Procedures for Primary Care Practitioners / Edition 2

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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.
  • 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.
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Editorial Reviews

Doody's Review Service
Reviewer: Tonya L Appleby, MSN, CCRN, CRNP (Good Samaritan Hospital)
Description: Previously published in 1996, this new edition is an excellent tool to add to one's armamentarium. Organized according to body system, the book provides a step-by-step approach to simple and moderately complicated procedures one may encounter in an office setting. The second edition reflects recent innovations and new products available to the mid-level provider in performing procedures. Its thorough post-procedure instructions are specific to each procedure. The second edition also reflects the recent trend of mid-level providers being the sole primary care provider and provides the unique billing codes for each procedure.
Purpose: The purpose of the book is to outline basic principles of procedures commonly encountered in a primary care setting. Many formal nurse practitioner and physician assistant programs assume that graduates will learn "on the job," depending on which specialty one will work. This book attempts to fill the gap, providing essential basic content for performing such procedures that one may not have encountered in one's clinical site/rotation. This book fulfills that need by bridging the gap and providing a diverse content of information.
Audience: According to the author, the target audience is advanced practitioners (nurse practitioners, physician assistants, and medical students). The author assumes that the clinician has relative experience and education on which one's practice is founded. I believe the book speaks to the novice practitioner as well as the experienced practitioner. The complexity of the procedures discussed range from simple and basic to complex and advanced. Being nurse practitioners, the authors serve as a credible authority on the subject matter of the book.
Features: The book serves to outline basic procedures and is organized according to body system. The largest section, "Dermatologic Procedures," covers everything from staple removal and nail avulsion to excision and punch biopsies. "Women's Health Procedures" reviews pessary use and intrauterine device placement. Occasionally, the practitioner will encounter radiographs and will need to determine a preliminary report. The radiograph interpretation section provides a thorough explanation of general principles of radiograph interpretation. A nice feature of the book is an alphabetical procedure list for one who needs to find something quick. The appendices offer the practitioner a "Sample Checklist for Certification" which allows an advanced practitioner to document training of a novice practitioner. Unfortunately, no photographs are present in the book. The artwork is illustrated in black and white and does provide a clear picture to the reader of the procedure being demonstrated. One patient education handout is located in the appendix, but additional handouts would have enhanced the book. Finally, the orthopedics section discusses various splinting techniques and fracture immobilization, but the lack of pictures and illustrations on how to properly align and apply a splint leaves the reader without a clear course of action. The chapter also fails to address other common primary care procedures such as finger relocations, shoulder reductions, and buddy taping techniques.
Assessment: The book meets its objectives of providing the advanced practitioner with the necessary information to perform basic primary care procedures. It goes the "extra mile" by discussing indications, contraindications, precautions, equipment, and pertinent patient assessment necessary for performing any kind of procedure. It solely devotes itself to actual procedures, whereas other books Minor Emergencies: Splinters to Fractures (Philip Buttaravoli & Thomas Stair, Mosby, 2000) and Nurse Practitioner's Clinical Companion (Debora Bukey, et al, Springhouse Corporation, 2000) discuss various disease processes, management, and include primary care procedures when necessary. With the influx of mid-level providers entering the health care arena, a book solely devoted to procedures is a necessary tool. Technology and innovations are changing the face of health care on a daily basis; therefore, the second edition provides readers with the most accurate information.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323016193
  • Publisher: Elsevier Health Sciences
  • Publication date: 8/23/2002
  • Format: Spiral Bound
  • Edition description: REV
  • Edition number: 2
  • Pages: 480
  • Sales rank: 316,311
  • Product dimensions: 7.25 (w) x 9.22 (h) x 1.05 (d)

Meet the Author

Adjunct Faculty, Johns Hopkins University, School of Nursing, Baltimore, MD

Nurse Practitioner, Beltsville, Maryland

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Table of Contents

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
Peak flow meter NEW!
6. Cardiovascular Procedures
Continuous electrocardiography (Holter monitoring)
Doppler ultrasound of lower extremities
7. Gastrointestinal Procedures
Nasogastric tube insertion and removal
Gastric lavage
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!
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
A: Sample checklist for certification
B: Informed consent form
C: Sample patient education handout
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