Advanced Practice Nursing Procedures

• New, Revised & Updated! Thoroughly reviewed to incorporate the newest evidence and changes in health care
• New! New, full-color content and illustrations for suture insertion, X-ray interpretation, pessary insertion, and more
• Comprehensive collection of 110 procedures commonly performed by adult and family nurse practitioners in various care settings.

• Coding Guidelines—CPT codes as well as modifiers
• Procedure Overview—Causes, incidence, and other procedure-specific information
• Health Promotion/Prevention—Tips to pass on to the client to promote health or prevent the need for the procedure in the future
• Options—One to four methods of performing the procedure and offers a choice of how to perform the procedure
• Rationale—The reasons to perform the procedure
• Indications and Contraindications—When the procedure should/should not be performed
• Procedure—The required equipment and illustrated, step-by-step instructions for performing each procedure listed under “Options.”
• Client Instructions—Post-procedure instructions for the client.
• Bibliography—Sources for additional information.

I.DERMATOLOGICAL 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: Cats, Dogs, 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.Suture Insertion
22.Suture Selection
23.Suture Removal
24.Tick Removal
25.Topical Hemostatic Agent Application
26.Ulcer Debridement
II.MUSCULOSKELETAL PROCEDURES
Diagnostic Testing
27.X-Ray Interpretation: Bones
Procedures
28.Arthrocentesis
29.Compartment Syndrome Assessment
30.Clavicle Immobilization Techniques: Clavicle Strap, Figure Eight, Sling and Swath
31.Dislocation Reduction
32.Ganglion Cyst Aspiration and Injection
33.Intra-Articular and Bursa Corticosteroid Injection
34.Sling Application
35.Splinting and Taping
36.Trigger Point Injection
III.GENITOURINARY AND BREAST PROCEDURES
Diagnostic Testing
37.Breast Biopsy: Fine Needle Aspiration
38.Breast Examination
39.Colposcopy: Endocervical Curettage and Cervical Biopsy
40.Endometrial Biopsy
41.Specimen Collection: Gram Stain, Wet Mount (Saline and KOH)
42.Specimen Collection: Papanicolaou (Pap) Smear
Procedures
43.Administration of Vaginal Medications and Condoms
44.Bartholin Cyst Abscess: Incision and Drainage
45.Cervical Cap Fitting, Insertion, and Removal
46.Cervical Lesions: Cryotherapy
47.Condyloma Acuminata Removal
48.Diaphragm Fitting, Insertion, and Removal
49.IUD Fitting, Insertion, and Removal
50.Nexplanon Insertion
51.Nexplanon Removal
52.Paracervical Nerve Block
53.Pessary Insertion
54.Vaginal Examination
IV.OBSTETRICAL PROCEDURES
Diagnostic Testing
55.At-Risk Fetal Assessment: Third-Trimester Testing
56.Leopold’s Maneuver
57.Fundal Assessment
58.Obstetric Ultrasound
Procedures
59.Emergency Delivery
60.Teaching Breastfeeding
V.HEAD: EYES, EARS, NOSE, AND MOUTH
Diagnostic Testing
61.Audiometry Testing
62.Tympanometry
63.Visual Function Evaluation: Snellen, Illiterate E, Pictorial
Procedures—Eyes
64.Corneal Abrasion and Foreign Body Removal: Eye
65.Eye Drop Insertion
66.Eye Irrigation
67.Eye Trauma Stabilization
68.Eyebrow Laceration Repair
69.Eyelid Eversion
Procedures—Ears/Nose
70.Auricular Hematoma Evacuation
71.Cerumen Impaction Removal: Irrigation of the Ear and Curette Technique
72.Epistaxis Control
73.Laryngoscopy: Indirect and Direct Flexible
74.Nasal Lavage (Irrigation)
75.Removal of Foreign Body: Ear and Nose
Procedures—Mouth
76.Frenotomy for Ankyloglossia
77.Lip Laceration Repair
78.Tongue Laceration Repair
VI.CARDIOVASCULAR PROCEDURES
Diagnostic Testing
79.Doppler Technique
80.Electrocardiogram (EKG) Interpretation
81.Electrocardiogram (EKG) Lead Placement
82.Holter Monitor Application: Continuous 24-Hour Ambulatory Cardiac Monitoring
83.Stress Testing (Stress EKG)
84.Types of Pacemakers
Procedures
85.Arterial Puncture
86.Central Venous Catheter Access (Portacath)
87.Defibrillation
88.Unna’s Boot Application
VII.RESPIRATORY PROCEDURES
Diagnostic Testing
89.Aerosol/Inhalation Administration (Nebulizer)
90.Assessing Respiratory Distress
91.Peak Flowmeter vs Incentive Spirometer
92.Pulmonary Function Testing (Spirometry)
93.Pulmonary Stress Test
94.X-Ray Interpretation: Chest
Procedures
95.Chest Tubes for Emergency Transport
96.Flail Chest Stabilization: With or Without Open Chest Wound
97.Stab/Penetrating Wound Stabilization
VIII.GASTROINTESTINAL PROCEDURES
Diagnostic Testing
98.Anoscopy
99.Hemoccult
100.Flexible Sigmoidoscopy
101.Urea Breath Test
102.X-Ray Interpretation: Abdominal
Procedures
103.Gastric Lavage
104.Inguinal Hernia Reduction
105.Percutaneous Endoscopic Gastrostomy (PEG) Tube Reinsertion
106.Perianal Skin Tags/External Hemorrhoidal Skin Tags
107.Pilonidal Cyst/Abscess Incision and Drainage (I&D)
108.Prostate Massage
109.Rectal Prolapse Reduction
110.Thrombosed Hemorrhoid Removal
Glossary

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