Published

Estimated Publish Date

Nursing Advanced Skills
Coming Soon
Overview

Gain advanced clinical skills like IV therapy, chest tube management, and ECG interpretation for professional nursing.

What phase is this textbook in?
1
2
3
4
5
6
7
8
9
10
Estimated Dates
Digital Textbook: Available Now
Print Textbook: Available Now
Audiobook: August 2025
Next Edition: 2026
Annual Student Impact

1,612 students | 0 high school students | $248,248 student savings

Nursing Advanced Skills is a practical textbook designed to prepare entry-level registered nurses for advanced clinical responsibilities. It builds on foundational nursing skills covered in the Open RN Nursing Skills textbook and focuses on advanced techniques such as intravenous infusion, blood product administration, central line and chest tube system management, basic electrocardiogram (ECG) interpretation, and nasogastric/feeding tube insertion. With step-by-step guidance and clear explanations, this resource equips nursing students with the knowledge and confidence to perform complex procedures safely and effectively. Ideal for those transitioning into professional practice, this textbook is an essential tool for developing the advanced skills required in modern healthcare settings.

1. Initiate IV therapy via peripheral access

1.a. Incorporate modifications to reflect variations across the lifespan
1.b. Select the correct equipment, material, and supplies
1.c. Choose the correct site
1.d. Wear personal protective equipment
1.e. Follow safety procedures
1.f. Verbalize an explanation of the principles
1.g. Present sound reasoning as you describe the decisions you make throughout the process
1.h. Perform all steps in the right order
1.i. Identify indications for initiating I.V. access
1.j. Discuss appropriate selection of I.V. catheter equipment needed for initiation of I.V. therapy
1.k. Summarize standard safety practices when initiating I.V. access
1.l. Explain the principles of initiating I.V. access across the lifespan
1.m. Recognize contraindications of I.V. therapy
1.n. List potential complications of I.V. therapy

2. Administer IV push medications

2.a. Incorporate modifications to reflect variations across the lifespan
2.b. Select the correct equipment, instruments, materials, or supplies
2.c. Wear personal protective equipment
2.d. Follow safety procedures
2.e. Verbalize an explanation of the principles
2.f. Present evidence-based practice and industry standards
2.g. Perform all steps in the right order
2.h. State reasons medication might be ordered to be given I.V. push
2.i. Identify critical factors which must be considered throughout the medication administration process
2.j. Explain possible outcomes of administering medications via I.V. push method
2.k. Differentiate procedures for administering an IV push medication through various IV access types
2.l. Describe nursing interventions for I.V. push medication complications
2.m. Perform accurate math calculations for IV medication administration

3. Manage central lines

3.a. Incorporate modifications to reflect variations across the lifespan
3.b. Select the correct equipment and supplies
3.c. Wear personal protective equipment
3.d. Follow safety procedures
3.e. Verbalize an explanation of the principles
3.f. Present evidence-based practice and industry standards
3.g. Perform all steps in the right order
3.h. List the reasons why a central venous access device may be inserted
3.i. Contrast the different central venous access devices
3.j. Identify the components (parts) of central venous access devices
3.k. Differentiate nursing interventions for unexpected outcomes with central venous access devices
3.l. Describe the routine care of central venous access devices
3.m. List the steps in obtaining a blood sample from central venous access devices
3.n. Distinguish contraindications to obtaining a blood sample from central venous access devices
3.o. Outline the steps in managing an implantable port
3.p. Identify patient education for central venous access device care

4. Manage administration of blood products

4.a. Incorporate modifications to reflect variations across the lifespan
4.b. Select the correct equipment and supplies
4.c. Wear personal protective equipment
4.d. Follow safety procedures
4.e. Verbalize an explanation of the principles
4.f. Present evidence-based practice and industry standards
4.g. Verbalize potential blood transfusion reactions
4.h. Identify nursing interventions for the blood transfusion reactions
4.i. Perform all steps in the right order
4.j. Differentiate indications for administration of blood products
4.k. Explain the steps for safe administration of blood products
4.l. Analyze common labs associated with blood product administration
4.m. Compare cultural variations in blood product administration
4.n. Identify necessary patient education regarding blood transfusions
4.o. Differentiate between various blood product types

5. Interpret basic electrocardiogram patterns

5.a. Identify the basic rhythm
5.b. Detail the nursing intervention in response to the rhythm (both pharmacological and nonpharmacological)
5.c. Support your interpretation with relevant evidence
5.d. Explain the anatomy of the heart using key terms relating to the conduction system
5.e. Evaluate relevant characteristics of each waveform present in an ECG tracing
5.f. Identify criteria that define normal sinus rhythm
5.g. Apply identified steps to interpret ECG waveforms
5.h. Classify various arrhythmias noted on an ECG tracing
5.i. Compare treatment options for arrhythmias
5.j. Summarize the steps involved with obtaining a rhythm strip
5.k. Recognize factors that contribute to diminished quality of a rhythm tracing
5.l. Determine the nursing interventions for a patient with an arrhythmia

6. Insert NG/feeding tubes

6.a. Incorporate modifications to reflect variations across the lifespan
6.b. Select the correct equipment, materials and supplies
6.c. Wear personal protective equipment
6.d. Follow safety procedures
6.e. Verbalize an explanation of the principles
6.f. Present evidence-based practice and industry standards
6.g. Perform all steps in the right order
6.h. Compare various types of NG/feeding tubes
6.i. Identify nursing considerations for managing NG/feeding tubes
6.j. List methods to determine correct placement of an NG/feeding tube
6.k. Discuss outcomes for NG/feeding tube utilization
6.l. Analyze laboratory tests used to monitor nutritional status

7. Manage chest tube drainage systems

7.a. Incorporate modifications to reflect variations across the lifespan
7.b. Select the correct equipment, supplies, and materials
7.c. Wear personal protective equipment
7.d. Follow safety procedures
7.e. Verbalize an explanation of the principles
7.f. Present evidence-based practice and industry standards
7.g. Identify indications for chest tube placement
7.h. Differentiate between various suction device systems
7.i. Describe components of chest tube drainage systems
7.j. Apply the nursing process when caring for patients with chest tube drainage systems
7.k. Explain outcomes associated with chest tube drainage systems
7.l. Determine nursing interventions for managing chest tube drainage systems

This video walks you through our online textbook hosted on the Pressbooks website and not this website. To access this book online, click below.

View Online Textbook
View Online Textbook
visibility
This textbook is part of the WisTech Open collection and is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

You are free to:
– Share — copy and redistribute the material in any medium or format
– Adapt — remix, transform, and build upon the material for any purpose, even commercially

Under the following terms:
– Attribution — You must give appropriate credit to WisTech Open, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests WisTech Open endorses you or your use.

License: https://creativecommons.org/licenses/by/4.0/
Funded by U.S. Department of Education Open Textbooks Pilot grant