An online skills and procedures reference system from Elsevier, publisher of Mosby and Saunders, the world leader in nursing information.

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1 An online skills and procedures reference system from Elsevier, publisher of Mosby and Saunders, the world leader in nursing information. A complete learning management system for nurse managers and educators to assign, track, and manage skills and test the hospital staff. A tool for nurse administrators to post and manage announcements and alerts to communicate with staff as part of the daily workflow. Includes supplementary material such as news and patient handouts that are indexed and tied to specific skills. Benefits recruitment efforts and increases retention by providing valuable resources to make the nurse s job easier. FOR MORE INFORMATION please us at mnc.groupinfo@elsevier.com or call toll-free at

2 Designed with the help of nurses, managers and educators to meet the training needs of healthcare institutions today. With online functionality that requires no manual upgrades or institutional system integration, Mosby s Nursing Skills offers the most comprehensive combination of skills and multimedia content (videos, animations, illustrations) available. Easy to access 24 hours a day from any computer. Features more than 450 interactive skills from the leading reference works in nursing, including: Perry & Potter, Clinical Nursing Skills & Techniques, 6e Proehl, Emergency Nursing Procedures, 3e AACN, Procedure Manual for Critical Care, 5e Includes step-by-step instructions on the clinical and practical skills nurses must master to perform their jobs. Features reference and supplementary content such as patient handouts, news and other resources. Based on accepted nursing standards. Now nurses have a convenient, easy-to-use education tool to help them refresh their knowledge or learn entirely new skills and procedures. Combines a reference product and learning management system into one comprehensive resource for review and testing of skills. Offers an interactive testing process that provides feedback and review to assist the learner in mastering concepts. The communication feature keeps end users informed of policy changes and organizational developments. Increases knowledge and competency, and develops clinical reasoning skills. Increases confidence in interaction with patients. Learners are also able to track their progress toward completing assigned instructional activities by using online tools that organize assignments and document completed skills modules. Organized to support nurse managers and educators. Because nursing administrators and training specialists have important responsibilities within a healthcare organization, Mosby s Nursing Skills has been designed with easy-to-use features that enable them to: Establish specific learning criteria for the nursing staff. Evaluate individual learning needs, create assignments and track the progress of staff against established standards. Customize instructional material to align with the specific policies and standards of the organization. Create a variety of reports to measure individual and group performance. Post announcements for hospital staff. As an easily accessible, online learning management system, Mosby s Nursing Skills consolidates the location of reference information and improves staff communication. Further, it provides established highquality training materials to assist nurse educators in orientation and training.

3 Find a specifi c skill by typing it in the search box, or browse the entire list of skills. Site administrators can post announcements and assign tasks that will appear on the institution s home page. Full skill module includes: Quick Sheet (summary of step-bystep procedures for skill) Checklist Supplies list Test (to check knowledge of skill) Demonstrations (animation or video(s) Illustrations, photos, tables from the text Full Text of the skill adapted from the source text. PDF Version of skill straight from source text can be printed. Other skills related to current skill are easily accessed. Patient Handouts related to this skill are just a click away. The skill Checklist can be used by the preceptor for checking competency.

4 Multiple choice Tests evaluate knowledge of each skill. A list of Supplies helps the nurse prepare for each skill. Animations, videos, and illustrations demonstrate steps in each skill.

5 Review skills or acquire new ones Because Mosby s Nursing Skills is available on any network computer with Internet access, nurses can get a quick refresher on a procedure when needed, read up on new skills or review announcements whenever time permits. This easy-to-use, comprehensive online reference includes the following skills and procedures: CRITICAL CARE Advance Directives Apheresis, Plasmapheresis, and Plasma Exchange: Assisting Arterial and Venous Sheath Removal (AP) Arterial Catheters: Assisting with Insertion, Removing, and Caring for Arterial Catheters: Blood Sampling Arterial Catheters: Inserting (AP) Arterial Puncture (AP) Arterial-Venous Oxygen Difference Calculation Atrial Electrogram Atrial Overdrive Pacing: Performing (AP) Auto-PEEP Calculation Autotransfusion Bi-Spectral Index Monitoring Blood Pump Use Bone Marrow Biopsy and Aspiration: Assisting Bone Marrow Biopsy and Aspiration: Performing (AP) Brain Tissue Oxygenation Monitoring Burn Wound Care Cardiac Output Measurement Techniques (Invasive) Central Venous Catheter Insertion: Assisting Central Venous Catheter Insertion: Performing (AP) Central Venous Catheters: Blood Sampling Central Venous Catheters: Removal Central Venous Catheters: Site Care Central Venous/Right Atrial Pressure Monitoring Cerebrospinal Fluid Drainage Assessment Chest Tube Placement: Assisting Chest Tube Placement: Performing (AP) Chest Tube Removal: Assisting Chest Tube Removal: Performing (AP) Closed Chest-Drainage Systems Compliance and Resistance Measurement Continuous End-Tidal Carbon Dioxide Monitoring Continuous Intravenous Infusions: Calculating Doses, Flow Rates, and Administration Continuous Mixed Venous Oxygen Saturation Monitoring Continuous Renal Replacement Therapies Continuous ST-Segment Monitoring Debridement: Pressure Ulcers, Burns, and Wounds (AP) Defibrillation (External) Defibrillation (Internal) (AP) Determination of Death (AP) Electrocardiograms: 12 Lead Electrocardiograms: Extra Electrocardiographic Leads Right Precordial and Left Posterior Leads Electrophysiologic Monitoring: Hardwire and Telemetry Emergent Open Sternotomy: Assisting Emergent Open Sternotomy: Performing (AP) Endotracheal Intubation: Assisting Endotracheal Intubation: Performing (AP) Endotracheal Tube and Oral Care Enteral Nutrition Epicardial Pacing Wire Removal (AP) Epidural Catheters Esophageal Doppler Monitoring of Aortic Blood Flow: Care and Removal Esophageal Doppler Monitoring of Aortic Blood Flow: Probe Insertion (AP) Esophagogastric Tamponade Tube External Fixation Device Insertion: Assisting External Warming/Cooling Devices Extubation and Decannulation: Assisting Extubation and Decannulation: Performing (AP) Feeding Tubes: Small-Bore Feeding Tube Insertion Gastric Tonometry Halo Traction Care Hemodialysis Ice-Water Caloric Testing for Vestibular Function: Assisting Implantable Cardioverter-Defibrillator Implantable Venous Accessing Device: Access, Deaccess, and Care (AP) Intraabdominal Pressure Monitoring Intraaortic Balloon Pump Management Intracompartmental Pressure Monitoring Intracranial Bolt Insertion: Assisting, Monitoring, Care, Troubleshooting, and Removal Intraventricular Catheter Insertion: Assisting, Monitoring, Care, Troubleshooting, and Removal Jugular Venous Oxygen Saturation Monitoring: Assisting with Insertion, Care, Troubleshooting, and Removal Laryngeal Mask Airway (AP) Left Atrial Catheter: Care and Assisting with Removal Lumbar and Cisternal Punctures: Assisting Lumbar Puncture: Performing (AP) Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebral Spinal Fluid Pressure Monitoring and Drainage Major Nerve Sheath Infusions: Femoral, Intrapleural, and Tibial Mechanical Ventilation: Volume and Pressure Modes Mechanical Ventilation: Weaning Criteria Mechanical Ventilation: Weaning Process Microhematocrit via Centrifuge Determination Nasogastric Tubes: Insertion, Care, and Removal Nasopharyngeal Airway Insertion Needle Thoracostomy (Needle Thoracentesis) (AP) Neurologic Drainage and Pressure Monitoring System Non-Heart-Beating Organ Donation (Donation after Cardiac Death) Noninvasive Hemodynamic Monitoring: Impedance Cardiography Organ Donation Request Organ Donor Care Oxygenation Indices Paracentesis: Assisting Paracentesis: Performing (AP) Parenteral Nutrition Percutaneous Endoscopic Gastronomy (PEG), Gastrostomy, or Jejunostomy Tube Care Pericardial Catheter Management Pericardiocentesis: Assisting Pericardiocentesis: Performing (AP) Peripheral Nerve Stimulators Peripherally Inserted Central Catheters (AP) Peritoneal Lavage: Performing (AP) Permanent Pacemaker: Assessing Function Potential Organ Donor Identification Pressure-Reducing Devices: Lateral Rotation Therapy Pronation Therapy Pulmonary Artery Catheter and Pressure Lines: Troubleshooting Pulmonary Artery Catheter Insertion: Assisting with and Monitoring Pressure Pulmonary Artery Catheter Insertion: Performing (AP) Pulmonary Artery Catheter: Removal Pulmonary Artery Catheters: Blood Sampling Resuscitation Bag: Manual Self-Inflating Scleral Endoscopic Therapy: Assisting Shunt Calculation Single- and Multiple-Pressure Transducer Systems Skin Grafts: Care of Donor Sites Skin Grafts: Care of Graft Site Suctioning: Endotracheal or Tracheostomy Tube Thoracentesis: Assisting Thoracentesis: Performing (AP) Tong and Pin Care Tracheal Tube Cuff Care Traction Maintenance Transcranial Doppler Monitoring (AP) Transesophageal Echocardiography: Assisting Transfusions: Massive Transfusion Devices Transvenous and Epicardial Pacing: Temporary Transvenous Pacemaker Insertion: Temporary Performing (AP) Vacuum-Assisted Closure TM (V.A.C. ) System for Wounds Ventricular Assist Devices Withholding and Withdrawing Life-Sustaining Treatment Wound Closure (AP) Wound Drain Removal Wound Dressing with Drains Wound Pouching EMERGENCY Airway Foreign Object Removal Airway Positioning Ambulation Aids: Measuring and Fitting Ambulation Aids: Patient Teaching Amputations: Wound Care Anesthesia Bag Ventilation Arthrocentesis and Intraarticular Injection: Assisting Arthrocentesis and Intraarticular Injection: Performing (AP) Automatic Implantable Cardiac Defibrillator: Emergency Management Autotransfusion Devices: Argyle Autotransfusion Devices: Atrium Autotransfusion Devices: Pleur-Evac Autotransfusion Devices: Thora-Klex Bier Block: Assisting Blood and Fluid Pressure Infusers Blood and Fluid Warmers Blood Filters Blood Products: Administering Body Jewelry Removal Burn Wound Care: Minor Burns Burr Holes: Assisting Central Venous Access Devices: Declotting Cerumen Removal Chest-Drainage Systems: Argyle Chest-Drainage Systems: Atrium Chest-Drainage Systems: Pleur-Evac Chest-Drainage Systems: Thora-Klex Childbirth: Emergency Combitube Airways Continuous Arteriovenous Rewarming Cricothyrotomy: Assisting Cricothyrotomy: Performing (AP) Culdocentesis: Assisting Diagnostic Bladder Ultrasound Diagnostic Peritoneal Lavage: Assisting Digital Block: Assisting Digital Block: Performing (AP) Dilatation and Curettage (D&C): Assisting Doppler Ultrasound for Assessment of Blood Pressure and Peripheral Pulses Dyspnea: Positioning the Patient Ear Wick Insertion Emergency Department Assessment: Primary Survey Emergency Department Assessment: Secondary Survey Emergency Thoracotomy and Internal Defibrillation: Assisting End-Tidal Carbon Dioxide Detection Epistaxis: Anterior Packing: Assisting Epistaxis: Anterior Packing: Performing (AP) Epistaxis: Electrical and Chemical Cautery: Assisting Epistaxis: Electrical and Chemical Cautery: Performing (AP) Epistaxis: Insertion of Balloon Catheters: Assisting Epistaxis: Insertion of Balloon Catheters: Performing (AP) Epistaxis: Posterior Packing: Assisting Epistaxis: Posterior Packing: Performing (AP) Epistaxis: Topical Vasoconstrictors Escharotomy: Assisting Escharotomy: Performing (AP) Esophageal Foreign Body Removal: Assisting Esophageal Foreign Body Removal: Performing (AP) External Jugular Venous Access: Assisting External Jugular Venous Access: Performing (AP) Extubation Eye Irrigation Eye Patching Femoral Venous Access: Assisting Femoral Venous Access: Performing (AP) Fetal Heart Tones: Assessing Fishhook Removal: Assisting Fishhook Removal: Performing (AP) Fluorescein Staining of Eyes: Assisting Fluorescein Staining of Eyes: Performing (AP) Forced-Air Warming Blanket Gastric Lavage for Gastrointestinal Bleeding Gastric Lavage for Removal of Toxic Substances Ground or Air Transport Preparation Heat Lamp Heat Shield Helmet Removal High-Dose Steroids for Spinal Cord Injury Hyperthermia Measures Hypotension: Positioning the Patient Hypothermia Measures Implanted Venous Port Devices: Accessing Incision and Drainage: Assisting Incision and Drainage: Performing (AP) Increased Intracranial Pressure: Positioning the Patient Indirect Laryngoscopy: Assisting Indirect Laryngoscopy: Performing (AP) Internal Jugular Venous Access: Assisting Internal Jugular Venous Access: Performing (AP) Intracompartmental Pressure Measurement: Assisting Intracompartmental Pressure Measurement: Performing (AP) Intracranial Pressure Monitoring: Assisting Intraosseous Access Laryngeal Mask Airway: Assisting Medication Administration: Nitrous Oxide Medication Administration: Reteplase for Acute Myocardial Infarction Medication Administration: Streptokinase Medication Administration: TNK-tPA for Acute Myocardial Infarction Medication Administration: tpa for Acute Ischemic Stroke Medication Administration: tpa for Acute Myocardial Infarction or Pulmonary Embolus Mouth-to-Mask Ventilation Nasal Foreign Body Removal: Assisting (list continued on back)

6 To learn more or request a FREE TRIAL for your institution, please us at mnc.groupinfo@elsevier.com or call toll-free at EMERGENCY (continued) Nasal Foreign Body Removal: Performing (AP) Nuclear, Biologic, and Chemical Exposure Ophthalmic Foreign Body Immobilization Ophthalmic Foreign Body Removal: Assisting Ophthalmic Foreign Body Removal: Performing (AP) Oropharyngeal Airway Insertion Otic Foreign Body Removal (AP) Oxygen Tank Regulators: Applying and Removing Oxygen Therapy and Oxygen Delivery: General Principles Paradoxical Pulse Assessment Peak Expiratory Flow Measurement Pediatric Procedures: Preparing and Restraining Children Pelvic Examination: Assisting Pelvic Examination: Performing (AP) Percutaneous Transtracheal Ventilation: Assisting Percutaneous Transtracheal Ventilation: Performing (AP) Peripheral Intravenous Line: Rapid-Infusion Catheter Exchange: Assisting Peripheral Intravenous Line: Rapid-Infusion Catheter Exchange: Performing (AP) Pneumatic Antishock Garment Postural Vital Signs Assessment Preexisting Central Venous Catheters: Accessing Preservation of Evidence Rapid Sequence Intubation: Assisting Retrograde Intubation: Assisting Retrograde Intubation: Performing (AP) Ring Removal Sexual Assault Examination: Assisting and Performing Shoulder Immobilization Skin Adhesive: Assisting Skin Adhesive: Performing (AP) Sling Application Specimen Collection: Arterial Blood Gases Specimen Collection: Bite Mark Evidence Specimen Collection: Capillary Blood Gases Specimen Collection: Drug and Alcohol Specimen Collection: Suprapubic Urine Aspiration: Assisting Specimen Collection: Suprapubic Urine Aspiration: Performing (AP) Spinal Immobilization Splinting Splinting: Air Splints Splinting: Finger Immobilization: Assisting Splinting: Knee Immobilization Splinting: Plaster and Fiberglass Splinting: Traction Splints Splinting: Vacuum Splints Subclavian Venous Access: Assisting Subclavian Venous Access: Performing (AP) Surgical Tape Closures Synchronized Cardioversion Therapeutic Phlebotomy Thoracentesis: Emergency Needle: Assisting Tongs or Open-Back Halo for Cervical Traction: Assisting Tonometry: Assisting Tonometry: Performing (AP) Tooth Preservation and Replantation: Assisting Tooth Preservation and Replantation: Performing (AP) T-piece Adapter for the Intubated Patient Tracheostomy: Assisting Transcutaneous Cardiac Pacing Transfusions: Massive Transfusions Urinary Catheters: Suprapubic Catheter Insertion: Assisting Venous Access via Cutdown: Assisting Venous Access via Cutdown: Performing (AP) Ventilation: Noninvasive Assisted Visual Acuity Assessment Whole Bowel Irrigation Wound Anesthesia: Local Infiltration and Topical Agents: Assisting Wound Anesthesia: Local Infiltration and Topical Agents: Performing (AP) Wound Cleansing and Irrigation Traumatic Wounds GENERAL Abdomen Assessment Abdominal and Breast Binders Admission Air-Fluidized Beds Air-Suspension Beds Ambulation Arterial Blood Pressure Artificial Eye Care Aspiration Precautions Automated External Defibrillator (AED) Bariatric Beds Bathing a Patient Bed Making: Occupied Bed Making: Unoccupied Bedpans Blood Glucose Monitoring Body Alignment Body Temperature Measurement Bronchoscopy: Assisting Caps, Masks, and Protective Eyewear Cast Application: Assisting Cast Removal: Assisting Change-of-Shift Report Chest Physiotherapy: Percussion, Vibration, Shaking Chest Physiotherapy: Postural Drainage Chest Physiotherapy: Acapella Device Chest Tube Drainage Reinfusion Code Management Cold Therapy Communicating with a Depressed Patient Communicating with an Angry Patient Communicating with an Anxious Patient Contact Lens Care Continent Diversion Maintenance Continent Urinary Diversion Catheterization Continuous Passive Motion Machine Contrast Media Studies: Angiogram, Cardiac Catheterization, and Intravenous Pyelogram (IVP) Discharge Documenting Dry and Wet-to-Dry Dressings Elastic Stockings and Sequential Compression Devices Endoscopy: Assisting Endotracheal or Tracheostomy Tube Cuff Inflation Endotracheal Tube Care Enemas Enteral Feedings via Gastrostomy or Jejunostomy Tube Enterostomy Pouching Fall Prevention Fecal Impaction Removal Feeding Tubes: Irrigation Feeding Tubes: Verifying Placement Fire, Electrical, and Radiation Safety Gauze and Elastic Bandages Grief: Supporting Patients and Families Hair Care: Combing Hair Care: Shampooing Hair of a Bed-Bound Patient Hand Hygiene Hearing Aid Care Heart and Neck Vessel Assessment Heat Therapy Home Setting Adaptation for Patients with Cognitive Deficits Hydrocolloid, Foam, and Absorption Dressings Hypothermia or Hyperthermia Blankets Immobilization Devices Incentive Spirometry Incident Reporting Incontinent Urinary Diversion Pouching Infusion Tubing: Changing Intake and Output Assessment Isolation Precautions Isometric Exercises Local Anesthetic Infusion Pump Medication Administration: Adding Medication to Intravenous Fluid Containers Medication Administration: Continuous Subcutaneous Medication Medication Administration: Ear Medication Administration: Ear Irrigation Medication Administration: Eye Medication Administration: Injection Preparation from Ampules and Vials Medication Administration: Intermittent Infusion Sets and Mini-infusion Pumps for Intravenous Medication Medication Administration: Intradermal Injections Medication Administration: Intramuscular Injections Medication Administration: Intravenous Bolus Medication Medication Administration: Metered-Dose Inhalers Medication Administration: Mixing Parenteral Medications in One Syringe Medication Administration: Moderate Sedation Medication Administration: Nasal Instillations Medication Administration: Nasogastric Tube Medication Administration: Nebulizer Therapy Medication Administration: Oral Medication Administration: Rectal Suppositories Medication Administration: Subcutaneous Injections Medication Administration: Topical Medication Administration: Vaginal Instillations Medication and Medical Device Safety in the Home Moist Heat: Compresses and Sitz Baths Moving and Positioning Patients in Bed Musculoskeletal, Neurologic, and Peripheral Vascular Assessment Nail and Foot Care Nasal Cannula or Oxygen Mask Application Noninvasive Ventilation Nutritional Assessment/Screening Oral Care: Unconscious or Debilitated Patient Oral Hygiene Oral Hygiene: Denture Care Oral Nutrition Assistance for Adult Patients Oxygen Saturation Measurement (Pulse Oximetry) Oxygen Therapy Administration for Patient with an Artificial Airway Pain Management Pain Management: Nonpharmacologic Aids Patient Assessment: General Survey Patient Education: Enteral Nutrition in the Home Patient Education: Home Oxygen Equipment Patient Education: Measuring Blood Pressure Patient Education: Measuring Body Temperature Patient Education: Measuring Pulse Patient Education: Self-Medication Patient Education: Tracheostomy Care and Suctioning in the Home Patient-Controlled Analgesia Perineal Care Peripheral Intravenous Catheter: Discontinuing an IV Peripheral Intravenous Catheter: Dressing Changes Peripheral Intravenous Catheter: Starting an IV Peripheral Intravenous Flow Rate: Regulating Peripheral Intravenous Solutions: Changing Peripheral Parenteral Nutrition with Lipid (Fat) Emulsion Peripherally Inserted Central Catheter Care Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis Physical Restraints Postmortem Care Postoperative Care Postoperative Exercises Pressure Bandages Pressure Ulcer Risk Assessment and Prevention Pressure Ulcer Treatment Pulse Assessment: Apical Pulse Assessment: Radial Range-of-Motion Exercises Respiration Assessment Restraint-Free Environment Rotokinetic Beds Safety Risks in the Home Seizure Precautions Shaving a Patient s Facial Hair Skeletal Traction: Assisting Skin Traction: Assisting Specimen Collection: Midstream (Clean-Voided) Urine Specimen Collection: Nose and Throat Specimens for Culture Specimen Collection: Occult Blood Measurement in Gastric Secretions (Gastroccult) Specimen Collection: Occult Blood Measurement in Stool Specimen Collection: Sputum Specimen Collection: Sterile Urine from an Indwelling Catheter Specimen Collection: Timed Urine Specimen Specimen Collection: Urine Chemical Properties Measuring Glucose, Ketones, Protein, Blood, and ph Specimen Collection: Vaginal or Urethral Discharge Specimen Collection: Wound Drainage Sterile Field Preparation Sterile Gloving Sterile Gown and Gloves (Closed Gloving) Suctioning: Nasopharyngeal and Nasotracheal Suctioning: Oropharyngeal Support Surface Mattresses Surgery Preparation Surgical Hand Antisepsis Suture and Staple Removal Symptom Management: Palliative Care Thorax and Lung Assessment Tracheostomy Care Transfer Transfer Techniques Transfusions: Reaction Management Transparent Dressings Urinal Use: Assisting a Patient Urinary Catheters: Catheter Irrigation Urinary Catheters: Catheterization for Residual Urine Urinary Catheters: Condom Catheters Urinary Catheters: Indwelling Catheter Care and Removal Urinary Catheters: Straight and Indwelling Catheter Insertion and Removal Urinary Catheters: Suprapubic Catheter Care Vascular Access Device Care Venipuncture Wound Cleansing and Irrigation: Surgical Wound Drainage Evacuation Westline Industrial Drive St. Louis, MO

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