FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL …

FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL course

Nursing Department, Khwopa Poly-Technic Institute Japan International Cooperation Agency (JICA)

Fundamental of Nursing Procedure Manual

Published by: Japan International Cooperation Agency (JICA) Nepal Office Block B, Karmachari Sanshaya Kosh Building Hariharbhavan, Lalitpur, NEPAL (P.O. Box 450, Kathmandu, NEPAL) Tel:(977-1) 5010310 Fax:(977-1) 5010284 All copyright reserved by JICA First Edition: March, 2008 Re - print: November, 2008

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Fundamental of Nursing Procedure Manual

Contributor:

Sanjita Khadka Durgeshori Kisi Padma Raya Saphalta Shrestha

Edited by Kei Miyamoto( Nursing Education, Senior Volunteer, JICA)

Khwopa polytechnic institute, Nursing department

Principle: Dr. Rajan Suwal

Faculty members of Nursing Department

Head of Department : Sharmila Shrestha

Lecturer:

Sanjita Khadka(1st year coordinator) Chitra Kala Sharma(2nd year coordinator) Merina Giri(3rd year coordinator) Bishnu Uprety

Assistant lecturer:

Durgeshori Kisi Padma Raya Sushila Chaudhari Sunita Batas

Instructor:

Saphalta Shrestha Sumitra Budhathoki Sabitra Khadka

Thank for contributing your professional knowledge and experience. We would like to appreciate to all our teachers and the former teachers, Ms. Junely Koju, Ms.Uttam Tara, and Ms. Rashmi Joshi.

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Fundamental of Nursing Procedure Manual

Table of Contents

I. Basic Nursing Care/ Skill

7

1. Bed making

a. Making an Un-occupied bed

9

b. Changing an Occupied bed

13

c. Making a Post-operative bed

16

2. Performing oral care

19

a. Assisting the client with oral care

21

b. Providing oral care for dependent client

23

3. Performing bed bath

26

4. Performing back care

30

5. Performing hair washing

32

6. Care for fingernails/ toenails

35

7. Performing perineal care

37

8. Taking vital signs

39

a. Taking axillary temperature by glass thermometer

41

b. Measuring radial pulse

43

c. Counting respiration

45

d. Measuring blood pressure

46

9. Performing physical examination

49

10. Care for Nasal-gastric Tube

98

a. Inserting a Nasal-Gastric Tube

98

b. Removal a Nasal-Gastric Tube

101

11. Administering Nasal-Gastric tube feeding

102

12. Cleaning a wound and Applying a sterile dressing

106

13. Supplying oxygen inhalation

109

a. Nasal Cannula Method

111

b. Mask Method: Simple face mask

113

II. Administration of Medications

115

1. Administering oral medications

117

2. Administering oral medications through a Nasal-Gastric Tube

120

3. Removing medications from an ampoule

123

4. Removing medications from a vial

126

5. Prevention of the needle-stick injuries

129

6. Giving an Intra-muscular injection

130

7. Starting an Intra-venous infusion

135

8. Maintenance of I.V. system

140

9. Administering medications by Heparin Lock

144

10. Performing Nebulizer Therapy

147

a. Inhaler

148

b. Ultrasonic nebulizer

149

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Fundamental of Nursing Procedure Manual

III. Specimen collection

151

1.Collecting blood specimen

153

a. Performing venipuncture

153

b. Assisting in obtaining blood for culture

157

2.Collecting urine specimen

159

a. Collecting a single voided specimen

160

b. Collecting a 24-hour urine specimen

161

c. Collecting a urine specimen from a retention catheter

163

d. Collecting a urine culture

164

3. Collecting a stool specimen

166

4. Collecting a sputum specimen

168

a. Routine test

168

b. Collecting a sputum culture

169

Appendix

171

References

181

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