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flexiseal bowel management system: AACN Procedure Manual for High Acuity, Progressive, and Critical Care - E-Book AACN, 2016-12-02 - NEW! Updated content throughout reflects the latest evidence-based guidelines and national and international protocols. - NEW! 17 new procedures reflect major additions to nursing practice in high acuity, progressive, and critical care settings. - NEW! Engaging new illustrations of procedures, equipment, and techniques are integrated throughout. |
flexiseal bowel management system: AACN Procedure Manual for Progressive and Critical Care - E-Book AACN, 2023-07-07 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Critical Care** Edited by the American Association of Critical-Care Nurses and written by more than 100 critical care experts under the direction of Karen L. Johnson, PhD, RN, FAAN, this definitive reference represents the gold standard of care for procedures performed in progressive and critical care settings. It guides you through procedures common to the adult critical care environment, including those performed by advanced practice nurses, in an illustrated, step-by-step format. This edition — now in in full color — features new procedures, new and updated illustrations, and updated content throughout, reflecting the latest evidence-based guidelines and national and international protocols. Quick-reference tabs make it easier than ever to locate content quickly. This new edition integrates key AACN initiatives, such as Practice Alerts, and coordinates closely with the AACN Core Curriculum for Progressive and Critical Care Nursing, 8th Edition. Chapter-specific quick-links employ QR codes for instant access to high-quality online references. - Edited by the American Association of Critical-Care Nurses, written by more than 100 expert critical care clinicians under the direction of Karen L. Johnson, PhD, RN, FAAN, and extensively reviewed by more than 100 additional critical care experts to ensure the accuracy and currency. - Comprehensive coverage includes all procedures commonly performed in progressive and critical care settings, including those performed by advanced practice nurses (indicated by an AP icon). - Straightforward, step-by-step organization uses consistent headings to make following a procedure (and finding the various supporting elements) quick and easy, with bulleted lists, tables, and detailed illustrations throughout to ensure that content is easy to reference and follow. - Rationales for all interventions in patient and family education, assessment, patient preparation, procedure, and monitoring help students understand the rationale for every step, and a level of evidence is provided when a research base exists to substantiate an intervention, giving insight into the strength of recommendations. - NEW! Additional procedures, new and updated illustrations, and updated content throughout reflect the latest evidence-based guidelines and national and international protocols. - NEW! Full-color design with color reference tabs enhances navigation, plus full-color illustrations reinforce understanding. - UPDATED! Key AACN initiatives, such as Practice Alerts, are integrated throughout, and content coordinates with the AACN Core Curriculum for Progressive and Critical Care Nursing, 8th Edition. - NEW! Chapter-specific quick-links via QR codes provide quick access to online references, which have been updated and limited to the highest-value sources. |
flexiseal bowel management system: Management of Fecal Incontinence for the Advanced Practice Nurse Donna Z. Bliss, 2018-07-30 The book describes the current management of fecal incontinence from an advanced practice nursing perspective. It fills a gap in nursing knowledge promoting and showcasing the expertise and significant contribution of advanced practice nurses whose role is so important in the health care system. Authors’ objectives are to disseminate information about evidenced-based nursing care for the incontinent patient to improve outcomes and quality of life as well as to instruct nurses involved in continence care to practice at a high quality level. The book is structured in chapters, starting by explaining fecal incontinence and its impact on quality of life. The second chapter discusses advanced practice continence nursing. The epidemiology of fecal incontinence is reviewed to provide an appreciation of the scope of the problem. Normal defecation and mechanisms to ensure continence are reviewed to improve understanding of the alterations resulting in fecal incontinence. The next chapters focus on assessment, diagnosis and management of fecal incontinence in various patient groups which parallels the delivery of care. Since surgery is a treatment option in some cases, a chapter explains surgical approaches and the postoperative nursing care. As skin damage is the most common complication of fecal incontinence there is a chapter about management of these associated problems. The last chapter addresses managing fecal incontinence in the patient with urinary continence also. Practice related chapters include a case study. All chapters highlight key information in a box or table. The intended readers are international advanced practice nurses who care for patients with incontinence as well as continence nurse specialists practicing at a general level. General nurses interested in continence care might also be interested in reading the book. Other disciplines who are part of the healthcare team may be interested in learning more about role of the advanced practice nurse. |
flexiseal bowel management system: Urinary & Fecal Incontinence Dorothy B. Doughty, 2005-12-15 Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function. |
flexiseal bowel management system: Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care Jamie M. Burkitt Creedon, Harold Davis, 2012-04-03 Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care is a comprehensive yet practical reference, providing hands-on information essential to veterinarians and veterinary technicians involved in emergency and critical care. Written by an expert team of veterinarians and veterinary technicians, this well-referenced book offers step-by-step protocols for performing advanced emergency and critical care procedures and monitoring techniques. Packed with practical guidance in an easy-to-use format, this book is ideally suited for quick access in emergency rooms or intensive care units. Organized primarily by body system, each chapter covers general principles, indications, equipment, techniques, basic interpretation, troubleshooting, and contraindications. Standardized protocols supply equipment lists and step-by-step instructions throughout, and a companion website offers images from the book in PowerPoint and protocols as downloadable Word files. Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care is a valuable resource for any veterinary staff member with an interest in improving the standard of care in emergency and critical care medicine. |
flexiseal bowel management system: Clinical Pocket Guide to Advanced Practice Palliative Nursing Constance Dahlin, Patrick Coyne, Betty Ferrell, 2017-03-02 The Clinical Pocket Guide to Advanced Practice Palliative Nursing is a companion guide to Advanced Practice Palliative Nursing, the first text devoted to advanced practice nursing care of the seriously ill and dying. Each chapter of this pocket guide presents point-of-care guidance on palliative care issues for quick reference in daily practice. Edited by leaders in the field, this handbook provides consistency in the nursing process from assessment to management and evaluation of symptoms and various clinical situations. The Clinical Pocket Guide to Advanced Practice Palliative Nursing contains clinical pearls developed from the textbook and practical tools on pain and symptom assessment, functional status, and communication, making it an ideal resource for practicing APNs. management and evaluation of symptoms and various clinical situations. |
flexiseal bowel management system: Clinical Guide to Skin and Wound Care Cathy T. Hess, 2012-09-26 This useful resource will help both clinicians and institutions deliver wound care that's both appropriate for patient needs and cost-effective for the institution. Featuring important new information on documentation regulations, including helpful checklists, and offering take-away highlights in every chapter, this useful resource also provides new content on lymphedema management guidelines, negative pressure wound therapy, and capturing data using today's media capabilities. Part 1 covers the fundamentals of skin and wound care, including assessment, treatment, prevention, nutrition, and documentation. Part 2 offers profiles and photos of hundreds of skin and wound care products, all categorized and alphabetized for easy reference. The book also includes a full-color wound photo section, wound checklists, and much more. |
flexiseal bowel management system: Brunner & Suddarth's Textbook of Medical-surgical Nursing Suzanne C. O'Connell Smeltzer, Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever, 2010 Preparing students for successful NCLEX results and strong futures as nurses in today's world. Now in its 12th edition, Brunner and Suddarth's Textbook of Medical-Surgical Nursing is designed to assist nurses in preparing for their roles and responsibilities in the medical-surgical setting and for success on the NCLEX. In the latest edition, the resource suite is complete with a robust set of premium and included ancillaries such as simulation support, adaptive testing, and a variety of digital resources helping prepare today's students for success. This leading textbook focuses on physiological, pathophysiological, and psychosocial concepts as they relate to nursing care. Brunner is known for its strong Nursing Process focus and its readability. This edition retains these strengths and incorporates enhanced visual appeal and better portability for students. Online Tutoring powered by Smarthinking--Free online tutoring, powered by Smarthinking, gives students access to expert nursing and allied health science educators whose mission, like yours, is to achieve success. Students can access live tutoring support, critiques of written work, and other valuable tools. |
flexiseal bowel management system: Nursing Interventions Classification (NIC) Gloria M. Bulechek, PhD, RN, FAAN, Howard K. Butcher, Joanne M. McCloskey Dochterman, PhD, RN, FAAN, Cheryl Wagner, 2012-11-01 Covering the full range of nursing interventions, Nursing Interventions Classification (NIC), 6th Edition provides a research-based clinical tool to help in selecting appropriate interventions. It standardizes and defines the knowledge base for nursing practice while effectively communicating the nature of nursing. More than 550 nursing interventions are provided - including 23 NEW labels. As the only comprehensive taxonomy of nursing-sensitive interventions available, this book is ideal for practicing nurses, nursing students, nursing administrators, and faculty seeking to enhance nursing curricula and improve nursing care. More than 550 research-based nursing intervention labels with nearly 13,000 specific activities Definition, list of activities, publication facts line, and background readings provided for each intervention. NIC Interventions Linked to 2012-2014 NANDA-I Diagnoses promotes clinical decision-making. New! Two-color design provides easy readability. 554 research-based nursing intervention labels with nearly 13,000 specific activities. NEW! 23 additional interventions include: Central Venous Access Device Management, Commendation, Healing Touch, Dementia Management: Wandering, Life Skills Enhancement, Diet Staging: Weight Loss Surgery, Stem Cell Infusion and many more. NEW! 133 revised interventions are provided for 49 specialties, including five new specialty core interventions. NEW! Updated list of estimated time and educational level has been expanded to cover every intervention included in the text. |
flexiseal bowel management system: Skin and Wound Care Cathy Thomas Hess, 2008 Completely updated for its Sixth Edition, this handbook is the only all-in-one portable guide to skin and wound care, with new chapters on skin care and incontinence, important new information on regulations, and more than 650 dressings, drugs, and other products for every type of wound. Part I provides detailed guidelines on wound care and prevention and related professional and legal issues. Part II features profiles and photographs of over 300 wound care products. Part III contains charts of over 300 additional products. Appendices include assessment tools and multiple treatment algorithms. A manufacturer resource guide with Website listings is included. |
flexiseal bowel management system: Acute Care Surgery L.D. Britt, Andrew B. Peitzman, Philip S. Barie, Gregory Jurkovich, 2018-09-06 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Substantially updated with more illustrations and brand-new chapters that reflect the growth and advances in the field, this latest edition of Acute Care Surgery features an editorial board drawn from the ranks of trauma surgery, emergency surgery, and critical care surgery. A comprehensive, updated, and timely overview of this fledgling specialty! |
flexiseal bowel management system: Nursing Interventions Classification (NIC) - E-Book Howard K. Butcher, Gloria M. Bulechek, Joanne M. Dochterman, Cheryl M. Wagner, 2018-01-13 Select nursing interventions with the book that standardizes nursing language! Nursing Interventions Classification (NIC), 7th Edition provides a research-based clinical tool to help you choose appropriate interventions. It standardizes and defines the knowledge base for nursing practice as it communicates the nature of nursing. More than 550 nursing interventions are described — from general practice to all specialty areas. From an expert author team led by Howard Butcher, this book is an ideal tool for practicing nurses and nursing students, educators seeking to enhance nursing curricula, and nursing administrators seeking to improve patient care. It's the only comprehensive taxonomy of nursing-sensitive interventions available! - More than 550 research-based nursing intervention labels are included, along with specific activities used to carry out interventions. - Descriptions of each intervention include a definition, a list of activities, a publication facts line, and references. - Specialty core interventions are provided for 53 specialties. - NEW! 16 NEW interventions are added to this edition, including health coaching, phytotherapy, management of acute pain, and management of chronic pain. - UPDATED! 95 interventions have been revised. - NEW! Five label name changes are included. |
flexiseal bowel management system: Brunner & Suddarth's Canadian Textbook of Medical-Surgical Nursing Mohamed El Hussein, Joseph Osuji, 2019-09-23 Brunner and Suddarth’s Canadian Textbook of Medical-Surgical Nursing is a student-friendly text with an easy-to-read and comprehend Nursing Care Plan focus and a distinct Canadian focus. |
flexiseal bowel management system: Acute and Chronic Wounds - E-Book Ruth Bryant, Denise Nix, 2023-05-18 Acute & Chronic Wounds, 6th Edition provides the latest diagnostic and treatment guidelines to help novice to expert clinicians provide evidence-based, high-quality care for patients with wounds. This textbook presents an interprofessional approach to maintaining skin integrity and managing the numerous types of skin damage, including topics that range from the physiology of wound healing, general principles of wound management, special patient populations, management of percutaneous tubes, and specific care instructions to program development. Written by respected wound experts Ruth Bryant and Denise Nix, this bestselling reference also provides excellent preparation for all wound certification exams. - Comprehensive approach addresses the prevention and management of acute and chronic wounds, making it the preeminent resource for skin health and wound management across all disciplines involved in wound care, from novice to expert. - Learning Objectives at the beginning of each chapter emphasize the most important content. - Clinical Consult feature in each chapter provides a synthesis of the chapter content, illustrating how to assess, manage, and document a realistic clinical encounter using the ADPIE or SBAR framework. - Checklists provide a concise list of actions necessary to achieve the best patient care outcomes or satisfy a particular objective. - Practical tools and algorithms help in performing risk assessment, differential diagnosis, classification, treatment, and documentation. - Coverage of practice development issues addresses outcomes and productivity in agencies and institutions, home care, acute care, long-term care, and long-term acute care settings. - Self-assessment questions help you test your knowledge and prepare for certification exams. - Helpful appendices provide answers to self-assessment questions, as well as various tools, policies and procedures, competencies, patient and family education guidance, and more. - NEW! Chapters on Postacute Care Settings; Telehealth and Wound Management; Quality Tracking Across the Continuum; and Medications and Phytotherapy: Impact on Wounds provide evidence-based coverage of these important topics. - UPDATED! Consolidated pressure injuries content puts everything you need to know into one chapter. - Expanded full-color insert includes 50 new images — for a total of 95 color plates with more than 160 images — that visually reinforce key concepts. - New information presents the latest developments in biofilm assessment and management, topical oxygen therapy, skin manifestations related to COVID-19, and strategies to enhance engagement, as well as updated product photos and more authors who are clinical experts and providers. |
flexiseal bowel management system: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing Janice L. Hinkle, Kerry H. Cheever, 2018-08-30 Trusted by nursing fraternity for more than 50 years, Brunner and Suddarth's Textbook of Medical-Surgical Nursing layers essential patient care information, engaging critical thinking exercises and diverse features to help students learn critical content. The South Asian edition is comprehensively updated to customize and keep pace with South Asia's health care environment by including Indian/Asian epidemiologic data of common diseases and disorders, flowcharts of pathophysiologic processes of various diseases and disorders and psychosocial concepts, which is contemporary to South Asian scenario. Furthermore, essential medical-surgical nursing content and diseases/disorders, which are specific to South Asia, are added to make this textbook most suitable to South Asian learners. |
flexiseal bowel management system: Nursing Interventions Classification (NIC) - E-Book Gloria M. Bulechek, Howard K. Butcher, Joanne M. Dochterman, Cheryl M. Wagner, 2012-11-01 Covering the full range of nursing interventions, Nursing Interventions Classification (NIC), 6th Edition provides a research-based clinical tool to help in selecting appropriate interventions. It standardizes and defines the knowledge base for nursing practice while effectively communicating the nature of nursing. More than 550 nursing interventions are provided — including 23 NEW labels. As the only comprehensive taxonomy of nursing-sensitive interventions available, this book is ideal for practicing nurses, nursing students, nursing administrators, and faculty seeking to enhance nursing curricula and improve nursing care. More than 550 research-based nursing intervention labels with nearly 13,000 specific activities Definition, list of activities, publication facts line, and background readings provided for each intervention. NIC Interventions Linked to 2012-2014 NANDA-I Diagnoses promotes clinical decision-making. New! Two-color design provides easy readability. 554 research-based nursing intervention labels with nearly 13,000 specific activities. NEW! 23 additional interventions include: Central Venous Access Device Management, Commendation, Healing Touch, Dementia Management: Wandering, Life Skills Enhancement, Diet Staging: Weight Loss Surgery, Stem Cell Infusion and many more. NEW! 133 revised interventions are provided for 49 specialties, including five new specialty core interventions. NEW! Updated list of estimated time and educational level has been expanded to cover every intervention included in the text. |
flexiseal bowel management system: Advanced Practice Palliative Nursing Constance Dahlin, Patrick J. Coyne, Betty R. Ferrell, 2016-02-25 Advanced Practice Palliative Nursing is the first text devoted to advanced practice nursing care of the seriously ill and dying. This comprehensive work addresses all aspects of palliative care including physical, psychological, social, and spiritual needs. Chapters include: symptoms common in serious illness, pediatric palliative care, spiritual and existential issues, issues around the role and function of the advanced practice nurse (APN), reimbursement, and nursing leadership on palliative care teams. Each chapter contains case examples and a strong evidence base to support the highest quality of care. The text is written by leaders in the field and includes authors who have pioneered the role of the advanced practice nurse in palliative care. This volume offers advanced practice content and practical resources for clinical practice across all settings of care and encompassing all ages, from pediatrics to geriatrics. |
flexiseal bowel management system: Acute and Chronic Wounds Ruth Bryant, Denise Nix, 2015-11-24 Prevent and manage wounds with this expert, all-inclusive resource! Acute & Chronic Wounds: Current Management Concepts, 5th Edition provides the latest diagnostic and treatment guidelines to help you provide quality care for patients with wounds. This textbook presents an interprofessional approach to maintaining skin integrity and managing the numerous types of skin damage including topics that range from the physiology of wound healing, general principles of wound management, vulnerable patient populations, management of percutaneous tubes, and specific care instructions to program development. Written by respected nursing educators Ruth Bryant and Denise Nix, this bestselling reference also provides excellent preparation for all wound certification exams. A comprehensive approach to the care of patients with acute and chronic wounds guides students and health care providers to design, deliver and evaluate quality skin and wound care in a systematic fashion; the comprehensive approach includes the latest advances in diagnosis, differentiation of wound types, nutrition, prevention, treatment, and pharmacology. Self-assessment questions and answers in each chapter help you assess your knowledge and prepare for all wound certification exams. Checklists offer a concise, easy-to-read summary of the steps needed to achieve the best patient care outcomes. Risk assessment scales help in determining a patient's risk for developing a wound, and wound classification tools identify the proper terminology to be used in documentation. Learning objectives at the beginning of each chapter focus your study on the most important content. Principles for practice development boost outcomes and productivity in agencies and institutions, home care, acute care, long-term care, and long-term acute care settings. NEW coverage includes the latest guidelines from WOCN, AAWC, NPUAP, EPUAP, and PPPIA, and the American College of Physicians. New sections cover the prevention and management of biofilm, the new skin tear classification system, MASD and MARCI, CTP terminology and classification scheme, and integration of the Health Belief Model. NEW! Additional full-color photographs show the differential diagnosis of types of skin damage, management of fistulas, and NPWT procedures. NEW! Clinical Consult features help in applying concepts to clinical practice, showing students and health care professionals how to assess, manage, and document real-life patient and staff encounters using the ADPIE framework. NEW two-color illustrations and design make the book more visually appealing. |
flexiseal bowel management system: Acute & Chronic Wounds Ruth A. Bryant, Denise P. Nix, 2012-01-01 Rev. ed. of: Acute and chronic wounds / [edited by] Ruth A. Bryant, Denise P. Nix. 3rd ed. c2007. |
flexiseal bowel management system: Understanding Medical Surgical Nursing Linda S Williams, Paula D Hopper, 2015-01-09 Here’s everything you need to know to care for adult medical-surgical patients and pass the NCLEX-PN®. Easy-to-understand guidance helps you confidently grasp the principles, concepts, and skills essential for practice. |
flexiseal bowel management system: Fundamentals of Critical Care Ian Peate, Barry Hill, 2022-11-07 Fundamentals of Critical Care A Textbook for Nursing and Healthcare Students In Fundamentals of Critical Care, a team of clinicians and health educators deliver an accessible, timely, and evidence-based introduction to the role of nurses and healthcare practitioners in critical care. The book explores fundamental concepts in critical care and their implications for practice. Each chapter outlines essential knowledge necessary to understand key concepts and includes high quality, full-colour artwork to enhance learning and recall. Readers are also provided with clinical scenarios, practice questions, and red and orange flags to indicate physiological and psychological alerts respectively. Covering a range of common and specialised disease processes and treatments requiring critical care, the book provides: A thorough introduction to the critical care unit, including philosophies of care, ways of working, humanisation, and outreach Comprehensive exploration of organisational influences, including political, local, national, and international influences Practical discussion of legal, ethical, and professional issues, as well as evidence-based approaches to critical care In-depth examination of nursing care assessment tools, nursing communication, cognition, pharmacology, and more Perfect for nursing students and trainee nursing associates, Fundamentals of Critical Care: A Textbook for Nursing and Healthcare Students will also earn a place in the libraries of healthcare students in physiotherapy, paramedicine, medicine, and those returning to practice. All content reviewed by students for students. If you would like to be one of our student reviewers, go to www.reviewnursingbooks.com to find out more. To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email |
flexiseal bowel management system: Brunner & Suddarth's Textbook of Medical-Surgical Nursing Jan Hinkle, Kerry H. Cheever, 2017-09-25 Publisher’s Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Trusted by instructors, preferred by students, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 14th Edition makes fundamental coverage of medical-surgical nursing practices more approachable than ever. Comprehensively updated to keep pace with today’s changing health care environment, this edition layers essential patient care procedures with engaging case studies and vignettes that bring concepts to life and prepare students to confidently apply what they’ve learned in nursing practice. Fully updated and enhanced, this new edition provides a fully integrated solution that promotes clinical judgment, performance, and success on the NCLEX examination and in nursing practice. |
flexiseal bowel management system: Brunner & Suddarth's Textbook of Medical-Surgical Nursing Janice Hinkle, 2021-08-05 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (Single Volume), 15th Edition Keeping tomorrow’s nurses at the forefront of today’s changing healthcare environment, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition delivers the most comprehensive resource available for nursing students in the medical-surgical course. This bestselling text is designed for the way students like to learn, combining a highly readable approach with engaging case studies and learning tools to help students explore essential patient care practices in real-world terms and gain a more practical understanding of how they’ll apply what they’ve learned in practice. Trusted by instructors, students, and practicing nurses for nearly 60 years, this landmark resource has been comprehensively updated for the 15thEdition to reflect the latest research, evidence-based practices, settings, issues, ethical challenges, and concerns of today’s healthcare practice. Complete integration with Lippincott® CoursePoint+ allows you to easily map out your entire course, provide personalized student remediation, and simulate real-world nursing scenarios involving patients mentioned in vignettes in the text, giving your students unparalleled preparation for success in the medical-surgical nursing workforce. Also Available as a two-volume set (978-1-9751-6828-5) Ensure a mastery of essential nursing skills and equip students for success throughout the nursing education continuum with the complete Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition solution (available for separate purchase): Lippincott® CoursePoint+ for Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition Study Guide for Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition vSim for Nursing | Medical-Surgical Lippincott® DocuCare |
flexiseal bowel management system: Manual of Critical Care Nursing Marianne Saunorus Baird, 2015-10-01 The compact, yet comprehensive, Manual of Critical Care Nursing: Nursing Interventions and Collaborative Management, 7th Edition is your students'a go-to reference forto help you provide safe, high-quality nursing care in the clinicalcritical care settings. Written in an abbreviated outline format, this easy-to-use Manual presents essential information on more than 75 disorders and conditions, as well as concepts relevant to caring for all critically ill patients and functioning in the critical care environment. Award-winning clinical nurse specialist Marianne Baird separates the content first by body system and then by disorder, with each disorder including a brief description of pathophysiology, assessment, diagnostic testing, collaborative management, nursing diagnoses, desired outcomes, nursing interventions, and patient teaching and rehabilitation. With the latest NANDA-I nursing diagnoses and new sections on Bariatric Considerations and Caring for the Elderly, this practical manual is designed to help critical care nurses and nursing students better care for any critically ill patient. Coverage of more than 75 disorders most commonly seen in critical care units. Consistent, easy-to-use format facilitates quick reference so you can find information exactly where you expect it to be. Portable size makes it ideal for use in the unit or bedside, and is also easy to carry on campus. Research Briefs boxes present abstracts of selected research studies and emphasize the use of evidence to guide care recommendations. NANDA-approved diagnoses are marked with an icon to familiarize you with NANDA terminology. Chapters mirror a practicing nurse's approach to patient care, making it quicker and easier to find information. Diagnostic Tests tables highlight the definition, purpose, and abnormal findings for each test. Collaborative Management tables concisely summarize relevant performance measures while incorporating the best available patient care guidelines. Safety Alert! and High Alert! icons call attention to issues important to a patient's safety. Chapter outlines display major heads, care plans, and their respective page numbers - and provide easy access to disorders. NEW! Bariatric Considerations section added to assessment sections to help you assess, and prevent complications and improve care in, overweight and obese patients. NEW! Section on Caring for the Elderly added to assessment sections to provide you with tips and guidelines unique to elderly patients, including recognizing differences in measuring pain, providing appropriate nutritional support, improving communication, and preventing infection. NEW! Updated content throughout keeps you current in the field of critical care nursing. NEW! Geriatric icon highlights considerations relating to the care of older adults. NEW! The latest NANDA-I nursing diagnoses ensure you stay up-to-date. |
flexiseal bowel management system: AACN Procedure Manual for Critical Care - E-Book American Association of Critical-Care Nr, 2010-08-06 The AACN Procedure Manual for Critical Care, 6th Edition presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base. UNIQUE! AACN-sponsored content ensures the highest standards of practice Comprehensive, clear, easy-to-use format allows you to quickly find and review the exact content you need Rationales provide complete information on every procedure Identified AP procedures help you judge whether a procedure is in your scope of practice Patient safety highlighted with new icons for patient identification and time-out Joint Commission Universal Protocols CDC Standard Precautions for hand washing and applying protective clothing and equipment highlighted with new icons UNIQUE! Clarity of Evidence Leveling helps you quickly grasp the strength of the evidence supporting the care recommendations Reviewed and Updated References comply with the highest standards of critical care practice Alphabetical procedures index inside the front cover provides easy access Reader-friendly design changes make it easier to identify and utilize special features |
flexiseal bowel management system: Product Guide to Skin & Wound Care Cathy Hess, 2019-11-04 Choose the best possible skin and wound care products to support your patients’ skin health and wound healing, with the invaluable Product Guide to Skin and Wound Care, 8th Edition. Listing 294 products in alphabetical order, this handy product guide for wound care practitioners across all practice settings offers detailed information—sizes, action, indications, contraindications, application, and removal information—so that your choices stay informed and accurate. |
flexiseal bowel management system: The Royal Marsden Manual of Clinical Nursing Procedures, Student Edition Sara Lister, Justine Hofland, Hayley Grafton, Catherine Wilson, 2021-04-13 The student edition of The Royal Marsden Manual of Clinical Nursing Procedures has been the definitive, market-leading textbook of clinical nursing skills for fifteen years. This internationally best-selling title sets the gold standard for nursing care, providing the procedures, rationale, and guidance required by pre-registration students to deliver clinically effective, patient-focused care with expertise and confidence. With over two-hundred detailed procedures which reflect the skills required to meet The Standards of Proficiency for Registered Nurses (NMC 2019), this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and a range of learning activities designed to support student nurses in clinical practice. Loved and trusted by millions, The Royal Marsden Manual of Clinical Nursing Procedures, Student Edition continues to be a truly indispensable textbook for students, and includes coverage of patient assessment and discharge planning, communication, infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, medicines management, and much more. Learning features in this revised tenth edition include: Learning outcomes – summarise the focus of the information in each chapter Learning in practice – asks you to consider issues within your practice environment Case studies – provide learning around a particular patient scenario Clinical applications – ask you to consider how you would apply your knowledge to a clinical situation Stretch activities – challenge you with more nuanced, advanced issues to reflect upon Many of the features in the book are relevant to trainee nursing associates, especially when used in conjunction with supervision from academic and clinical teachers. A companion website to this title is available at www.royalmarsdenmanual.com/student10e |
flexiseal bowel management system: Fecal Incontinence Anthony G. Catto-Smith, 2014-04-23 Fecal incontinence is a common and disabling condition that unfortunately remains an “orphan” in terms of medical research and effective therapies. This book provides a brief review of the pathophysiology of fecal incontinence with specific focus on women and children. Authorship is drawn internationally, with a strong surgical input. Contributions from the authors provide critical reviews of the evaluation of function, with illustrations of a range of surgical interventions which might be applied should medical therapies fail. |
flexiseal bowel management system: Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates - E-Book Betty J. Ackley, Gail B. Ladwig, Mary Beth Flynn Makic, Marina Reyna Martinez-Kratz, Melody Zanotti, 2021-08-26 - Step-by-step instructions show how to use the Guide to Nursing Diagnoses and Guide to Planning Care sections to create a unique, individualized plan of care. - UNIQUE! Care plans are provided for NANDA-I© approved nursing diagnoses. - Evidence-based interventions and rationales include recent or classic research and references supporting the use of each intervention. - Examples of and suggested NIC interventions and NOC outcomes are presented in each care plan. - 150 NCLEX® exam-style review questions are available on the Evolve website. - Easy-to-follow Sections I and II guide you through the nursing process and selection of appropriate nursing diagnoses. - Clear, concise interventions are usually only a sentence or two long and use no more than two references. - Safety content emphasizes what must be considered to provide safe patient care. - List of NANDA-I© Diagnoses on the inside front cover of the book provides quick reference to page numbers. - Alphabetical thumb tabs allow quick access to specific symptoms and nursing diagnoses. - Appendixes provide valuable information in an easy-to-access location. |
flexiseal bowel management system: Developing Practical Adult Nursing Skills Lesley Baillie, Thomas L., 2009-04-24 This is the third edition of the highly successful textbook, Developing Practical Nursing Skills, which has been revised specifically for nursing and health care students working with adult patients, offering a more comprehensive guide that will last throughout initial training and beyond. Maintaining the practical and easy-to-use style o |
flexiseal bowel management system: Fast Facts for Wound Care Nursing Zelia Kifer, RN, BSN, CWS, Zelia Ann Kifer, 2011-10-20 Key Features: -- |
flexiseal bowel management system: Lewis's Medical-Surgical Nursing E-Book Mariann M. Harding, Jeffrey Kwong, Dottie Roberts, Debra Hagler, Courtney Reinisch, 2019-09-07 Get a unique, conceptual approach to nursing care in this rapidly changing healthcare environment. Lewis's Medical-Surgical Nursing, 11th Edition gives you a solid foundation in medical-surgical nursing. This thoroughly revised text includes a more conversational writing style, an increased focus on nursing concepts and clinical trends, strong evidence-based content, and an essential pathophysiology review. Content covers all aspects of nursing care including health promotion, acute intervention, and ambulatory care. Helpful boxes and tables make it easy for you to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. Key topics such as interprofessional care, delegation, safety, and prioritization are integrated throughout. Additionally, extensive drug therapy information and diagnostic studies tables give you a full picture of care. Best of all — a complete collection of learning and study resources helps you learn more effectively and offers valuable, real-world preparation for clinical practice. |
flexiseal bowel management system: Acute and Chronic Wounds Ruth A. Bryant, Denise P. Nix, 2007 This text is a resource for clinicians challenged with the care of acute surgical wounds and various types of chronic wounds. It provides a knowledge base for understanding wound care, including the structure of the skin, its functions, types of skin damage, physiology of wound healing, and more. |
flexiseal bowel management system: Developing Practical Nursing Skills Lesley Baillie, 2014-01-27 Developing Practical Nursing Skills, Fourth Edition helps you learn and perfect the practical skills required to become a qualified nurse. Patient-focussed and adopting a caring approach, this essential text will also help you to integrate nursing values alongside physical skills in your daily practice. Key features include:Full colour text de |
flexiseal bowel management system: Developing Practical Nursing Skills Nicola Neale, Joanne Sale, 2022-05-06 Developing Practical Nursing Skills helps you learn and perfect the practical skills required to become a qualified nurse. Adopting a patient-focused and caring approach, this essential text helps you integrate nursing values alongside physical skills in your daily practice. Now in its fifth edition, the text takes into account the NMC standards of proficiency and is relevant to nurses across all fields. Key features of the book include: i) New chapters on mental health assessment and end-of-life care, along with expanded content on sleep, pain and medication management. ii) Full-colour text design with clear illustrations and clinical photographs to aid visual learning. iii) Reader-friendly style with learning outcomes, activities and reflection points to help you link theory to practice. iv) Scenarios from a range of settings, including community, mental health and learning disabilities nursing. v) A focus on adults and young people, and with 'pointers' on caring for children and pregnant women to promote a lifespan approach. This is a complete clinical skills resource for all pre-registration nursing students. It is also a useful text for nursing associate and healthcare support workers. |
flexiseal bowel management system: Quick Reference to Critical Care Nancy Diepenbrock, 2015-08-31 The fifth edition of this pocket-sized reference guide to procedures, treatments, and stabilization techniques for disorders, injuries, and patient situations commonly seen in the critical care setting. It features extensive cross referencing to prevent discrepancy between terms. The text is “to the point” and is comprised of easy-to-understand terms. The layout features bullets to highlight specific information, provides “Remember” notations to emphasize important facts, and incorporates sun rhymes to help with reader retention. |
flexiseal bowel management system: The Royal Marsden Manual of Clinical Nursing Procedures Lisa Dougherty, Sara Lister, 2015-03-05 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 up–to–date, detailed, evidence–based guidelines for over 200 procedures related to every aspect of a person′s 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 care includes thoroughly reviewed and updated evidence underpinning all procedures is organised and structured to represent the needs of a patient along their care pathway integrates risk-management into relevant chapters to ensure it is central to care contains revised procedures following ‘hands-on’ testing by staff and students at Kingston University is also available as an online edition |
flexiseal bowel management system: The European Blood and Marrow Transplantation Textbook for Nurses Michelle Kenyon, Aleksandra Babic, 2018-03-14 This book is open access under a CC BY 4.0 license. This textbook, endorsed by the European Society for Blood and Marrow Transplantation (EBMT), provides adult and paediatric nurses with a full and informative guide covering all aspects of transplant nursing, from basic principles to advanced concepts. It takes the reader on a journey through the history of transplant nursing, including essential and progressive elements to help nurses improve their knowledge and benefit the patient experience, as well as a comprehensive introduction to research and auditing methods. This new volume specifically intended for nurses, complements the ESH-EBMT reference title, a popular educational resource originally developed in 2003 for physicians to accompany an annual training course also serving as an educational tool in its own right. This title is designed to develop the knowledge of nurses in transplantation. It is the first book of its kind specifically targeted at nurses in this specialist field and acknowledges the valuable contribution that nursing makes in this area. This volume presents information that is essential for the education of nurses new to transplantation, while also offering a valuable resource for more experienced nurses who wish to update their knowledge. |
flexiseal bowel management system: Anal Incontinence Ludovico Docimo, Luigi Brusciano, 2022-10-10 This open access book describes the latest advances in the anal incontinence diagnostic and therapeutic processes. Anal incontinence is a devastating condition heavily impacting on the patients’ lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management. This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this impairing condition. and will provide all health professionals with the appropriate tools to face this impairing condition. |
flexiseal bowel management system: Prevention and Treatment of Complications in Proctological Surgery Mario Pescatori, 2012-09-22 The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress. |
Guidelines - ConvaTec
Reduce the risk of skin breakdown by helping to keep the skin clean, dry and free from contaminants. Reduce the risk of spread of infection by containing infectious body waste within a … See more
Flexi-Seal faecal management system for preventing and …
Flexi-Seal™ faecal management system (ConvaTec) is a temporary containment device, indicated for bedridden or immobilised, incontinent patients with liquid or semi-liquid stools. …
Cardiff Flexiseal Protocol
Faecal Management System Protocol Patient Assessment: The following protocol must be completed and filed in the medical notes prior to FMS use; deviation from the protocol must be …
Enhanced Flexi-Seal SIGNAL Fecal Management System (FMS …
• Flexi-Seal® SIGNAL® Fecal Management System kit • Gloves • Incontinent pad • Lubricant • Protective barrier 2 Pre-assembles the system, removes air from the balloon and fills syringe …
Flexi-Seal Signal Faecal Management System (FMS) Guideline
The flexi-seal signal faecal Management System (FMS) is designed to effectively divert, collect and contain liquid faeces and semi–liquid stool away from the body from immobile or …
Fecal Management System - Royal Hospital for Neuro-disability
Opaque Flexi-SealTM Protect Plus PrivacyTM collection bag including 4 ConvaTec DiamondsTM gelling and odor control sachets. Deliver medication ef ectively via a secondary route. Available …
The Flexi-Seal™ PROTECT PLUS Fecal Management System is …
The Flexi-SealTM PROTECT PLUS Fecal Management System is an indwelling fecal management catheter intended for use to manage fecal incontinence through the collection of …
Stool Management System: Insertion and Management
A Stool Management System is used to contain and divert liquid or semi-liquid stool in patients with little or no bowel control in order to protect the patient’s skin and minimize exposure to …
Evaluating Flexi-Seal® FMS: a faecal management system
Flexi-Seal® FMS, a new faecal management system (ConvaTec, Ickenham, Middlesex), has been developed to assist clinicians in the management of faecal incontinence and infection control, …
Six Fecal Management System used by more hospitals
The Flexi-Seal™ SIGNAL™ FMS – a closed-end system designed to minimize the spread of infection by containing liquid/semi-liquid stool – has been shown to reduce complications and …
The Flexi-Seal® Faecal Management System - ConvaTec
The Flexi-Seal® Faecal Management System manufactured by ConvaTec Inc. (see Figure 1) is designed for the faecal management of patients with little or no bowel control and liquid or semi …
CLASSIFICATION: Clinical NT - ACPGBI
Faecal management systems (FMS) are temporary containment devices, indicated for bedridden or immobilised incontinent patients, with little or no bowel control, who have a liquid or semi …
Guidelines for the management of fecal incontinence with …
• Fecal incontinence management with Flexi-Seal™ Protect Plus is appropriate for patients with liquid and semi-liquid stool (flowing). When stool begins to become solid, use of the device …
Appendix 1 - Faecal Management System (FMS) Pre-Insertion …
*If you have answered FALSE to statement 11 (i.e. the patient does have a spinal cord injury), please seek advice from the spinal unit. FMS is contraindicated in patients with spinal cord …
Expert recommendations for managing acute fecal …
Niederalt G, Wyncoll D. Prevalence, management and clinical challenges associated with acute faecal incontinence in the ICU and critical care settings: the FIRST cross-sectional descriptive
135 Fecal Containment Devices and Bowel Management …
Jan 9, 2015 · Flexi-Seal fecal management system: A case report. Rev Esc Enferm USP 45(5):1251–1254, 2011. 15. Mulhall AM, Jindal SK: Massive gastrointestinal hemorrhage as a …
Indwelling Bowel Management System as a Cause of Life …
Indwelling bowel management systems are commonly used in immobile and critically ill patients with diarrhoea or faecal incontinence. These devices protect against perianal skin excoriation,...
Directions for Use SIGNAL - ConvaTec
The Flexi-Seal® SIGNAL® Fecal Management System contains: 1 soft catheter tube assembly, 1 Luer-Lock Syringe, 3 collection bags with filter, and. 1 cinch clamp The soft catheter is inserted …
Fecal Management Systems for Hospitalized Adult Patients: …
1. What is the comparative clinical effectiveness of finger pocket fecal management systems compared to fecal management systems without the finger pocket technology? 2. What is the …
Preparation of Device & Patient - ConvaTec
The Flexi-Seal™ PROTECT PLUS Fecal Management System with ENFit™ Connector contains: 1 Self-closing soft catheter tube assembly; 1 Luer-Lock syringe; 1 Purple ENFit™ syringe; 1 …
Guidelines - ConvaTec
Fecal incontinence management with Flexi-SealTM SIGNALTM FMS is appropriate for patients with liquid and semi-liquid stool (flowing). When stool begins to become solid, use of the device …
Flexi-Seal faecal management system for preventing and …
Flexi-Seal™ faecal management system (ConvaTec) is a temporary containment device, indicated for bedridden or immobilised, incontinent patients with liquid or semi-liquid stools. training for …
Cardiff Flexiseal Protocol
Faecal Management System Protocol Patient Assessment: The following protocol must be completed and filed in the medical notes prior to FMS use; deviation from the protocol must be …
Enhanced Flexi-Seal SIGNAL Fecal Management System …
• Flexi-Seal® SIGNAL® Fecal Management System kit • Gloves • Incontinent pad • Lubricant • Protective barrier 2 Pre-assembles the system, removes air from the balloon and fills syringe …
Flexi-Seal Signal Faecal Management System (FMS) Guideline
The flexi-seal signal faecal Management System (FMS) is designed to effectively divert, collect and contain liquid faeces and semi–liquid stool away from the body from immobile or persistently …
Fecal Management System - Royal Hospital for Neuro-disability
Opaque Flexi-SealTM Protect Plus PrivacyTM collection bag including 4 ConvaTec DiamondsTM gelling and odor control sachets. Deliver medication ef ectively via a secondary route. Available …
The Flexi-Seal™ PROTECT PLUS Fecal Management …
The Flexi-SealTM PROTECT PLUS Fecal Management System is an indwelling fecal management catheter intended for use to manage fecal incontinence through the collection of liquid to semi …
Stool Management System: Insertion and Management
A Stool Management System is used to contain and divert liquid or semi-liquid stool in patients with little or no bowel control in order to protect the patient’s skin and minimize exposure to …
Evaluating Flexi-Seal® FMS: a faecal management system
Flexi-Seal® FMS, a new faecal management system (ConvaTec, Ickenham, Middlesex), has been developed to assist clinicians in the management of faecal incontinence and infection control, …
Six Fecal Management System used by more hospitals
The Flexi-Seal™ SIGNAL™ FMS – a closed-end system designed to minimize the spread of infection by containing liquid/semi-liquid stool – has been shown to reduce complications and costs in the …
The Flexi-Seal® Faecal Management System - ConvaTec
The Flexi-Seal® Faecal Management System manufactured by ConvaTec Inc. (see Figure 1) is designed for the faecal management of patients with little or no bowel control and liquid or semi …
CLASSIFICATION: Clinical NT - ACPGBI
Faecal management systems (FMS) are temporary containment devices, indicated for bedridden or immobilised incontinent patients, with little or no bowel control, who have a liquid or semi-liquid …
Guidelines for the management of fecal incontinence with …
• Fecal incontinence management with Flexi-Seal™ Protect Plus is appropriate for patients with liquid and semi-liquid stool (flowing). When stool begins to become solid, use of the device …
Appendix 1 - Faecal Management System (FMS) Pre …
*If you have answered FALSE to statement 11 (i.e. the patient does have a spinal cord injury), please seek advice from the spinal unit. FMS is contraindicated in patients with spinal cord lesion at T6 …
Expert recommendations for managing acute fecal …
Niederalt G, Wyncoll D. Prevalence, management and clinical challenges associated with acute faecal incontinence in the ICU and critical care settings: the FIRST cross-sectional descriptive
135 Fecal Containment Devices and Bowel Management …
Jan 9, 2015 · Flexi-Seal fecal management system: A case report. Rev Esc Enferm USP 45(5):1251–1254, 2011. 15. Mulhall AM, Jindal SK: Massive gastrointestinal hemorrhage as a …
Indwelling Bowel Management System as a Cause of Life …
Indwelling bowel management systems are commonly used in immobile and critically ill patients with diarrhoea or faecal incontinence. These devices protect against perianal skin excoriation,...
Directions for Use SIGNAL - ConvaTec
The Flexi-Seal® SIGNAL® Fecal Management System contains: 1 soft catheter tube assembly, 1 Luer-Lock Syringe, 3 collection bags with filter, and. 1 cinch clamp The soft catheter is inserted …
Fecal Management Systems for Hospitalized Adult Patients: …
1. What is the comparative clinical effectiveness of finger pocket fecal management systems compared to fecal management systems without the finger pocket technology? 2. What is the …
Preparation of Device & Patient - ConvaTec
The Flexi-Seal™ PROTECT PLUS Fecal Management System with ENFit™ Connector contains: 1 Self-closing soft catheter tube assembly; 1 Luer-Lock syringe; 1 Purple ENFit™ syringe; 1 cinch …