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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 preoperative and postoperative amputee patient

Positioning to maximize the drainage of secretions

Preoperative care: theatre checklist

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

Respiratory assessment and pulse oximetry

Safe disposal of foul, infected or infested linen

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

Staple removal

Stoma bridge or rod removal

Stoma care

Suctioning a patient with a tracheostomy

Suppository administration

Suture removal

Swab sampling: ear

Swab sampling: eye

Swab sampling: low vagina

Swab sampling: nose

Swab sampling: penis

Swab sampling: rectum

Swab sampling: skin

Swab sampling: throat

Swab sampling: wound

Temperature measurement

Tracheostomy dressing change

Transfer to PACU

Urinalysis: reagent strip procedure

Urinary catheter bag: emptying

Urinary catheter removal

Urinary catheterization: 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

Venepuncture

Wound drain removal (closed drainage system, for example, Redivac or concertina)

Wound drain shortening (open drainage systems, for example, Penrose, Yates or corrugated)

Wound drainage systems: changing the dressing around the drain site and observation/management

Wound drainage systems: changing the vacuum of a closed drainage system

Acknowledgements

A book is a team effort and never more so than with this edition of The Royal Marsden Hospital Manual of Clinical Nursing Procedures.

Since the first edition was published in 1984, the range of procedures within the manual has grown in complexity and the depth of the theoretical content underpinning them has increased considerably, more so in this edition as the structure has been totally revised. This has demanded more from every author, as they have had to research and write new material as well as revising the evidence base of the existing content. This has been a collaborative task carried out by knowledgeable, expert nurses in partnership with members of the multidisciplinary team including pharmacists, physiotherapists, occupational therapists, dietitians, speech therapists, radiographers and psychological care.

So, we must thank every member of the ‘team’ who have helped to produce this edition, for their time, effort and perseverance. An additional challenge has been to co-ordinate the increased number of contributors to each chapter. This responsibility has fallen to the lead chapter authors, so, for this, they deserve a special acknowledgement and thanks for their ability to integrate all the contributions and create comprehensive chapters.

We would also like to thank some other key people:

Dale Russell and the library team of the David Adams Library at The Royal Marsden School of Cancer Nursing and Rehabilitation for their help and support in providing the references required by the authors and setting up the end note system.

Stephen Millward and the medical photography team for all the new photographs.

Our families and friends who have encouraged us, stood by us and tolerated our distracted state at times during the last eighteen months.

Finally, our thanks go to Beth Knight, Rachel