Copyright © 2008 Delmar Learning. All rights reserved. Unit 51 Special Advanced Procedures
Copyright © 2008 Delmar Learning. All rights reserved. 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.
Copyright © 2008 Delmar Learning. All rights reserved. Objectives List at least six procedures in which sterile technique is used. State nursing assistant responsibilities for the care of patients with advanced airways.
Copyright © 2008 Delmar Learning. All rights reserved. Introduction The responsibilities of nursing assistants vary throughout the nation.
Copyright © 2008 Delmar Learning. All rights reserved. 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
Copyright © 2008 Delmar Learning. All rights reserved. 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
Copyright © 2008 Delmar Learning. All rights reserved. Special Advanced Procedures Instructions for these procedures are provided in the textbook.
Copyright © 2008 Delmar Learning. All rights reserved. Advanced Airways An oropharyngeal 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
Copyright © 2008 Delmar Learning. All rights reserved. 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
Copyright © 2008 Delmar Learning. All rights reserved. Endotracheal Intubation An endotracheal tube provides complete control over the airway Refer to Figure Patient will be mechanically ventilated He or she will be unable to speak and will require total care
Copyright © 2008 Delmar Learning. All rights reserved. Endotracheal Intubation When a mechanical ventilator cannot be used: –Bag-valve-mask is used to ventilate the patient, who is completely without effective respirations.
Copyright © 2008 Delmar Learning. All rights reserved. Endotracheal Intubation
Copyright © 2008 Delmar Learning. All rights reserved. Endotracheal Intubation
Copyright © 2008 Delmar Learning. All rights reserved. Endotracheal Intubation