Pub. Date:
Elsevier Health Sciences
Mosby's Essentials for Nursing Assistants - Text and Mosby's Nursing Assistant Skills DVD - Student Version 4.0 Package / Edition 5

Mosby's Essentials for Nursing Assistants - Text and Mosby's Nursing Assistant Skills DVD - Student Version 4.0 Package / Edition 5


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Product Details

ISBN-13: 9780323326933
Publisher: Elsevier Health Sciences
Publication date: 04/22/2014
Edition description: Older Edition
Product dimensions: 8.40(w) x 10.90(h) x 1.20(d)

About the Author

Curriculum and Health Care Consultant, Anthem, AZ

Table of Contents

• Basic Principles

• Roles and responsibilities (RN, LPN, NA), information about when an action can be performed and when it cannot
• Nursing process (5 steps of Nursing Process, including nursing diagnosis and written plan of care)
• Delegation, including 5 rights of delegation and content on what a "task" is
• Patient and resident rights brief examples of how to promote rights in daily care activities
• Communication (oral, written, non-verbal; reporting, charting, end-of-shift report, guidelines for how to communicate effectively)
• Medical asepsis (chain of infection, handwashing, examples of medical asepsis applied in daily care)

• Normal Elimination

• Assisting with a urinal
• Assisting with a bedpan, including standard and fracture bedpans
• Providing catheter care, also demonstrating application of condom catheter
• Administering a cleansing enema

• Measurements

• Height and weight
• Intake and output, how to measure oral fluids
• Vital signs
• Temperature: oral, axillary, and rectal, using mercury-in-glass and electronic thermometers
• Pulse: radial and apical; rate, rhythm and quality; how to locate apical pulse and point of maximal/maximum impulse
• Respiration: rate, rhythm, effort
• Blood pressure: one-step and two-step methods

• Bathing

• The complete bed bath, including gloving, how to place bath blanket and towels for privacy
• Back massage, including descriptions of techniques but not names
• Perineal care for the female and for the male including gloving, draping, washing from "clean to dirty"

• Bedmaking

• Making the occupied bed, including making a mitered corner and toe pleat

• Personal Hygiene and Grooming

• Oral hygiene, including oral care for unconscious person, cleaning dentures, precautions for person at risk of aspiration
• Hair care, including shampoo in bed and shaving the male patient’s facial hair
• Nail and foot care, including shaping toenails
• Dressing, changing into pullover shirt and shorts; measuring for and application of TED hose

• Body Mechanics and Exercise

• Principles of body mechanics and how to use
• Moving a person up in bed (with lift/draw sheet)
• Turning and positioning (to side-lying position)
• Dangling
• Transfer from bed to wheelchair, using transfer belt
• Passive range-of-motion exercises
• Ambulation, using gait belt, and heel\toe gait
• Orthostatic hypotension definition, signs/ symptoms, and precautions

• Safety and Restraints

• Preventing falls
• Using restraint alternatives, including proper use of side rails, bed and wheelchair locks
• Safe use of restraints, what can be delegated to assistive personnel, application of vest restraint, extremity restraint, and finger-control mitten
• Monitoring restraint use

• Nutrition and Fluids

• Preparing for meals, including creating a pleasant environment, attending to person’s needs for elimination, hygiene, pain relief, socialization, meal plan; checking meal card against ID
• Serving meal trays, including use of "clock" technique for visually impaired person to help identify location of individual food items
• Feeding the dependent person, including positioning observations for person with dysphagia, signs of aspiration and difficulty swallowing, "pocketing" of food, help with washing hands and face, alternating liquids with solids

• Preventing and Treating Pressure Ulcers

• Assessing risk, causes, risks and signs of pressure ulcers
• Measures to prevent pressure ulcers, including skin inspection, skin care, positioning into 30-degree lateral position, position changes, pressure-relief devices, including air flotation mattress, elbow protector, foam foot stabilizer – the "heel boot"
• Measures to treat pressure ulcers (covered briefly)

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