Advanced Practice Nursing Procedures

Here is an illustrated, easy to reference handbook with step-by-step instructions for the procedures most commonly performed by primary care clinicians in office, hospital, and other outpatient settings. Organized by major body systems, each section reviews the diagnostic procedures for that system, followed by all of the information you need to perform the procedure. Begin with a procedure overview and a list of methods for performing the procedure, followed by rationales, indications and contraindications. The procedure section lists the required equipment and provides step-by-step instructions for performing the procedure. You’ll also have CPT coding guidelines and health promotion and safety prevention tips for client teaching as well as post-procedure care. The Plus Code inside new, printed texts gives you access to the resources online at DavisPlus, including your Davis Digital Version and printable consent forms.

I. DERMATOLOGIC PROCEDURES Diagnostic Testing 1. Punch Biopsy 2. Skin Biopsy 3. Wood's Light Examination Procedures 4. Abscesses—Incision and Drainage: Furuncle, Felon, Paronychia, Pilonidal Cyst, Perianal Cyst 5. Bites—Ants, Arthropods (Spiders), Bees, and Wasps 6. Bites—Cat, Dog, and Humans 7. Burns—Debridement 8. Digital Nerve Block 9. Fishhook Removal 10. Nail Removal 11. Ring Removal 12. Sebaceous Cyst Removal 13. Skin Closure—Dermabond Application 14. Skin Lesion Removal—Cautery and Cryosurgery 15. Skin Lesion Removal—Keloids, Moles, Corns, Calluses 16. Skin Tag (Acrochordon) Removal 17. Soft Tissue Aspiration 18. Staple Insertion 19. Staple Removal 20. Steri Strip Application 21. Subungual Hematoma Excision 22. Suture Insertion 23. Suture Selection 24. Suture Removal 25. Tick Removal 26. Topical Hemostatic Agent Application 27. Ulcer Debridement II. MUSCULOSKELETAL PROCEDURES Diagnostic Testing 28. Bone Marrow Aspiration and Biopsy 29. Lumbar Puncture 30. X-ray Interpretation—Bones 31. Arthrocentesis 32. Compartment Syndrome Assessment Procedures 33. Clavicle Immobilization Techniques: Clavicle Strap, Figure 8, Sling and Swath 34. Crutch Walking 35. Dislocation Reduction 36. Ganglion Cyst Aspiration and Injection 37. Intra-articular and Bursa Corticosteroid Injection 38. Sling Application 39. Splinting and Taping 40. Trigger Point Injection III. GENITOURINARY AND BREAST PROCEDURES Diagnostic Testing 41. Bladder Catheterization Insertion and Removal 42. Breast Biopsy—FineNeedle Aspiration 43. Breast Examination 44. Colposcopy—Endocervical Curettage and Cervical Biopsy 45. Endometrial Biopsy 46. Specimen Collection—Gram's Stain, Wet Mount (Saline and KOH) 47. Specimen Collection—Papanicolaou (Pap) Smear Procedures 48. Administration of Vaginal Medications and Condoms 49. Bartholin Cyst Abscess—Incision and Drainage 50. Cervical Cap Fitting, Insertion, and Removal 51. Cervical Lesions—Cryotherapy 52. Circumcision and Dorsal Penile Nerve Block 53. Condyloma Acuminata Removal 54. Diaphragm Fitting, Insertion, and Removal 55. IUD Fitting, Insertion, and Removal 56. Nexplanon Insertion 57. Norplant Removal 58. Paracervical Nerve Block 59. Pessary Insertion Diagnostic Testing 60. Vaginal Examination 61. Vasectomy 62. At-Risk Fetal Assessment—Third Trimester Testing 63. Leopold’s Maneuver 64. Fundal Assessment 65. Obstetric Ultrasound Procedures 66. Emergency Delivery 67. Teaching Breast Feeding IV. HEAD: EYES, EARS, NOSE, AND MOUTH Diagnostic Testing 68. Audiometry Testing 69. Occipital Nerve Block 70. Tympanometry 71. Visual Function Evaluation—Snellen, Illiterate E, Pictorial Procedures—Eyes 72. Corneal Abrasion and Foreign Body Removal—Eye 73. Eye Drop Insertion 74. Eye Irrigation 75. Eye Trauma Stabilization 76. Eyebrow Laceration Repair 77. Eyelid Eversion Procedures—Ears/Nose 78. Auricular Hematoma Evacuation 79. Cerumen Impaction Removal—Irrigation of the Ear and Curette Technique 80. Ear Piercing 81. Epistaxis Control Procedures--Mouth 82. Laryngoscopy—Indirect and Direct Flexible 83. Nasal Lavage 84. Removal of Foreign Body—Ear and Nose 85. Frenotomy for Ankyloglossia 86. Lip Laceration Repair 87. Tongue Laceration Repair 88. Tooth Avulsion and Fracture VI. CARDIOVASCULAR PROCEDURES Diagnostic Testing 89. Doppler Technique 90. Electrocardiogram (ECG) Interpretation 91. Electrocardiogram (ECG) Lead Placement 92. Holter Monitor Application—Continuous 24-Hour Ambulatory Cardiac Monitoring 93. Stress Testing (Stress EKG) 94. Type of Pacemakers Procedures 95. Arterial Puncture 96. Blood Culture Specimen Collection 97. Capillary Blood Collection—Heel/Finger Stick 98. Central Venous Catheter Access (Portacath) 99. Defibrillation 100. Unna's Boot Application 101. Venipuncture VII. RESPIRATORY PROCEDURES Diagnostic Testing 102. Aerosol/Inhalation Administration (Nebulizer) 103. Assessing for Respiratory Distress 104. Peak Flow Meter 105. Pulmonary Function Testing (Spirometry) 106. Pulmonary Stress Test 107. X-ray Interpretation—Chest Procedures 108. Chest Tubes for Emergency Transport 109. Flail Chest Stabilization—With or Without Open Chest Wound 110. Stab/Penetrating Wound Stabilization VIII. GASTROINTESTINAL PROCEDURES Diagnostic Testing 111. Anoscopy 112. Hemoccult 113. Flexible Sigmoidoscopy 114. Urea Breath Test 115. X-ray Interpretation--Abdominal Procedures 116. Abdominal Paracentesis 117. Gastric Lavage 118. Inguinal Hernia Reduction 119. Nasogastric Tube Insertion 120. Percutaneous Endoscopic Gastrostomy (PEG) Tube Reinsertion 121. Perianl Skin Tags / External Hemorrhoidal Skin Tags 122. Pilonidal Cyst/Abscess Incision and Drainage (I&D) 123. Prostate Massage 124. Rectal Prolapse Reduction 125. Thrombosed Hemorrhoid Removal Glossary Index