Clinical Handbook for Kozier & Erb's Fundamentals of Nursing

Unit 1 Fundamental Nursing
A. Components of the Nursing Process
B. Aspects of Delegation
C. Communication Guidelines

1. SBAR Communication Guidelines
2. Handoff Communication/Change-of-Shift Report
3. Telephone and Verbal Orders

Unit 2 Assessment and Diagnosis
A. Nursing Health History
B. Methods of Examining
C. Vital Signs
D. Physical Health Examination
E. Nursing Diagnoses

Unit 3 Planning and Implementation
A. Safety Guidelines

1. Guidelines Related to Body Mechanics and Safe Client Handling and Movement
2. Preventing Falls in Health Care Agencies
3. Adult Home Hazard Appraisal
4. Steps to Follow in the Event of Fire

B. Clinical Guidelines

1. Fluid and Electrolyte Balance
2. Individualizing Care for Clients with Pain
3. Respiratory Function
4. Tube Feedings
5. Urinary Elimination
6. Fecal Elimination
7. Pressure Areas
8. Healing Wounds
9. Postoperative Period

C. Teaching and Learning Guidelines
D. Medications

1. Methods of Calculating Dosages
2. Injection Techniques

Unit 4 Documentation and Evaluation
A. Documentation

1. Ethical and Legal Considerations
2. Ensuring Confidentiality of Computer Records
3. Charting Guidelines
4. Essential Client Information

B. Documentation Formats

1. Narrative
2. SOAP
3. Focus Charting (DAR)

C. Evaluation

Unit 5 Quick Reference
A. Standard Precautions and Infection Control Strategies
B. Common Abbreviations and “Do Not Use” Abbreviations
C. Medical Terminology: Root Words, Prefixes, and Suffixes
D. Weight and Volume Conversions and Equivalents
E. Laboratory Values
F. Common Diagnostic Studies
G. Nursing Interventions for Endoscopic Examinations
H. Studies of The Gastrointestinal Tract
I. Studies of The Gallbladder and Bile Ducts
J. Radiographic Studies: Intravenous Pyelography, Angiography, Myelography
K. Key Information About Vitamins
L. Key Information About Minerals
M. Key Information About Trace Minerals
Glossary
Index