Prentice Hall Real Nursing Skills

Elimination Management.

Administering an Enema.


Large Volume. Prepackaged Small Volume.

Removing a Fecal Impaction Digitally.
Pouching an Enterostomy.
Pouching a Noncontinent Urinary Diversion.
Urinary Catheterization.


Straight Catheter (Female). Straight Catheter (Male). Indwelling Catheter (Female). Indwelling Catheter (Male).

Care of the Client with an Indwelling Catheter.
Removing an Indwelling Catheter.
Emptying the Urine Drainage Collection Bag.


Variation: Leg Bag.

Performing Catheter Irrigation.


Opening a Closed System. Through a Closed System. (Intermittent). Continuous Bladder Irrigation.

Applying a Condom Catheter.
Care of a Suprapubic Catheter Insertion Site.
Assisting the Client to use a Regular or Fracture Bedpan.
Inserting a Nasogastric Tube for Gastric Decompression.
Discontinuing a Nasogastric Tube.
Performing a Peritoneal Dialysis.
Performing a Gastric Lavage.
Drug Management.

    Oral Medication Administration.

        Administering Medication by Mouth.



Dermatologic Medication Administration.


Applying a transdermal patch.

Administering Ophthalmic Medications.
Administering Otic Drops.
Administering Nasal Medication.
Administration of Medication per Metered-Dose Inhaler.


Using inhaler with open mouth.

Vaginal Instillations.


Vaginal Suppository. Vaginal Cream or Lotion. Vaginal Irrigation or Douche.

Medication Administration via Rectal Suppository.
Nasogastric and Enteral Tube Medication Administration.



Administering Liquid Medications. Administering Crushed medications.  Withdrawing Medication from a Vial.


Using a syringe and needle. Using a syringe and needleless adaptor.

Withdrawing Medication from an Ampule.


Filter straw.

Mixing Medication from Two Vials.
Administration of IV Medications via Intermittent Infusion.


Piggyback. Volume-Controlled Device. Administration by Mini-Infusion Pump.

Administration of Medication by Intravenous Bolus 


Saline Lock. Maintenance IV Infusion. Small Volume Bag.

Parenteral Medication Administration (Injections).


Intradermal. Subcutaneous Injections: Arm. Subcutaneous Injections: Abdomen. Subcutaneous Injections: Thigh. Intramuscular Injections: Vastus Lateralis. Intramuscular Injections: Ventral Gluteal.

Tissue Perfusion Management.

Peripheral Pulse Assessment.
Carotid Artery Assessment.
Regulating Intravenous Flow Rate.


Variation: Using a Pump to Adjust Flow Rate.

Establishing an Intravenous Infusion.


Variation: Electronic infusion pump.

Venipuncture.
Initiating Blood Therapy.
Discontinuation of a Peripheral IV Line.
Nutrition Support.

Inserting a Small Bore Nasogastric Tube.
Discontinuation of a Nasogastric Feeding Tube.
Administering Enteral Feedings.


Intermittent via Syringe. Intermittent via Bag. Continous.

Administering Enteral Feedings via Gastrostomy Tube.
Assisting the Adult Client with Oral Nutrition.
Respiratory Management.

Administering Oxygen via a Nasal Cannula.
Administering Oxygen via Oxygen Mask.
Instructing Client on Use of Incentive Spirometer.
Inserting a Nasal Airway.
Using an Air Mask Bag Unit (Ambu).


Variation: If client has tracheostomy or endotracheal tube.

Oral Pharyngeal Suctioning.
Nasotracheal Suctioning.
Tracheostomy Tube Suctioning.
Tracheostomy Care.
Assisting with Insertion and Management of Closed Chest Drain.
Changing a Disposable Chest Tube System.
Assisting with Discontinuation of a Chest Tube.
Suctioning a Mechanically Ventilated Client.


Variation: In-line Suction.

Setting Up and Assisting with Intubation.
Nursing Care of the Client with an Endotracheal Tube.
Checking Cuff Pressure.