This textbook is an open educational resource with CC-BY licensing developed specifically for prelicensure nursing students. The e-book and downloadable versions are free.

Content is based on the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Advanced Skills course (543-112) and the NCLEX-RN Test Plan. Content includes advanced skills for registered nurses, such as intravenous infusion, blood product administration, management of central lines and chest tube systems, basic electrocardiogram interpretation, and nasogastric/feeding tube insertion, and builds on basic nursing skills discussed in the Open RN Nursing Skills OER textbook.

Contents

• Preface
• Standards and Conceptual Approach
• Chapter 1 Initiate IV Therapy
  • 1.1. INTRODUCTION
  • 1.2. BASIC CONCEPTS OF VENIPUNCTURE AND INTRAVENOUS THERAPY
  • 1.3. PERIPHERAL IV ACCESS
  • 1.4. CHECKLIST: PERFORM VENIPUNCTURE BLOOD DRAW
  • 1.5. CHECKLIST: PERFORM IV INSERTION & IV REMOVAL
  • 1.6. DOCUMENTATION FOR IV INITIATION
  • 1.7. SPECIALIZED INFUSIONS
  • 1.8. LEARNING ACTIVITIES
  • I. GLOSSARY
• Chapter 2 Administer IV Push Medications
  • 2.1. INTRODUCTION
  • 2.2. BASIC CONCEPTS OF IV PUSH MEDICATION
  • 2.3. EQUIPMENT
  • 2.4. APPLYING THE NURSING PROCESS
  • 2.5. CHECKLIST: ADMINISTER IV PUSH MEDICATIONS
  • 2.6. DOCUMENTATION
  • 2.7. LEARNING ACTIVITIES
  • II. GLOSSARY
• Chapter 3 Administer Blood Products
  • 3.1. INTRODUCTION
  • 3.2. BASIC CONCEPTS
  • 3.3. APPLYING THE NURSING PROCESS
  • 3.4. CHECKLIST: ADMINISTER BLOOD PRODUCTS
  • 3.5. DOCUMENTATION
  • 3.6. LEARNING ACTIVITIES
  • III. GLOSSARY
• Chapter 4 Manage Central Lines
  • 4.1. INTRODUCTION
  • 4.2. BASIC CONCEPTS
  • 4.3. APPLYING THE NURSING PROCESS
  • 4.4. CHECKLIST: CHANGE A CVAD DRESSING AND NEEDLELESS CONNECTOR
  • 4.5. CHECKLIST: OBTAIN A BLOOD SAMPLE FROM A CVAD
  • 4.6. CHECKLIST: ACCESS AN IMPLANTED VENOUS ACCESS DEVICE
  • 4.7. DOCUMENTATION
  • 4.8. LEARNING ACTIVITIES
  • IV. GLOSSARY
• Chapter 5 Insert Nasogastric and Feeding Tubes
  • 5.1. INTRODUCTION
  • 5.2. BASIC CONCEPTS
  • 5.3. APPLYING THE NURSING PROCESS
  • 5.4. CHECKLIST: INSERT A NASOGASTRIC TUBE
  • 5.5. CHECKLIST: REMOVE AN NG TUBE
  • 5.6. DOCUMENTATION
  • 5.7. LEARNING ACTIVITIES
  • V. GLOSSARY
• Chapter 6 Manage Chest Tube Drainage Systems
  • 6.1. INTRODUCTION
  • 6.2. BASIC CONCEPTS
  • 6.3. NURSING RESPONSIBILITIES FOR CLIENTS WITH CHEST TUBE DRAINAGE SYSTEMS
  • 6.4. TROUBLESHOOTING PROBLEMS AND COMPLICATIONS
  • 6.5. CHECKLIST: MANAGE A CLOSED CHEST TUBE DRAINAGE SYSTEM
  • 6.6. CHECKLIST: SET UP A CHEST TUBE DRAINAGE SYSTEM
  • 6.7. ASSISTING WITH CHEST TUBE PLACEMENT
  • 6.8. ASSISTING WITH CHEST TUBE REMOVAL
  • 6.9. DOCUMENTATION
  • 6.10. LEARNING ACTIVITIES
  • VI. GLOSSARY
• Chapter 7 Interpret Basic ECG
  • 7.1. INTRODUCTION
  • 7.2. BASIC CONCEPTS
  • 7.3. A SYSTEMATIC APPROACH TO INTERPRETING AN ECG
  • 7.4. ECG PATTERNS AND DYSRHYTHMIAS
  • 7.5. CARDIOVERSION AND DEFIBRILLATION
  • 7.6. CHECKLIST: INITIATE TELEMETRY
  • 7.7. CHECKLIST: OBTAIN A 12-LEAD ECG
  • 7.8. CHECKLIST: INTERPRET AN ECG
  • 7.9. SPOTLIGHT APPLICATION
  • 7.10. LEARNING ACTIVITIES
  • VII. GLOSSARY
  • APPENDIX OF RHYTHM STRIPS
• Answer Key