Written by foremost experts in the field, the 3rd Edition of Essential Clinical Procedures presents the latest common diagnostic and treatment-related procedures that you need to know as a physician assistant! Clear and concise, this medical reference book leads you step-by-step through over 70 techniques commonly seen in primary care and specialist settings, equipping you to deliver the best and safest care to your patients.
- Visualize procedures and other important concepts clearly
through over 300 high-quality illustrations.- Ensure the safe execution of procedures with a focus on patient preparation and the proper use of instruments, as well as highlighted warnings to alert you to potential dangers that can occur when performing various treatments.
- Be fully prepared for any situation with guidance on the possible complications, rationales, and precautions behind many common procedures.
- Understand the ins and outs of nonprocedural issues, including informed consent, standard precautions, patient education, and procedure documentation.
- Get all the hands-on guidance you need to provide safe and effective care to your patients with Essential Clinical Procedures!
- Understand the "must-know" aspects of the most commonly seen conditions
with a systematic presentation featuring consistent headings and supporting color images. - Quickly access core information through high-yield margin notes and consistent formatting across all chapters.
- Stay abreast of the latest procedures with a brand-new chapter and images on Reduction of the Shoulder/Finger Subluxations, plus many other updates throughout.
- Access the fully searchable text online at www.expertconsult.com!
Author(s): Richard W. Dehn MPA PA-C, David P. Asprey PhD PA-C
Edition: 3
Publisher: Saunders
Year: 2013
Language: English
Pages: 464
Front Cover
IFC
ESSENTIAL CLINICAL PROCEDURES
ACKNOWLEDGMENTS
PREFACE
CONTRIBUTORS
CONTENTS
Chapter 01 - Informed Consent
REFERENCES
BIBLIOGRAPHY
Chapter 02 - Standard Precautions
BACKGROUND AND HISTORY
BODY SUBSTANCE ISOLATION
UNIVERSAL PRECAUTIONS
STANDARD PRECAUTIONS
GLOVES, GOWNS, MASKS, AND OTHER PROTECTIVE BARRIERS AS PART OF UNIVERSAL PRECAUTIONS
THE APPLICATION OF STANDARD PRECAUTIONS IN CLINICAL PROCEDURES
REFERENCES
BIBLIOGRAPHY
Chapter 03 - Sterile Technique
BACKGROUND AND HISTORY
PRINCIPLES OF STERILE TECHNIQUE
SURGICAL HAND SCRUB
MATERIALS FOR THE HAND SCRUB
MATERIALS TO PREPARE THE PROCEDURE SITE
MATERIALS FOR DRAPING A PATIENT AND THE PROCEDURE SITE
SPECIAL CONSIDERATIONS
REFERENCES
Chapter 04 - Blood Pressure Measurement
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
TIME OF MEASUREMENT
MATERIALS FOR BLOOD PRESSURE MEASUREMENT
SPECIAL CONSIDERATIONS
MATERIALS FOR MEASURING ORTHOSTATIC BLOOD PRESSURE
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 05 - Venipuncture
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 06 - Obtaining Blood Cultures
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
REVIEW OF ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 07 - Inserting Intravenous Catheters
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 08 - Arterial Puncture
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCE
BIBLIOGRAPHY
Chapter 09 - Injections
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 10 - Recording an Electrocardiogram
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 11 - Exercise Stress Testing
PROCEDURE GOALS AND OBJECTIVES
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE
REFERENCES
BIBLIOGRAPHY
Chapter 12 - Endotracheal Intubation
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 13 - Office Pulmonary Function Testing
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS AND PATIENT CONSIDERATIONS
ECONOMICS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 14 - Nasogastric Tube Placement
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCE
BIBLIOGRAPHY
Chapter 15 - Lumbar Puncture
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 16 - Urinary Bladder Catheterization
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
TYPES OF CATHETERS
CATHETER SIZE REQUIREMENTS
FOLLOW-UP CARE AND INSTRUCTIONS
BIBLIOGRAPHY
Chapter 17 - Epistaxis and Nasal Foreign Body Removal
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
CAUSE OF NASAL BLEEDING AND PATHOPHYSIOLOGY
PATIENT PREPARATION
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
CONTRAINDICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 18 - The Pelvic Examination and Obtaining a Routine Papanicolaou Smear
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
INTERPRETATION OF THE PAP SMEAR
REFERENCES
BIBLIOGRAPHY
Chapter 19 - Reduction of the Shoulder/Finger Subluxations
INDICATION
CLINICAL SYMPTOMS
DIAGNOSIS
MATERIALS
POTENTIAL COMPLICATIONS
TREATMENT
FOLLOW-UP CARE AND INSTRUCTIONS
BACKGROUND AND HISTORY
INDICATION
CLINICAL SYMPTOMS
REFERRAL DECISIONS
REFERENCES
BIBLIOGRAPHY
Chapter 20 - Joint and Bursal Aspiration
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PATHOPHYSIOLOGY: JOINT ASPIRATION
PATIENT PREPARATION: JOINT ASPIRATION
FOLLOW-UP CARE AND INSTRUCTIONS: JOINT ASPIRATION
ESSENTIAL ANATOMY AND PHYSIOLOGY: BURSAL ASPIRATION
PATIENT PREPARATION: BURSAL ASPIRATION
FOLLOW-UP CARE AND INSTRUCTIONS: BURSAL ASPIRATION
REFERENCES
BIBLIOGRAPHY
Chapter 21 - Casting and Splinting
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
EXPECTED OUTCOMES
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
MATERIALS USED FOR APPLYING A SHORT-ARM CAST
MATERIALS USED FOR APPLYING A SHORT-LEG CAST
FOLLOW-UP CARE AND INSTRUCTIONS
BIBLIOGRAPHY
Chapter 22 - Local Anesthesia
BACKGROUND AND HISTORY
ESSENTIAL ANATOMY AND PHYSIOLOGY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
PATIENT PREPARATION
MATERIALS USED FOR ADMINISTERING ANESTHETICS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 23 - Wound Closure
PROCEDURE GOALS AND OBJECTIVES
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS USED TO PERFORM SUTURING
SPECIAL CONSIDERATIONS
MATERIALS USED FOR USING SKIN STAPLERS
MATERIALS USED FOR APPLYING WOUND ADHESIVES
FOLLOW-UP CARE AND INSTRUCTIONS FOR SUTURED OR STAPLED WOUNDS
FOLLOW-UP CARE AND INSTRUCTIONS FOR ADHESIVE-CLOSED WOUNDS
EXAMPLE OF A WOUND CLOSURE PROCEDURE NOTE
REFERENCE
BIBLIOGRAPHY
Chapter 24 - Dermatologic Procedures
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS USED TO PERFORM A SNIP BIOPSY
MATERIALS USED TO PERFORM A CURETTAGE
FOLLOW-UP CARE AND INSTRUCTIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
PATIENT PREPARATION
MATERIALS USED TO PERFORM A PUNCH BIOPSY
FOLLOW-UP CARE AND INSTRUCTIONS
POTENTIAL COMPLICATIONS
PATIENT PREPARATION
MATERIALS USED TO PERFORM AN EXCISIONAL BIOPSY
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
PATIENT PREPARATION
MATERIALS USED TO PERFORM ELECTROSURGERY
FOLLOW-UP CARE AND INSTRUCTIONS
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
PATIENT PREPARATION
MATERIALS USED TO PERFORM ACNE SURGERY
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 25 - Incision and Drainage of an Abscess
PROCEDURE GOALS AND OBJECTIVES
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
CLINICAL EVALUATION
TREATMENT
SOURCE OF INFECTION
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
PAIN RELIEF
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCE
BIBLIOGRAPHY
Chapter 26 - Wound Dressing Techniques
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
CONCLUSION AND RESOURCES
REFERENCES
BIBLIOGRAPHY
Chapter 27 - Cryosurgery
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 28 - Treating Ingrown Toenails
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 29 - Draining Subungual Hematomas
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
BIBLIOGRAPHY
Chapter 30 - Anoscopy
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 31 - Flexible Sigmoidoscopy
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 32 - Removal of Cerumen and Foreign Bodies from the Ear
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
hapter 33 - Trauma-Oriented Ocular Examination, Corneal Abrasion, and Ocular Foreign Body Removal
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
CAUTIONS AND CONSIDERATIONS
COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
Chapter 34 - Endometrial Biopsy
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
FOLLOW-UP CARE AND INSTRUCTIONS
SUPPLEMENTARY AND ALTERNATIVE PROCEDURES
REFERENCES
Chapter 35 - Foot Examination of the Patient with Diabetes
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
ESSENTIAL ANATOMY AND PHYSIOLOGY
PATIENT PREPARATION
MATERIALS
SPECIAL CONSIDERATIONS
FOLLOW-UP CARE AND INSTRUCTIONS
REFERENCES
BIBLIOGRAPHY
Chapter 36 - Procedural Sedation
BACKGROUND AND HISTORY
INDICATIONS
CONTRAINDICATIONS
POTENTIAL COMPLICATIONS
PATIENT PREPARATION
ESSENTIAL ANATOMY AND PHYSIOLOGY
MATERIALS
MONITORING
AGENTS FOR PROCEDURAL SEDATION
DISCHARGE CRITERIA
REFERENCES
CHAPTER 37 - PATIENT EDUCATION CONCEPTSFN1*
A MODEL FOR PATIENT EDUCATION
SPECIFIC SUGGESTIONS FOR ENHANCING THE PATIENT EDUCATION PROCESS
OTHER FACTORS INFLUENCING PATIENT EDUCATION
CONCLUSION
REFERENCES
Chapter 38 - Outpatient Coding for Medical Services
BACKGROUND AND HISTORY
PURPOSE OF ACCURATE MEDICAL RECORD DOCUMENTATION
THE CODING PROCESS
CRITERIA IN SELECTING THE PROPER EVAULATION AND MANAGEMENT SERVICE CODES
MEDICAL DECISION-MAKING
SUMMARY
REFERENCES
BIBILOGRAPHY
Chapter 39 - Documentation
BACKGROUND AND HISTORY
OTHER POINTS FOR CONSIDERATION IN RECORDING CLINICAL PROCEDURES
CLINICAL PROCEDURE NOTES
CLINICAL PROCEDURE NOTE FORMAT
CONCLUSION
BIBLIOGRAPHY
Chapter 40 - Giving Sad and Bad News
BACKGROUND AND HISTORY
INDICATIONS
PREPARING TO SHARE BAD NEWS
A PROCEDURE FOR SHARING BAD NEWS
CONCLUSION AND FURTHER THOUGHTS
REFERENCES
BIBLIOGRAPHY
INDEX
IBC
