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By John H. Sadler (auth.), Lee W. Henderson M.D., F.A.C.P., Richard S. Thuma (eds.)

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A lateral or paramedian insertion site is preferred [25]. • The catheter should be soaked in sterile solution prior to insertion to saturate the cuffs and expel air [23, 24, 26]. • Sutures should not be used at the exit site [23, 26]. • Solution should be infused and drained prior to closure to evaluate catheter function [24, 26]. • Nonreative, absorbable sutures should be used for the initial incision [23, 24]. • A sterile dressing is applied and the catheter is anchored at the exit site to prevent movement [24].

Falvo DR: Effective patient education. Rockville, MD: Aspen, 1985. 35. Whitman NJ, Graham BA, Gleit CJ, Boyd MD: Teaching in Nursing Practice: A Professional model. Norwalk, CT: Appleton-Centry-Crofts, 1986. 44 36. Smith CE (ed): Patient education: Nurses in partnership with other health professionals. Orlando: Grune & Stratton, 1987. 37. ). St. Louis: Mosby, 1985. 38. Baer CL: Principles of patient education. ) Core Curriculum for Nephrology Nursing, 2nd ed. (pp 17-28). Pitman, NJ: American Nephrology Nurses' Association, 1990.

Annual Review of Nursing Research 4: 127-151, 1986. 17. Reed SE: A comparison of nurse-related behavior, philosophy of care and job satisfaction in team and primary nursing. Journal of Advanced Nursing 13: 383-395, 1988. 18. Gardner KG: The Effects of Primary Versus Team Nursing on Quality of Patient Care and Impact on Nursing Staff and Costs: A Five Year Study. Rochester NY: Rochester General Hospital, 1989. 19. Joiner C, Van Servellen GM: Job Enrichment in Nursing: A Guide to Improving Morale, Productivity and Retention.

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