A Manual of Laboratory and Diagnostic Tests by Frances Fischbach RN BSN MSN, Marshall B. Dunning III BS

By Frances Fischbach RN BSN MSN, Marshall B. Dunning III BS MS PhD

Now in its 8th version, this prime finished guide is helping nurses carry secure, powerful, and educated deal with sufferers present process diagnostic assessments and techniques. The ebook covers a vast diversity of laboratory and diagnostic exams and experiences which are brought to diversified sufferer populations in diverse settings. assessments are grouped in line with specimen and function/test kind (e.g. blood, urine, stool, cerebrospinal fluid, etc.). every one try out is defined intimately, with step by step suggestions on right process, suggestions for actual interpretation, and directions for sufferer instruction and aftercare. medical indicators spotlight serious safeguard info.

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The goal is to achieve an acceptable balance between all parties. Family presence should be documented in the health care record. Positioning for Procedures Proper body positioning and alignment involves placing the patient in the best possible position for the procedure and aligning the body correctly for optimal respiratory and circulatory function. Positions include jackknife, prone, lithotomy, sitting, supine, and Trendelenburg. Using positioning devices, arranging padding, and repositioning are important interventions to prevent skin pressure and skin breakdown.

A third method of collection requires that the clinician perform the entire collection. An example of this type of collection is aspirating a urine sample from an indwelling catheter. qxd 28 2/26/08 CHAPTER 1 ● 3:05 PM Page 28 Intratest Phase: Elements of Safe, Effective, Informed Care Time of collection is also important. For example, results from a fasting blood glucose test versus results from a glucose tolerance test are significantly different as diagnostic parameters. 7). Blood collection is normally done by trained persons.

Legal and forensic specimens are collected as evidence in legal proceedings, for criminal investigations, and after death. Examples include DNA samples and drug and alcohol levels. Factors such as chain-of-custody situations and witnessed collections may be involved. The following list addresses some general comments about specimen collections: 1. Stool and urine collection requires clean, dry containers and kits. 2. Timed urine collection requires refrigeration or containers with special additives.

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