is logical (definitions, examples of manip- ulation, goals, examples and the process of actualization).

It i s easy to understand, well presented - truly, an enjoyable book.

The nursing profession proves, every day, that understanding of a patients' feelings and emotions can aid in his recovery. If the nurse can become an actualizor, she will be more helpful in her relations with others.

Nancy Mehaffy, RN Fullerton, Calif

Clinical Nursing Pathophysiological and Psychosocial Approaches, ed 2, Beland, Irene L., et al: New York: The Macmillian Co., 1970, 948 pp, $13.50. This i s an excellent reference text for OR personnel - RN nursing students, tech- nicians or auxiliary persons.

Its size is impressive but upon going over the contents one realizes the vast amount of information this second edition contains with its updated references.

So complete i s the content, it offers many subjects not normally available in nursing literature. Among such topics are: "Nursing the patient having a problem in maintain- ing the supply of oxygen and/or in the re- moval of carbon dioxide;'' "Nursing the patient with a disturbance in fluid and elec- trolyte balance;" "Nursing the patient hav- ing a problem with some aspects of trans- porting material to and from cells;" "Nursing the patient in shock;" "Nursing the patient having a problem with some aspects of nutrition;" "Nursing the patient with an alteration in body temperature;" and "Nursing the patient having a problem resulting from failure to regulate the pro- liferation and maturation of cells."

This i s not a "heavy" book, however, by any means. Each chapter begins with an interesting quote and questions which are to be answered in the text - beginning with an "overview."

The "Introduction" chapter (l), "The con-

trol of infections" @), "The requirements of patients treated surgically" (17), are not only good reference material for the nurs- ing students or OR technician but should be "must" reading for the OR graduate nurse.

Chapter 17 "The requirements of patients treated surgically," is especially helpful to the OR graduate nurse who has been in this area of nursing a length of time, giving additional insight and a different approach to the overall area of OR nursing.

Each chapter concludes with a short summary and a l is t of references, books and periodicals, making further reading easy to obtain.

Mabel Crawford, RN Los Angeles, Calif

"S e I e c t e d bibliography," Errera, Dorothy, RN; Hosp Topics, July 1970, p 106. In order to avoid the hazard of emboliza- tion of an indwelling IV catheter, the fol- lowing rules should be observed:

1. Use the IV catheter only in a critically ill patient or one requiring prolonged IV therapy.

2. Use only radiopaque catheters. 3. Measure the length of the catheter

4. Protect the plastic tubing from the

5. Do not use flexion areas such as the

6. Secure the catheter to skin. 7. Use with caution on restless patients

and splint the adjacent joint so catheter cannot be displaced.

and record before insertion.

shearing force of the needle.

anecubital fossa.

8. Maintain rigid asepsis. When an arm vein i s used, the risk i s

lessened of a broken piece of catheter reaching the heart.

In addition, manufacturers should be de- signing safer catheters.

Nancy Mehaffy, RN Fullerton, Calif

January 1971 105