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Comprehensive Guide to Special Advanced Procedures for Nursing Assistants

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This guide outlines the essential responsibilities and procedures for nursing assistants in the context of advanced patient care. Key topics include the handling and removal of indwelling catheters, ostomy care guidelines, and sterile techniques. It explains special advanced procedures such as urine and stool tests, handling advanced airways, and endotracheal intubation. Emphasizing the importance of adherence to facility policies and state laws, this resource prepares nursing assistants to perform their duties effectively and safely, ensuring high-quality patient care.

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Comprehensive Guide to Special Advanced Procedures for Nursing Assistants

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  1. Unit 51 Special Advanced Procedures

  2. 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.

  3. Objectives • List at least six procedures in which sterile technique is used. • State nursing assistant responsibilities for the care of patients with advanced airways.

  4. Introduction • The responsibilities of nursing assistants vary throughout the nation.

  5. 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

  6. 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

  7. Special Advanced Procedures • Instructions for these procedures are provided in the textbook.

  8. Advanced Airways • Anoropharyngeal 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

  9. 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

  10. Endotracheal Intubation • An endotracheal tube provides complete control over the airway • Refer to Figure 51-23 • Patient will be mechanically ventilated • He or she will be unable to speak and will require total care

  11. Endotracheal Intubation • When a mechanical ventilator cannot be used: • Bag-valve-mask is used to ventilate the patient, who is completely without effective respirations.

  12. Endotracheal Intubation

  13. Endotracheal Intubation

  14. Endotracheal Intubation

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