Nationally recognised as the definitive guide to clinical nursing skills,The Royal Marsden Manual of Clinical Nursing Procedures has provided essential nursing knowledge and up-to-date information on nursing skills and procedures for over 30 years. Now in its 9th edition, this full-colour manual provides the underlying theory and evidence for procedures enabling nurses to gain the confidence they need to become fully informed, skilled practitioners.

Written with the qualified nurse in mind, this manual provides uptodate, detailed, evidencebased guidelines for over 200 procedures related to every aspect of a persons care including key information on equipment, the procedure and post-procedure guidance, along with full colour illustrations and photos.

Following extensive market research, this ninth edition:

contains the procedures and changes in practice that reflect modern acute nursing careincludes thoroughly reviewed and updated evidence underpinning all proceduresis organised and structured to represent the needs of a patient along their care pathwayintegrates risk-management into relevant chapters to ensure it is central to carecontains revised procedures following hands-on testing by staff and students at Kingston Universityis also available as an online edition

Lisa Dougherty
OBE, RN, MSc, DClinP
Nurse Consultant Intravenous Therapy
The Royal Marsden Hospital NHS Foundation Trust

Sara Lister
RN, PGDAE, BSc (Hons), MSc, MBACP
Assistant Chief Nurse/Head of School
The Royal Marsden School of Cancer Nursing& Rehabilitation
The Royal Marsden Hospital NHS Foundation Trust

Detailed table of contents vii

Foreword to the ninth edition xiii

Acknowledgements xiv

List of contributors xv

List of abbreviations xix

Quick reference to the procedure guidelines xxiii

How to use your manual xxvii

1 Introduction 1

Part One Managing the patient journey 7

2 Assessment and discharge 9

3 Infection prevention and control 49

Part Two Supporting the patient with human functioning 95

4 Communication 97

5 Elimination 133

6 Moving and positioning 207

7 Nutrition, fl uid balance and blood transfusion 253

8 Patient comfort and end-of-life care 331

9 Respiratory care 431

Part Three Supporting the patient through the diagnostic process 507

10 Interpreting diagnostic tests 509

11 Observations 595

Part Four Supporting the patient through treatment 673

12 Medicines management 675

13 Perioperative care 789

14 Vascular access devices: insertion and management 861

15 Wound management 935

Index 967