring set 1112\u003c\/p\u003e \u003cp\u003e17.15 Arterial cannula: removal 1114\u003c\/p\u003e \u003cp\u003e\u003cb\u003e18 Wound management 1128\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 1130\u003c\/p\u003e \u003cp\u003eWounds 1130\u003c\/p\u003e \u003cp\u003ePressure ulcers 1143\u003c\/p\u003e \u003cp\u003eSurgical wounds 1152\u003c\/p\u003e \u003cp\u003eNegative pressure wound therapy 1154\u003c\/p\u003e \u003cp\u003eWebsites 1157\u003c\/p\u003e \u003cp\u003eReferences 1157\u003c\/p\u003e \u003cp\u003e18.1 Dressing a wound 1142\u003c\/p\u003e \u003cp\u003e18.2 Suture removal 1153\u003c\/p\u003e \u003cp\u003e18.3 Clip removal 1153\u003c\/p\u003e \u003cp\u003e18.4 Negative pressure wound therapy 1155\u003c\/p\u003e \u003cp\u003ePart Five Looking after ourselves so we can support patients 1161\u003c\/p\u003e \u003cp\u003e\u003cb\u003e19 Self-care and wellbeing 1162\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eOverview 1164\u003c\/p\u003e \u003cp\u003eSelf-care and wellbeing 1164\u003c\/p\u003e \u003cp\u003eMindfulness 1172\u003c\/p\u003e \u003cp\u003eEating and drinking 1173\u003c\/p\u003e \u003cp\u003ePhysical wellbeing and musculoskeletal health 1175\u003c\/p\u003e \u003cp\u003eWebsites 1181\u003c\/p\u003e \u003cp\u003eReferences 1181\u003c\/p\u003e \u003cp\u003e19.1 Working at low or floor level 1178\u003c\/p\u003e \u003cp\u003e19.2 Working with a patient lying in a bed or on another raised supportive surface 1179\u003c\/p\u003e \u003cp\u003e19.3 Carrying out clinical procedures in a seated posture (e.g. cannulation) 1180\u003c\/p\u003e \u003cp\u003e19.4 Working in a seated position: office work 1180\u003c\/p\u003e \u003cp\u003eAppendix: Standards of Proficiency for Registered Nurses 1183\u003c\/p\u003e \u003cp\u003eList of abbreviations 1185\u003c\/p\u003e \u003cp\u003eIndex 1189\u003c\/p\u003e \u003cp\u003e\"...an excellent resource to improve and enhance clinical practice.\" (\u003ci\u003eNursing Standard\u003c\/i\u003e)\u003c\/p\u003e \u003cp\u003e\"...a worldwide 'oracle' for all clinical nursing procedures.\" (\u003ci\u003eCancer Nursing Practice\u003c\/i\u003e)\u003c\/p\u003e \u003cp\u003e\"Any nurse...will find a good reason to dip into this book at some time.\" (\u003ci\u003eNursing Times\u003c\/i\u003e)\u003c\/p\u003e \u003cp\u003e\"...a pleasure to read and difficult to put down.\" (\u003ci\u003eEmergency Nurse\u003c\/i\u003e)\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSara Lister\u003c\/b\u003e, Head of Pastoral Care, Psychological Support, and PALS, The Royal Marsden Hospital NHS Foundation Trust, UK.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eJustine Hofland\u003c\/b\u003e, Divisional Clinical Nurse Director - Cancer Services, The Royal Marsden NHS Foundation Trust, UK.\u003c\/p\u003e \u003cb\u003eHayley Grafton\u003c\/b\u003e, Chief Nursing Information Officer, The Royal Marsden NHS Foundation Trust, UK. \u003cp\u003e\u003cb\u003ePraise for \u003ci\u003eThe Royal Marsden Manual of Clinical Nursing Procedures\u003c\/i\u003e\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\"... an excellent resource to improve and enhance clinical practice.\"\u003cbr\u003e—\u003cb\u003e\u003ci\u003eNursing Standard\u003c\/i\u003e\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\"... a worldwide 'oracle' for all clinical nursing procedures.\"\u003cbr\u003e—\u003cb\u003e\u003ci\u003eCancer Nursing Practice\u003c\/i\u003e\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\"... a pleasure to read and difficult to put down.\"\u003cbr\u003e—\u003cb\u003e\u003ci\u003eEmergency Nurse\u003c\/i\u003e\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eNow in its tenth edition, \u003ci\u003eThe Royal Marsden Manual of Clinical Nursing Procedures\u003c\/i\u003e has been the definitive, market-leading guide to clinical nursing skills for over three decades. This internationally best-selling title sets the gold standard for nursing care; providing the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence.\u003c\/p\u003e \u003cp\u003eWith over two-hundred detailed procedures, this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and photographs, and includes coverage of infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, discharge, medicines management, and much more. Loved and trusted by millions for over thirty years, \u003ci\u003eThe Royal Marsden Manual of Clinical Nursing Procedures\u003c\/i\u003e continues to be a truly indispensable guide for nursing practice.\u003c\/p\u003e \u003cul\u003e \u003cli\u003eWritten by nurses for nurses\u003c\/li\u003e \u003cli\u003eEmpowers nurses to become informed, skilled practitioners\u003c\/li\u003e \u003cli\u003eReflects current procedures and changes in modern adult nursing practice\u003c\/li\u003e \u003cli\u003eAll procedures are supported by up-to-date evidence, including detailed rationales for each step of each procedure\u003c\/li\u003e \u003cli\u003eConsiders the clinical governance around the procedures and nursing practice\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003cb\u003eNEW to the \u003ci\u003eTenth Edition\u003c\/i\u003e:\u003c\/b\u003e\u003c\/p\u003e \u003cul\u003e \u003cli\u003eEach chapter is linked to the NMC 2018 'Future Nurse: Standards of Proficiency for Registered Nurses' guidance\u003c\/li\u003e \u003cli\u003eIncludes a brand-new chapter on 'Self-care and wellbeing,' helping nurses to care for themselves emotionally and physically\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003cb\u003eThe Royal Marsden Manual is also available online, fully searchable, and annotatable.\u003cbr\u003e\u003c\/b\u003ewww.rmmonline.co.uk\u003c\/p\u003e","brand":"Wiley-Blackwell","offers":[{"title":"Default Title","offer_id":47990333636837,"sku":"NP9781119634386","price":45.5,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9781119634386.jpg?v=1761787397","url":"https:\/\/k12savings.com\/products\/the-royal-marsden-manual-of-clinical-nursing-procedures-professional-edition-isbn-9781119634386","provider":"K12savings","version":"1.0","type":"link"}