ENFERMERÍA CLÍNICA DE TAYLOR. MANUAL DE COMPETENCIAS Y PROCEDIMIENTOS. 2ª EDICIÓN

A
1) Ambulation, Assisting a Patient with
2) Ambulation Using a Cane, Assisting a Patient with
3) Ambulation Using Crutches, Assisting a Patient with
4) Ambulation Using a Walker, Assisting a Patient with
5) Arterial Catheters, Peripheral, Removing

B
6) Back Massage, Giving
7) Bandage, Applying a Figure-Eight
8) Bath: Bed, Providing
9) Bath: Shower or Tub, Assisting With
10) Bath: Sitz, Assisting with
11) Bed Making, Occupied
12) Bed Making, Unoccupied
13) Bed Scale, Using
14) Bedpan, Assisting with the Use of
15) Bladder Irrigation, Continuous Closed Bladder Irrigation (CBI), Administering
16) Bladder Volume: Assessing Using an Ultrasound Bladder Scanner
17) Blood Glucose Testing, Obtaining a Capillary Sample
18) Blood Pressure, Assessing Brachial Artery Auscultated
19) Blood Pressure, Assessing Using a Doppler Ultrasound
20) Blood Pressure, Assessing Using an Electronic Automated Monitor
21) Blood Sample, Obtaining from Arterial Catheter
22) Blood Sample, Using Venipuncture for Routine Testing
23) Blood Specimen: Culture and Sensitivity
24) Blood Specimen, Obtaining for Arterial Blood Gas Analysis
25) Blood Transfusing, Administering

C
26) Cardiac Monitor, Applying
27) Cardiopulmonary Resuscitation (CPR), Performing
28) Cast Application, Assisting With
29) Cast Care
30) Catheter Irrigation, Closed Intermittent, Performing
31) Central Venous Access Device (CVAD): Accessing an Implanted Port
32) Central Venous Access Device (CVAD): Changing Site Dressing and Flushing
33) Central Venous Access Device (CVAD): Deaccessing an Implanted Port
34) Central Venous Access Device (CVAD): Removing a Peripherally Inserted Central Catheter (PICC)
35) Cervical Collar, Applying a Two-Piece
36) Chest Drainage System, Providing Care for a
37) Chest Tube, Assisting with Removal of a
38) Cold Therapy, Applying
39) Colostomy, Irrigating
40) Comfort, Promoting Patient
41) Commode, Bedside: Assisting with Use
42) Compress, Applying a Warm
43) Condom Catheter, Applying
44) Contact Lenses, Removing
45) Continuous Passive Motion Device (CPM), Applying

D
46) Deep Breathing Exercises, Coughing and Splinting, Teaching
47) Defibrillation, Performing Automated External (Emergency)
48) Defibrillation, Performing Manual External (Emergency, Asynchronous)
49) Denture Care, Providing
50) Drain: Hemovac, Caring for
51) Drain: Jackson-Pratt, Caring for
52) Drain: Penrose, Caring for
53) Drain: T-tube, Caring for
54) Dressing: Changing a Peripheral Venous Access
55) Dressing: Cleaning a Wound and Applying a Dry, Sterile
56) Dressing: Hydrocolloid, Applying
57) Dressing: Saline-Moistened, Applying

E
58) Ear Drops, Instilling
59) Ear Irrigation, Administering
60) Eating, Assisting a Patient With
61) Electrocardiogram (ECG), Obtaining
62) Endotracheal Tube, Securing
63) Endotracheal Tube: Closed System, Suctioning
64) Endotracheal Tube: Open System, Suctioning
65) Enema: Large-Volume Cleansing, Administering
66) Enema: Retention, Administering
67) Enema: Small-Volume Cleansing, Administering
68) Epidural Analgesia, Caring for a Patient Receiving
69) External Fixation, Caring for a Patient with
70) Eye Drops, Instilling
71) Eye Irrigation, Administering

F
72) Fall Prevention
73) Fecal Incontinence Pouch, Applying
74) Fiber Optic Intracranial Catheter, Caring for a Patient with

G
75) Gastric Tube Feeding, Administering a
76) Gastrostomy Tube, Caring for a
77) Gloves: Putting on Sterile and Removing Soiled
78) Graduated Compression Stockings, Applying and Removing

H
79) Hand Hygiene: Performing Using an Alcohol-Based Handrub
80) Hand Hygiene: Performing Using Soap and Water (Handwashing)
81) Heating Pad, Applying an External
82) Hemodialysis Access (Arteriovenous Fistula orGraft), Caring for
83) Hypothermia Blanket, Using

I
84) Incentive Spirometer, Teaching a Patient to Use
85) Inhaler: Dry Powder, Administering Medication via
86) Inhaler: Metered-Dose, Administering Medication via
87) Injection: Intradermal, Administering
88) Injection: Intramuscular, Administering
89) Injection: Subcutaneous, Administering
90) Insulin Pump, Administering Continuous Subcutaneous Infusion via
91) IV Infusion: Changing an IV Solution Container and Administration Set
92) IV Infusion: Monitoring an IV Site and Infusion

L
93) Leg Exercises, Teaching
94) Logrolling a Patient

M
95) Medication: Administering Oral
96) Medication: Administering via a Gastric Tube
97) Medication: Administering via Small-Volume Nebulizer
98) Medication: IV Infusion, Administering a Piggyback Intravenous of Medication
99) Medication: IV Infusion, Administering an Intermittent Intravenous Infusion of Medication via a Mini-Infusion Pump
100) Medication: IV Infusion, Administering an Intermittent Intravenous Infusion of Medication via a Volume-Control Administration Set
101) Medication: IV Infusion, Administering Medications by Intravenous Bolus or Push Through an Intravenous Infusion
102) Medication: Mixing Medications from Two Vials in One Syringe
103) Medication: Removing from an Ampule
104) Medication: Removing from a Vial
105) Medication: Transdermal Patch, Applying
106) Montgomery Straps, Applying
107) Moving a Patient Up in Bed with Assistance

N
108) Nail Care, Providing
109) Nasal Spray, Administering
110) Nasal Swab, Obtaining
111) Nasogastric Tube, Inserting a
112) Nasogastric Tube, Irrigating
113) Nasogastric Tube, Removing
114) Nasopharyngeal Airway, Inserting
115) Nasopharyngeal Swab, Obtaining
116) Negative Pressure Wound Therapy, Applying

O
117) Oral Care, Assisting the Patient
118) Oral Care, Providing for the Dependent Patient
119) Oropharyngeal Airway, Inserting
120) Ostomy Appliance, Changing and Emptying
121) Oxygen, Administering by Mask
122) Oxygen, Administering by Nasal Cannula
123) Oxygen Administration, Using an Oxygen Hood
124) Oxygen Tent, Using

P
125) Pacemaker: Applying and Monitoring an External (Transcutaneous)
126) Pain Management, Continuous Wound Perfusion
127) Patient-Controlled Analgesia (PCA), Caring for a Patient Receiving
128) Peripheral Venous Access Device: Capping for Intermittent Use and Flushing
129) Peripheral Venous Access Device: Initiating
130) Peritoneal Dialysis Catheter: Caring for a
131) Personal Protective Equipment (PPE), Using
132) Pneumatic Compression Devices, Applying
133) Postoperative Patient Care, Providing when Patient Returns to Room
134) Pulse, Apical: Assessing by Auscultation
135) Pulse, Peripheral: Assessing by Palpation
136) Pulse, Peripheral: Assessing Using a Portable Doppler Ultrasound
137) Pulse Oximeter, Using

R
138) Range-of-Motion Exercises, Providing
139) Rectal Suppository, Administering
140) Respiration, Assessing
141) Restraint, Applying an Elbow
142) Restraint, Applying an Extremity
143) Restraint, Applying a Mummy
144) Restraint, Applying a Waist
145) Restraints, Alternatives to the Use of, Implementing
146) Resuscitation: Using a Handheld Bag and Mask

S
147) Seizure Precautions and Management
148) Shampooing a Patient’s Hair in Bed
149) Shaving, Assisting the Patient
150) Sling, Applying
151) Sputum Specimen for Culture, Collecting
152) Staples, Removing Surgical
153) Sterile Field: Adding Sterile Items
154) Sterile Field: Preparing Using a Commercially Prepared Sterile Kit or Tray
155) Sterile Field: Preparing Using a Packaged Sterile Drape
156) Stoma Appliance on an Ileal Conduit, Emptying and Changing
157) Stool Specimen for Culture, Collecting
158) Stool, Digital Removal of
159) Stool: Testing for Occult Blood
160) Suctioning the Nasopharyngeal and Oropharyngeal Airways
161) Sutures, Removing

T
162) Temperature, Assessing Body
163) Temperature, Regulating, Using an Overhead Radiant Warmer
164) TENS Unit, Applying and Caring for Patient Using
165) Tracheostomy Care, Providing
166) Tracheostomy Care, Open System, Suctioning
167) Traction: Halo, Caring for a Patient in
168) Traction: Skeletal, Caring for a Patient in
169) Traction: Skin, Applying Skin Traction and Caring for a Patient in
170) Transferring a Patient from the Bed to a Chair
171) Transferring a Patient from the Bed to a Stretcher
172) Transferring a Patient Using a Powered Full-Body Sling Lift
173) Turning a Patient in Bed, Assisting

U
174) Urinal, Assisting with the Use of
175) Urinary Catheter: Female, Catheterizing the Urinary Bladder
176) Urinary Catheter: Indwelling Catheter, Removing an
177) Urinary Catheter: Male, Catheterizing the Urinary Bladder
178) Urinary Catheter: Suprapubic, Caring for
179) Urine Specimen, Collecting (Clean Catch, Midstream) for Urinalysis and Culture
180) Urine Specimen: Indwelling Urinary Catheter, Obtaining from

V
181) Vaginal Cream, Administering
182) Ventriculostomy, External (Closed Fluid-Filled System), Caring for a Patient with

W
183) Warming Device, Applying a Forced-Air
184) Wound Culture, Collecting
185) Wound Irrigation, Performing

Appendix A Guidelines for Delegation Decision Making
Bibliography

Primera edición en español de esta guía de bolsillo de competencias y procedimientos básicos en enfermería. Este título se desprende de la 4ª edición de Enfermería clínica de Taylor, SLP ha publicado la tercera edición y ha logrado posicionar la marca Taylor como sinónimo de referencia para procedimientos y competencias clínicas en enfermería.

Características principales:
• Conserva el mismo estilo didáctico, agradable a la lectura y gráfico con una gran cantidad de ilustraciones y recuadros
• Incluye los 180 procedimientos y competencias más importantes en la práctica de la enfermería
• Mantiene el estilo de presentación de sus temas: Introducción, equipo necesario, evaluación, diagnósticos de enfermería, resultados, implementación (acción y justificación individual), evaluación y documentación
• Se presenta en un tomo único
• Su organización alfabética facilita el acceso rápido a los temas de interés
• Lectura breve que concentra sólo la información relevante en torno al procedimiento o competencia

Autor
Pamela Lynn MSN, RN. Instructor. Gwynedd Mercy University. Frances M. Maguire School of Nursing and Health Professions. Gwynedd Valley, PA