Written for registered nurses in orientation, this concise, user-friendly resource provides a complete picture of all components of excellent patient care on a busy medical-surgical nursing unit. It covers assessment, key clinical skills/procedures, and documentation of care in an easily digestible, bulleted format. Time-tested guidance about new nurse orientation to professional practice includes ìproven pearls for success.î Content is current and evidence-based, and reinforces previously mastered skills in ìkey points to rememberî sections. The theme of ìthe big pictureî of patient care is a consistent thread throughout.
Clinical chaptersóorganized by body system for easy reference--present common conditions seen in medical-surgical nursing and unit emergencies, along with focused assessments, lab work overview, related procedures and skills, a documentation guide, and common medications including those for pain management. Chapters also cover pre-operative and post-operative care for all conditions. Several ìmust-have sectionsî include an orientation guide describing what new nurses can expect as they embrace their new role. This section addresses co-workers and supervisors, finding a mentor, hourly rounding, HIPAA reminders, and telephone skills/customer relations. Another section is devoted to all aspects of infection control, and an appendix provides a wealth of resources and supporting information of particular value to the new nurse.
Key Features:
Provides concise, user-friendly, evidence-based guidance about the ìwhole pictureî of nursing on a medical-surgical or sub-acute unitPresents a unique orientation section offering ìproven pearls for successîContains focused assessment guides, skills overview, documentation tips, and medications for common medical-surgical conditions and emergenciesAddresses pre- and post-operative care and pain controlCovers important protocols regarding infection control
Author(s): Maggie Ciocco, Margaret Curry Ciocco
Series: Fast Facts
Edition: 1
Publisher: Springer Publishing Company
Year: 2014
Language: English
Tags: Medical-Surgical Nursing; Nursing Diagnosis; Operating Room Nursing
Cover
Title Page
Copyright Page
Contents
Preface
Share Fast Facts for the Medical-Surgical Nurce
Part I: Overview of the Medical–Surgical Nursing Orientation
1. Orientation: Welcome to Your New Role as a Medical–Surgical Nurse
“A Good Nurse Knows What She Does Not Know”
Medical–Surgical Nursing
Orientation Tips
A Preceptor Checklist
Finding a Mentor
Taking Responsibility for Your Orientation
2. Patient Safety: From Preventing Adverse Drug Events to Infection Control
The Partnership for Patients
ADEs and How to Prevent Them
The Rights of Medication Administration
Medication Reconciliation
High-Alert Medications
Unit Safety
Infection Control
3. Nursing Assessment Basics: Focused Assessment and the PQRST System
Initial Assessment
A Focused Assessment
The PQRST System
Assessment Tips for the Beginning of Your Shift
Communication Among Health Care Professionals
Phone Skills
Part II: Common Medical–Surgical Conditions and Emergencies
4. Neurological Deficits in the Medical–Surgical Patient: Altered Mental Status Can Occur in Any Patient
Neurological Assessment Background
A Focused Neurological Assessment
Common Neurological Disorders Seen on the Medical–Surgical Unit
5. Assessment Skills to Differentiate Signs and Symptoms of a Cardiac Event From Other Possible Conditions
Cardiac Assessment Background
A Focused Cardiac Assessment
Common Cardiovascular Disorders Seen on the Medical–Surgical Unit
6. Common Respiratory Conditions and Emergencies
Respiratory Assessment Background
A Focused Respiratory Assessment
Common Respiratory Disorders Seen on the Medical–Surgical Unit
Methods of Oxygen Delivery
7. The Treatment of Common Gastrointestinal Conditions
Gastrointestinal Assessment Background
A Focused Gastrointestinal Assessment
Common Gastrointestinal Conditions Seen on the Medical–Surgical Unit
NGT User Hints
Care of Patients with NGTs
8. Promoting Safety and Preventing Infection in Patients With Genitourinary Alterations
Genitourinary Assessment Background
A Focused Genitourinary Assessment
Risk Factors for Genitourinary Disorders
Common Genitourinary Disorders Seen on the Medical–Surgical Unit
Prevention of Catheter-Associated UTI
9. Promoting Healing, Preventing Altered Skin Integrity, and Preventing Wound Infection
Integumentary Assessment Background
A Focused Integumentary Assessment
Common Integumentary Disorders Seen on the Medical–Surgical Unit
10. Prevention and Treatment of Hip Fracture Along With Orthopedic Surgery Postoperative Care Tips
Musculoskeletal Assessment Background
A Focused Musculoskeletal Assessment
Common Musculoskeletal Conditions Seen on the Medical–Surgical Unit
11. Commonly Seen Endocrine Disorders and Care Tips
Endocrine System Assessment Background
A Focused Endocrine System Assessment
Common Endocrine System Conditions Seen on the Medical–Surgical Unit
Part III: Must-Have Resources for the Medical–Surgical Nurse
12. Medical–Surgical Resources to Assist You in Your New Role
Enteral Feeding Calculation
Intravenous Calculations
Fall Prevention
Measurement of Edema
Vital Signs
Syringe Size Selection
The Z-Track Method of Intramuscular Injections
Reducing Use of Restraints
Intravenous Solutions
Pain Scales
Transmission-Based Precautions
Intake and Output–A Lost “Art”
How to Calculate True Urine
Preventing Central Line–Associated Bloodstream Infections
Weighing Patients
Bibliography
Index
