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Unit 51. Special Advanced Procedures. Objectives. Spell and define terms. State the reasons for removing an indwelling catheter as soon as possible. List the guidelines for caring for an ostomy. Objectives. List at least six procedures in which sterile technique is used.

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unit 51

Unit 51

Special Advanced Procedures

objectives
Objectives
  • Spell and define terms.
  • State the reasons for removing an indwelling catheter as soon as possible.
  • List the guidelines for caring for an ostomy.
objectives1
Objectives
  • List at least six procedures in which sterile technique is used.
  • State nursing assistant responsibilities for the care of patients with advanced airways.
introduction
Introduction
  • The responsibilities of nursing assistants vary throughout the nation.
introduction1
Introduction
  • Scope and type of assignments given to nursing assistants are influenced by:
    • Basic preparation
    • Experience
    • Specific advanced training in procedural skills
    • Facility policy
    • State laws that specify the range of practice of nursing assistants
special advanced procedures
Special Advanced Procedures
  • As a nursing assistant, you may be required to perform special advanced procedures such as:
    • Urine and stool tests
    • Removing an indwelling catheter
    • Ostomies
    • Sterile technique
special advanced procedures1
Special Advanced Procedures
  • Instructions for these procedures are provided in the textbook.
advanced airways
Advanced Airways
  • Anoropharyngeal airway
    • Inserted into the mouth to keep the tongue from falling to the back of the throat
    • It is used only in unresponsive patients
    • Refer to Figure 51-21
advanced airways1
Advanced Airways
  • A nasopharyngeal airway
    • Extends from the nostril to the posterior pharynx area, keeping the tongue off the back of the throat.
    • This airway may be used in responsive patients.
    • Refer to Figure 51-22
endotracheal intubation
Endotracheal Intubation
  • An endotracheal tube provides complete control over the airway
  • Refer to Figure 51-23
  • Patient will be mechanically ventilated
  • He or she will be unable to speak and will require total care
endotracheal intubation1
Endotracheal Intubation
  • When a mechanical ventilator cannot be used:
    • Bag-valve-mask is used to ventilate the patient, who is completely without effective respirations.
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