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Doody's Review ServiceReviewer: Joyce B. Vazzano, BS, MS (Johns Hopkins University School of Nursing)
Description: This second edition handbook presents clear and easy to follow steps for 45 critical care technical procedures. There are numerous (black-and-white) illustrations, references and "pearls of wisdom" for each procedure, in addition to "note call-outs" that provide a wide variety of information for each procedure and "caution call-outs" that alert the reader to sensitive issues and possible adverse affects of a procedure. The first edition was published in 1996.
Purpose: The purpose is to be a bedside reference for practicing critical care nurses, whether they be novices or advanced practitioners. It is also intended to be useful for nursing faculty, both in the university and hospital setting. This worthy objective that is accomplished in this book.
Audience: According to the author, the book is intended for both practicing critical care nurses and instructors in both the university and hospital setting. This is an appropriate resource for both groups. All six authors are colleagues in the Parkland Memorial Hospital Critical Care and Trauma Nurse Internship, which is a structured educational program that prepares new baccalaureate nursing graduates for critical care practice, and Barbara Clark Mims Associates, which is a continuing education provider for critical care nurses. They are credible authorities.
Features: This book covers procedures critical care nurses will be involved with in the ICU setting according to the pulmonary, cardiovascular, gastrointestinal, and musculoskeletal systems. It also covers wound management, IV therapy, special procedures, and specimen collection. Topics new to this edition include noninvasive ventilation, ST segment monitoring, intra-abdominal pressure monitoring, brain tissue oxygen monitoring, BIPAP, partial non-rebreathing mask, tracheostomy collar, and continuous venovenous hemofiltration dialysis. Each section is thorough and easy to understand. The purpose of the procedure is clearly stated. Multiple notes are indicated in each section to provide quick access to information related to each procedure and its value, purpose, and equipment needed. The procedures are outlined in a step-by-step approach that result in optimal practice. Appropriate figures and tables are included. Cautions are marked with an alert sign (!) to warn the clinician of possible problems for which to monitor. Information on what needs to be documented for each procedure is included. At the end of each procedure, "pearls" assist the clinician with tips and important cognitive information relevant to each skill. There are three appendixes: abbreviation/symbol list, laboratory values, and clinical calculations that are nice references. A shortcoming of this book is that there are no color pictures, which would be beneficial.
Assessment: This is an excellent up-to-date clinical handbook. It is clearly written and comprehensive. The intended audience of critical care nurses and instructors is appropriately targeted. The six authors are experts in their field. In order to provide nurses with state-of-the-art practices based on current research, a new edition is justified.