
Canadian Clinical Nursing Skills and Techniques
- 1st Edition - May 21, 2019
- Imprint: Elsevier
- Authors: Shelley Cobbett, Anne G. Perry, Patricia A. Potter, Wendy R. Ostendorf
- Language: English
- eBook ISBN:9 7 8 - 1 - 7 7 1 7 2 - 2 1 2 - 4
Introducing the only fully comprehensive skills text on the market, distinctly for Canadian students! Canadian Clinical Nursing Skills and Techniques helps equip you with the skill… Read more

Purchase options

Institutional subscription on ScienceDirect
Request a sales quoteIntroducing the only fully comprehensive skills text on the market, distinctly for Canadian students! Canadian Clinical Nursing Skills and Techniques helps equip you with the skills you need to successfully care for patients within the Canadian social and institutional context. Building on the strength of Clinical Nursing Skills & Techniques’ comprehensive coverage of over 200 basic, intermediate and advanced skills, this textbook features nearly 1,000 full-colour photographs and drawings, a nursing process framework, step-by-step instructions with rationales, and a focus on critical thinking and evidence-informed practice. Written by the highly respected author team of Anne Griffin Perry, Patricia A. Potter, Wendy Ostendorf, and Canadian author Shelley L. Cobbett, it offers all the guidance and tools you need to perform nursing skills with complete confidence!
- Comprehensive coverage includes over 200 basic, intermediate, and advanced nursing skills.
- Streamlined theory content in each chapter features a quick, easy-to-read bullet format to help reduce repetition and emphasize the clinical focus of the book.
- Unique! Evidence-Informed Nursing Practice chapter covers the entire process of conducting research, including collecting, evaluating, and applying evidence from published research.
- Unique! Unexpected Outcomes and Related Interventions sections alert you to what might go wrong and how to appropriately intervene.
- Clinical Debriefs case-based review questions at the end of each chapter focus on issues such as managing conflict, care prioritization, patient safety, and decision-making to help you better prepare for the clinical setting.
- Nursing process framework incorporates the areas of delegation and collaboration; reporting and recording; safety guidelines; and teaching, pediatric, geriatric, and home care considerations.
- Basic skills presented in streamlined procedural guidelines format makes it easy learn and review basic nursing skills.
- Clinical Decision Points within skills address key safety issues or possible skill modifications for specific patient needs.
- Rationales for each skill step explain why steps are performed in a specific way, including their clinical significance and benefit, and incorporate the latest research findings.
- Video clip icons indicate video clips that are related to skills and procedures in the book and related lessons in Nursing Skills Online.
- Cover image
- Title Page
- Table of Contents
- Copyright
- Dedication
- About the Authors
- Contributors
- Reviewers
- Preface to the Student
- Preface to the Instructor
- Classic Features
- Features of the First Canadian Edition
- Learning Supplements for Students
- Teaching Supplements for Instructors
- Multimedia Supplements for Instructors and Students
- Unit 1 Supporting the Patient Through the Health Care System
- 1 Evidence-Informed Nursing Practice
- Purpose
- Standards of Care
- Principles for Practice
- Knowledge-to-Action Framework
- Clinical Debrief
- Review Questions
- References
- 2 Transitions in Care
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 2.1 Admitting Patients
- SKILL 2.2 Transitioning Patients
- SKILL 2.3 Discharging Patients
- Clinical Debrief
- Review Questions
- References
- 3 Communication and Collaboration
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 3.1 Establishing the Nurse–Patient Relationship
- SKILL 3.2 Communicating With Patients Who Have Difficulty Coping
- SKILL 3.3 Communicating With a Cognitively Impaired Patient
- SKILL 3.4 Communicating With Colleagues
- Clinical Debrief
- Review Questions
- References
- 4 Documentation and Informatics
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- Common Record-Keeping Forms or Screens
- Charting Systems
- Documentation of Care in the Community
- Long-Term Health Care Documentation
- Clinical Debrief
- Review Questions
- References
- Unit 2 Infection Control
- 5 Medical Asepsis
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 5.1 Hand Hygiene
- SKILL 5.2 Caring for Patients Under Transmission-Based Precautions
- Clinical Debrief
- Review Questions
- References
- 6 Sterile Technique
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 6.1 Applying and Removing Cap, Mask, and Protective Eyewear
- SKILL 6.2 Preparing a Sterile Field
- SKILL 6.3 Sterile Gloving
- Clinical Debrief
- Review Questions
- References
- Unit 3 Vital Signs and Physical Assessment
- 7 Vital Signs
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 7.1 Measuring Body Temperature
- SKILL 7.2 Assessing Radial Pulse
- SKILL 7.3 Assessing Apical Pulse
- SKILL 7.4 Assessing Respirations
- SKILL 7.5 Assessing Arterial Blood Pressure
- Clinical Debrief
- Review Questions
- References
- 8 Health Assessment
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- Assessment Techniques
- Preparation for Assessment
- Physical Assessment of Various Age Groups
- SKILL 8.1 General Survey
- SKILL 8.2 Head and Neck Assessment
- SKILL 8.3 Thorax and Lung Assessment
- SKILL 8.4 Cardiovascular Assessment
- SKILL 8.5 Abdominal Assessment
- SKILL 8.6 Genitalia and Rectum Assessment
- SKILL 8.7 Musculoskeletal and Neurological Assessment
- Clinical Debrief
- Review Questions
- References
- Unit 4 Special Procedures
- 9 Specimen Collection
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 9.1 Urine Specimen Collection: Midstream (Clean-Voided) and Sterile Urinary Catheter
- SKILL 9.2 Measuring Occult Blood in Stool
- SKILL 9.3 Measuring Occult Blood in Gastric Secretions (Gastroccult)
- SKILL 9.4 Collecting Nose and Throat Specimens for Culture
- SKILL 9.5 Obtaining Vaginal or Urethral Discharge Specimens
- SKILL 9.6 Collecting a Sputum Specimen by Suction
- SKILL 9.7 Obtaining Wound Specimens for Culture
- SKILL 9.8 Collecting Blood Specimens and Culture by Venipuncture (Syringe and Vacutainer Method)
- SKILL 9.9 Blood Glucose Monitoring
- SKILL 9.10 Obtaining an Arterial Specimen for Blood Gas Measurement
- Clinical Debrief
- Review Questions
- References
- 10 Diagnostic Procedures
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 10.1 Intravenous Moderate (Conscious) Sedation
- SKILL 10.2 Contrast Media Studies: Arteriogram (Angiogram), Cardiac Catheterization, and Intravenous Pyelogram
- SKILL 10.3 Assisting With Aspirations: Bone Marrow Aspiration/Biopsy, Lumbar Puncture, Paracentesis, and Thoracentesis
- SKILL 10.4 Care of a Patient Undergoing Bronchoscopy
- SKILL 10.5 Care of a Patient Undergoing Endoscopy
- Clinical Debrief
- Review Questions
- Referencecs
- Unit 5 Activity and Mobility
- 11 Safe Patient Handling, Transfer, and Positioning
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 11.1 Using Safe and Effective Transfer Techniques
- SKILL 11.2 Moving and Positioning Patients in Bed
- Clinical Debrief
- Review Questions
- References
- 12 Exercise and Mobility
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 12.1 Promoting Early Activity and Exercise
- SKILL 12.2 Assisting With Use of Canes, Walkers, and Crutches
- Clinical Debrief
- Review Questions
- References
- 13 Support Surfaces and Special Beds
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 13.1 Placing a Patient on a Support Surface
- SKILL 13.2 Placing a Patient on a Special Bed
- Clinical Debrief
- Review Questions
- References
- Unit 6 Safety and Comfort
- 14 Patient Safety
- Purpose
- Standarads of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 14.1 Fall Prevention in Health Care Facilities
- SKILL 14.2 Designing a Restraint-Free Environment
- SKILL 14.3 Applying Physical Restraints
- SKILL 14.4 Seizure Precautions
- Clinical Debrief
- Review Questions
- References
- 15 Emergency Preparedness and Disaster Management
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 15.1 Care of a Patient After Biological Exposure
- SKILL 15.2 Care of a Patient After Chemical Exposure
- SKILL 15.3 Care of a Patient After Radiation Exposure
- Clinical Debrief
- Review Questions
- References
- 16 Pain Assessment and Management
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 16.1 Pain Assessment and Basic Comfort Measures
- SKILL 16.2 Patient-Controlled Analgesia
- SKILL 16.3 Epidural Analgesia
- SKILL 16.4 Peripheral Nerve Blocks for Analgesia
- SKILL 16.5 Nonpharmacological Pain Management
- Clinical Debrief
- Review Questions
- References
- 17 Palliative Care
- Palliative Care in Canada
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Communication and Collaborative Care Planning
- SKILL 17.1 Optimizing Comfort and Quality of Life
- End-of-Life Care
- SKILL 17.2 Care of a Person's Body After Death
- SKILL 17.3 Supporting Ill Persons and Families in Grief
- Clinical Debrief
- Review Questions
- References
- Unit 7 Hygiene
- 18 Personal Hygiene and Bed Making
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- The Skin
- The Mouth
- Eyes, Ears, and Hair
- The Nails
- SKILL 18.1 Complete or Partial Bed Bath
- SKILL 18.2 Oral Hygiene
- SKILL 18.3 Performing Mouth Care for an Unconscious or Debilitated Patient
- SKILL 18.4 Performing Nail and Foot Care
- Clinical Debrief
- Review Questions
- References
- 19 Care of the Eye and Ear
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 19.1 Eye Irrigation
- SKILL 19.2 Ear Irrigation
- SKILL 19.3 Care of Hearing Aids
- Clinical Debrief
- Review Questions
- References
- Unit 8 Medications
- 20 Safe Medication Preparation
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Nursing Process
- Reporting Medication Errors
- Medication Error Disclosure
- Patient and Caregiver Teaching
- Clinical Debrief
- Review Questions
- References
- 21 Nonparenteral Medications
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 21.1 Administering Oral Medications
- SKILL 21.2 Administering Medications Through a Feeding Tube
- SKILL 21.3 Applying Topical Medications to the Skin
- SKILL 21.4 Administering Ophthalmic Medications
- SKILL 21.5 Administering Ear Medications
- SKILL 21.6 Administering Nasal Instillations
- SKILL 21.7 Using Metered-Dose Inhalers (MDIs)
- SKILL 21.8 Using Small-Volume Nebulizers
- SKILL 21.9 Administering Vaginal Instillations
- SKILL 21.10 Administering Rectal Suppositories
- Clinical Debrief
- Review Questions
- References
- 22 Parenteral Medications
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 22.1 Preparing Injections: Ampoules and Vials
- SKILL 22.2 Administering Intradermal Injections
- SKILL 22.3 Administering Subcutaneous Injections
- SKILL 22.4 Administering Continuous Subcutaneous Medications
- SKILL 22.5 Administering Intramuscular Injections
- SKILL 22.6 Administering Medications by Intravenous Bolus
- SKILL 22.7 Administering Intravenous Medications by Piggyback, Intermittent Infusion Sets, and Mini-Infusion Pumps
- Clinical Debrief
- Review Questions
- References
- Unit 9 Oxygenation
- 23 Oxygen Therapy
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 23.1 Applying an Oxygen-Delivery Device
- SKILL 23.2 Administering Oxygen Therapy to a Patient With an Artificial Airway
- SKILL 23.3 Using Incentive Spirometry
- SKILL 23.4 Care of a Patient Receiving Noninvasive Positive-Pressure Ventilation
- SKILL 23.5 Care of a Patient on a Mechanical Ventilator
- Clinical Debrief
- Review Questions
- References
- 24 Performing Chest Physiotherapy
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 24.1 Performing Postural Drainage
- Clinical Debrief
- Review Questions
- References
- 25 Airway Management
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 25.1 Performing Oropharyngeal Suctioning
- SKILL 25.2 Airway Suctioning
- SKILL 25.3 Performing Endotracheal Tube Care
- SKILL 25.4 Performing Tracheostomy Care
- Clinical Debrief
- Review Questions
- References
- 26 Cardiac Care
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 26.1 Obtaining a 12-Lead Electrocardiogram
- SKILL 26.2 Applying a Cardiac Monitor
- Clinical Debrief
- Review Questions
- References
- 27 Closed Chest Drainage Systems
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 27.1 Managing Closed Chest Drainage Systems
- SKILL 27.2 Assisting With Removal of Chest Tubes
- SKILL 27.3 Autotransfusion of Chest Tube Drainage
- Clinical Debrief
- Review Questions
- References
- 28 Emergency Measures for Life Support
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 28.1 Inserting an Oropharyngeal Airway
- SKILL 28.2 Inserting a Nasopharyngeal Airway
- SKILL 28.3 Code Management
- Clinical Debrief
- Review Questions
- References
- Unit 10 Fluid Balance
- 29 Vascular Access and Infusion Therapy
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 29.1 Insertion of a Short-Peripheral Intravenous Access Device
- SKILL 29.2 Initiating and Regulating Intravenous Infusions
- SKILL 29.3 Changing Intravenous Solution Containers
- SKILL 29.4 Changing Administration Sets (Infusion Tubing)
- SKILL 29.5 Changing a Short-Peripheral Venous Access Device Dressing
- SKILL 29.6 Caring for Patients With Central Vascular Access Devices
- Clinical Debrief
- Review Questions
- References
- 30 Blood Therapy
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Interprofessional Collaboration
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 30.1 Initiating Blood Therapy
- SKILL 30.2 Monitoring for Adverse Transfusion Reactions
- Clinical Debrief
- Review Questions
- References
- Unit 11 Nutrition
- 31 Oral Nutrition
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 31.1 Performing a Nutritional Screening and Physical Examination
- SKILL 31.2 Assisting an Adult Patient With Oral Nutrition
- SKILL 31.3 Aspiration Precautions
- Clinical Debrief
- Review Questions
- References
- 32 Enteral Nutrition
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 32.1 Inserting and Removing a Small-Bore Nasogastric or Nasoenteric Feeding Tube
- SKILL 32.2 Verifying Feeding Tube Placement
- SKILL 32.3 Irrigating a Feeding Tube
- SKILL 32.4 Administering Enteral Nutrition: Nasoenteric, Gastrostomy, or Jejunostomy Tube
- Clinical Debrief
- Review Questions
- References
- 33 Parenteral Nutrition
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 33.1 Administering Central Parenteral Nutrition
- SKILL 33.2 Administering Peripheral Parenteral Nutrition with Lipid (Fat) Emulsion
- Clinical Debrief
- Review Questions
- References
- Unit 12 Elimination
- 34 Urinary Elimination and Catheterization
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 34.1 Insertion of a Straight or an In-dwelling Urinary Catheter
- SKILL 34.2 Care and Removal of an In-dwelling Catheter
- SKILL 34.3 Performing Closed Urinary Catheter Irrigation
- SKILL 34.4 Applying a Condom-Type External Catheter
- SKILL 34.5 Suprapubic Catheter Care
- Clinical Debrief
- Review Questions
- References
- 35 Bowel Elimination and Gastric Intubation
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 35.1 Providing a Bedpan
- SKILL 35.2 Removing Fecal Impaction Digitally
- SKILL 35.3 Administering an Enema
- SKILL 35.4 Insertion, Maintenance, and Removal of a Nasogastric Tube for Gastric Decompression
- Clinical Debrief
- Review Questions
- References
- 36 Ostomy Care
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 36.1 Pouching a Colostomy or an Ileostomy
- SKILL 36.2 Pouching a Urostomy
- SKILL 36.3 Catheterizing a Urinary Diversion
- Clinical Debrief
- Review Questions
- References
- Unit 13 Care of the Surgical Patient
- 37 Preoperative and Postoperative Care
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 37.1 Preoperative Assessment
- SKILL 37.2 Preoperative Teaching
- SKILL 37.3 Physical Preparation for Surgery
- SKILL 37.4 Providing Immediate Anaesthesia Recovery in the Postanaesthesia Care Unit
- SKILL 37.5 Providing Early Postoperative and Convalescent-Phase Recovery
- Clinical Debrief
- Review Questions
- References
- 38 Intraoperative Care
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 38.1 Surgical Hand Antisepsis
- SKILL 38.2 Donning a Sterile Gown and Closed Gloving
- Clinical Debrief
- Review Questions
- References
- Unit 14 Dressings and Wound Care
- 39 Prevention and Care of Skin Breakdown
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 39.1 Risk Assessment, Skin Assessment, and Prevention Strategies: Pressure Injury
- SKILL 39.2 a Wound Irrigation
- SKILL 39.3 Removing Sutures and Staples
- SKILL 39.4 Managing Wound Drainage Evacuation
- SKILL 39.5 Negative-Pressure Wound Therapy
- Clinical Debrief
- Review Questions
- References
- 40 Wound Care Management and Dressings
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 40.1 Applying a Dry Dressing
- SKILL 40.2 Applying a Pressure Bandage
- SKILL 40.3 Applying a Transparent Dressing
- SKILL 40.4 Applying a Hydrocolloid, Hydrogel, Foam, Alginate Dressing, or Hydrofibre Dressing
- Clinical Debrief
- Review Questions
- References
- 41 Therapeutic Use of Heat and Cold
- Purpose
- Standards of Care
- Principles for Practice
- Patient-Centred Care
- Evidence-Informed Practice
- Safety Guideliines
- SKILL 41.1 Application of Moist Heat (Compress and Sitz Bath)
- SKILL 41.2 Applying Aquathermia and Dry Heat
- SKILL 41.3 Application of Cold
- SKILL 41.4 Caring for Patients Requiring Hypothermia or Hyperthermia Blankets
- Clinical Debrief
- Review Questions
- References
- Unit 15 Nursing in the Community
- 42 Safety in the Community
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 42.1 Home Environment Assessment and Safety
- SKILL 42.2 Adapting the Home Setting for Patients With Cognitive Deficits
- SKILL 42.3 Medication and Medical Device Safety
- Clinical Debrief
- Review Questions
- References
- 43 Self-Care Teaching in the Community
- Purpose
- Standards of Care
- Principles for Practice
- Person-Centred Care
- Evidence-Informed Practice
- Safety Guidelines
- SKILL 43.1 Teaching Patients to Measure Body Temperature
- SKILL 43.2 Teaching Blood Pressure and Pulse Measurement
- SKILL 43.3 Teaching Intermittent Self-Catheterization
- SKILL 43.4 Using Home Oxygen Equipment
- SKILL 43.5 Teaching Home Tracheostomy Care and Suctioning
- SKILL 43.6 Teaching Medication Self-Administration
- SKILL 43.7 Managing Feeding Tubes in the Home
- SKILL 43.8 Managing Parenteral Nutrition in the Home
- Clinical Debrief
- Review Questions
- References
- Answer Key
- Appendix A
- Terminology/Combining Forms: Prefixes and Suffixes
- Common Prefixes
- Common Suffixes
- Index
- Index of Skills and Procedural Guidelines
- Edition: 1
- Published: May 21, 2019
- Imprint: Elsevier
- Language: English
- eBook ISBN: 9781771722124
SC
Shelley Cobbett
AP
Anne G. Perry
PP
Patricia A. Potter
WO