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The Royal Marsden NHS Foundation Trust
Dividing line The Royal Marsden Hospital Manual of Clinical Nursing Procedures (Ninth Edition)

List of Procedures

Abdominal examination

Abdominal paracentesis

Acupucture: preparation and administration

Arterial blood gas sampling: arterial cannula

Arterial cannula insertion: preparation and setting up of monitoring set

Arterial cannula: removal

Arterial puncture: radial artery

Artificial eye care: insertion

Artificial eye care: removal

Aseptic technique example: changing a wound dressing

Assisting the patient to walk

Bedbathing a patient

Blood component administration 16

Blood components: collection and delivery to the clinical area

Blood cultures: central venous access device

Blood cultures: peripheral (winged device collection method)

Blood glucose monitoring

Blood pressure measurement (manual)

Blood product request

Blood sampling: antimicrobial drug assay

Blood sampling: pre-transfusion

Cardiopulmonary resuscitation

Cardiovascular examination

Care of a patient who is vomiting

Care of the patient during bladder irrigation

Caring for the patient in the anaesthetic room

Central venous access devices: taking a blood sample for syringe sampling

Central venous access devices: taking a blood sample for vacuum sampling

Central venous access devices: unblocking an occlusion

Central venous catheter (skin-tunnelled): surgical removal

Central venous catheter: insertion site dressing change

Cervical uterine smear using a wooden spatula

Cervical uterine smear using an endocervical brush

Cervical uterine smear using liquid-based cytology

Checking the balloon volume on a balloon gastrostomy

Chest drain: changing the bottle

Chest drain: insertion

Chest drain: priming ambulatory chest drain bag

Chest drain: removal

Chest drainage: suction

Clip removal

Closed drainage systems: changing a vacuum bottle, e.g. Redivac

Commencing bladder irrigation

Commode use: assisting a patient

Contact lens removal: hard lenses

Contact lens removal: soft lenses

Continent urinary diversion stoma: self-catheterization

Continuous positive airway pressure

Digital rectal examination

Digital removal of faeces

Donning a sterile gown and gloves: closed technique

Donning sterile gloves: open technique

Drainage systems: changing the dressing around the drain site for both open and closed drains

Dressing a wound

Early mobilization of the patient in bed

Electrocardiogram

Enema administration

Enteral feeding tubes: administration of feed

Enteral feeding tubes: administration of medication

Enteral feeding tubes: unblocking

Entonox administration

Epidural/intrathecal catheter removal

Epidural/intrathecal exit site dressing change

Epidural/intrathecal sensory blockade: assessment

Extravasation management: peripheral cannula

Extravasation: performing flush-out following an extravasation

Eye irrigation

Eye swabbing

Faecal sampling

Feeding an adult patient

Fluid input: measurement

Fluid output: measuring output from drains

Fluid output: monitoring output from bowels

Fluid output: monitoring output from gastric outlets, nasogastric tubes, gastrostomy

Fluid output: monitoring output from stoma sites

Fluid output: monitoring/measuring output if the patient is catheterized

Fluid output: monitoring/measuring output if the patient is not catheterized

Hand decontamination using alcohol handrub

Hand washing

Handover in post-anaesthetic care unit: scrub nurse/ODP to recovery practitioner

High-flow oxygen therapy

Humidification for respiratory therapy

Implanted ports: insertion and removal of non-coring needles

Inserting an intraosseous needle

Insertion of a nasogastric (NG) drainage tube

Jejunostomy feeding tube care

Log rolling for suspected/confirmed cervical spinal instability

Log rolling for suspected/confirmed thoracolumbar spinal instability

Lumbar puncture

Measuring the weight and height of the patient

Medication: administration by inhalation using a metered dose inhaler

Medication: administration by inhalation using a nebulizer

Medication: continuous infusion of intravenous drugs

Medication: controlled drug administration

Medication: ear drop administration

Medication: eye administration

Medication: injection (bolus or push) of intravenous drugs

Medication: injection administration

Medication: intermittent infusion of intravenous drugs

Medication: intradermal injection

Medication: intramuscular injection

Medication: multidose vial: powder preparation using equilibrium method

Medication: multidose-vial: powder preparation using a venting needle

Medication: nasal drop administration

Medication: oral drug administration

Medication: self-administration

Medication: single-dose ampoule: powder preparation

Medication: single-dose ampoule: solution preparation

Medication: subcutaneous administration using a McKinley T34 syringe pump

Medication: subcutaneous infusion of fluids

Medication: subcutaneous injection

Medication: topical applications

Medication: transdermal applications

Medication: vaginal administration

Midline catheter insertion

Mouth care for the patient with dentures

Mouth care

Moving from sitting to standing: assisting the patient

Nasogastric intubation with tubes using an introducer

Nasopharyngeal wash: syringe method

Nasopharyngeal wash: vacuum-assisted aspirate method

Negative pressure wound therapy

Nephrostomy tube: removal of locking pigtail drainage system

Nephrostomy tube: weekly dressing and bag change 167

Neurological observations and assessment

Operating theatre procedure: maintaining the safety of a patient while undergoing surgery

Oxygen therapy

Pain assessment

Peak flow reading using a manual peak flow meter

Penile sheath application

Percutaneous endoscopically placed gastrostomy (PEG) tube care

Peripheral cannula insertion

Personal care after death

PICC insertion using modified Seldinger technique with ultrasound

PICC removal

Positioning for suspected/confirmed cervical spinal instability: pelvic twist to right

Positioning the neurological patient with tonal problems

Positioning the patient to maximize V/Q matching for widespread pathology in a self-ventilating patient

Positioning the patient to maximize V/Q matching with unilateral lung disease in a self-ventilating patient

Positioning the patient: in a chair/wheelchair

Positioning the patient: lying down to sitting up

Positioning the patient: side-lying

Positioning the patient: sitting in bed

Positioning the patient: supine

Positioning the pre-operative and post-operative amputation patient

Positioning the unconscious patient or patient with an airway in supine

Positioning the unconscious patient or patient with an airway in side-lying

Positioning to maximize the drainage of secretions

Pre-operative care: checking that the patient is fully prepared for surgery

Protective isolation: entering the isolation room

Protective isolation: preparing the room

Pulse measurement

Putting on and removing a disposable apron

Putting on and removing a disposable mask or respirator

Putting on and removing non-sterile gloves

Putting on or removing goggles or a face shield

Radiologically inserted gastrostomy (RIG) tube care

Removal of a nasogastric tube

Removal of a nasogastric tube

Removal of T-fasteners

Removing an intraosseous needle

Respiratory assessment and pulse oximetry

Respiratory examination

Safe disposal of foul, infected or infested linen

Safe management of the patient in the PACU

Semen collection

Short-term central venous catheter (non-cuffed/tunnelled) insertion into the internal jugular vein

Short-term central venous catheter (non-cuffed/tunnelled): removal

Slipper bedpan use: assisting a patient

Source isolation: entering the isolation room

Source isolation: leaving the isolation room

Source isolation: preparing an isolation room

Source isolation: transporting infected patients outside the source isolation area

Sputum sampling

Step-by-step guide to measuring and applying antiembolic stockings

Stoma bag change

Stoma bridge or rod removal

Stoma siting

Suppository administration

Surgical scrub technique

Suture removal

Suturing a simple wound

Swab sampling: ear

Swab sampling: eye

Swab sampling: nose

Swab sampling: penis

Swab sampling: rectum

Swab sampling: skin

Swab sampling: throat

Swab sampling: vagina

Swab sampling: wound

Temperature measurement

Tracheostomy: dressing change

Tracheostomy: inner cannula change

Tracheostomy: suctioning a patient

Tracheostomy: tube change

Urinalysis: reagent strip procedure

Urinary catheter bag: emptying

Urinary catheter removal

Urinary catheterization: female

Urinary catheterization: intermittent self-catheterization patient guidance: male

Urinary catheterization: intermittent self-catheterization patient guidance: female

Urinary catheterization: male

Urine sampling: 24-hour urine collection

Urine sampling: catheter specimen of urine (CSU)

Urine sampling: midstream specimen of urine: female

Urine sampling: midstream specimen of urine: male

Urine sampling: sampling from an ileal conduit

Vascular access devices: maintaining patency

Venepuncture

Washing a patient's hair in bed

Wound drain removal: closed drainage system, e.g. Robinson's drain, Redivac or concertina drain

Wound drain shortening for closed drainage systems, e.g. Robinson's drain

Wound drain shortening for open drainage systems, e.g. Penrose, Yates or corrugated