Advanced Nursing Skills: Principles and Practice by Molly Courtenay

By Molly Courtenay

The elevated practices and new roles which nurses are presently venture are usually in components during which a legitimate wisdom of the lifestyles sciences is key. This publication examines a few complex nursing talents, in each one case describing the learn facts upon which the techniques mentioned are dependent in addition to the sensible elements of the systems themselves. the data of the existence sciences that underpins those abilities can also be awarded in each one bankruptcy and is often truly associated with the complex practices defined. even though aimed essentially at publish registered nurses, nurses present process pre-registration nurse schooling will locate this booklet precious as they themselves might be concerned to a restricted volume within the practices defined.

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Following the addition of a drug to infusion fluids, the solution must be mixed well and clearly labelled. During administration, the patient and the infusion fluid should be closely monitored. 2 Whatever the method selected it is essential that the practitioner, before administering the drug, removes any bandages and examines the cannula insertion site and ensures the patency of the vein. This form of injection may be used in the following situations:2 · A bolus injection in an emergency, given rapidly over a few seconds when a maximum concentration of the drug is required by vital organs.

It is hoped, that by identifying the knowledge base which underpins each of the advanced nursing skills described, along with the research evidence upon which each is based, that practitioners will be helped to feel competent in the many areas of expanded practice in which they are often involved. Although the book is primarily aimed at post registered nurses, nurses undergoing pre-registration nurse education will find this book helpful as they themselves will be involved to a limited extent in the practices described.

Page 25 Review questions answers 1. · Risk of bruising if a tourniquet is used · Bleeding if the patient or practitioner does not apply pressure for 5 min · Previous bruises/haematoma from venepuncture/cannulation which restricts sites 2. They cross an artery 3. · Fear of the procedure could trigger a response of the autonomic nervous system. This is known as a vasovagal reaction and could cause syncope and vasoconstriction and subsequent limited venous access · Veins that relate to the bruised area may cause further inflammation/extravasation depending on infusate through the cannula · Delayed inflammatory response; extravasation depending on the drug; chemical phlebitis and increased pressure on the vein if administered to quickly 4.

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