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From The CriticsReviewer: 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.