AACN Procedure Manual for Progressive and Critical Care

<p><u>UNIT I: Pulmonary System</u></p><p><u> </u></p><p>Section One: Airway Management</p> <p>1. Combitube Insertion and Removal AP</p><p>2. Endotracheal Intubation (Perform) AP</p><p>3. Endotracheal Intubation (Assist)</p><p>4. Endotracheal Tube and Oral Care Practices for Ventilated and Non-ventilated Patients</p><p>5. Extubation/Decannulation (Perform) AP</p><p>6. Extubation/Decannulation (Assist)</p><p>7. King Airway Insertion and Removal AP</p><p>8. Laryngeal Mask Airway AP</p><p>9. Nasopharyngeal and Oral Airway Insertion</p><p>10. Suctioning: Endotracheal or Tracheostomy Tube</p><p>11. Surgical Cricothyrotomy (Perform) AP</p><p>12. Surgical Cricothyrotomy (Assist)</p><p>13. Tracheostomy Cuff and Tube Care</p> <p>Section Two: Special Pulmonary Procedures</p> <p>14. Continuous End-Tidal Carbon Dioxide Monitoring</p><p>15. Continuous Lateral Rotation Therapy</p><p>16. Continuous Venous Oxygen Saturation Monitoring</p><p>17. Extracorporeal Life Support (ECLS) and Extracorporeal Membrane Oxygenation (ECMO)</p><p>18. Oxygen Saturation Monitoring with Pulse Oximetry</p><p>19. Pronation Therapy</p> <p>Section Three: Thoracic Cavity Management</p> <p>20. Autotransfusion</p><p>21. Chest Tube Placement (Perform) AP</p><p>22. Chest Tube Placement (Assist)</p><p>23. Chest Tube Removal (Perform) AP</p><p>24. Chest Tube Removal (Assist)</p><p>25. Closed Chest Drainage System</p><p>26. Needle Thoracostomy (Perform) AP</p><p>27. Thoracentesis (Perform) AP</p><p>28. Thoracentesis (Assist)</p> <p>Section Four: Ventilatory Management</p> <p>29. Invasive Mechanical Ventilation (Through an Artificial Airway): Volume and Pressure Modes</p><p>30. Noninvasive Positive Pressure Ventilation: Continuous Positive Airway Pressure (CPAP) and Bilevel Positive Airway Pressure (BiPAP)</p><p>31. Manual Self-Inflating Resuscitation Bag-Valve Device</p><p>32. Peripheral Nerve Stimulators</p><p>33. Weaning Mechanical Ventilation</p> <p><u>UNIT II: Cardiovascular System</u></p><p><u> </u></p><p>Section Five: Cardiac Emergencies</p> <p>34. Automated External Defibrillation</p><p>35. Cardioversion</p><p>36. Defibrillation (External)</p><p>37. Defibrillation (Internal) (Perform) AP</p><p>38. Defibrillation (Internal) Assist</p><p>39. Emergent Open Sternotomy (Perform) AP</p><p>40. Emergent Open Sternotomy (Assist)</p><p>41. External Wearable Cardioverter Defibrillator</p><p>42. Pericardiocentesis (Perform) AP</p><p>43. Pericardiocentesis (Assist)</p> <p>Section Six: Cardiac Pacemakers</p> <p>44. Atrial Electrogram</p><p>45. Atrial Overdrive Pacing (Perform) AP</p><p>46. Epicardial Pacing Wire Removal AP</p><p>47. Implantable Cardioverter-Defibrillator</p><p>48. Permanent Pacemaker (Assessing Function)</p><p>49. Temporary Transcutanous (External) Pacing</p><p>50. Temporary Transvenous Pacemaker Insertion (Perform) AP</p><p>51. Temporary Transvenous and Epicardial Pacing</p> <p>Section Seven: Circulatory Assist Devices</p> <p>52. Intraaortic Balloon Pump Management</p><p>53. Ventricular Assist Devices AP</p> <p>Section Eight: Electrocardiographic Leads and Cardiac Monitoring</p> <p>54. Cardiac Monitoring and Electrocardiographic Leads</p><p>55. Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads</p><p>56. ST-Segment Monitoring (Continuous)</p><p>57. Twelve-Lead Electrocardiogram</p> <p>Section Nine: Hemodynamic Monitoring</p> <p>58. Arterial Catheter Insertion (Perform) AP</p><p>59. Arterial Catheter Insertion (Assist), Care, and Removal</p><p>60. Arterial Pressure-Based Cardiac Output Monitoring</p><p>61. Blood Sampling from an Arterial Catheter</p><p>62. Blood Sampling from a Central Venous Catheter</p><p>63. Blood Sampling from a Pulmonary Artery Catheter</p><p>64. Cardiac Output Measurement Techniques (Invasive)</p><p>65. Central Venous Catheter Removal</p><p>66. Central Venous Catheter Site Care</p><p>67. Central Venous/Right Atrial Pressure Monitoring</p><p>68. Esophageal Cardiac Output Monitoring: Perform AP</p><p>69. Esophageal Cardiac Output Monitoring: Assist</p><p>70. Non-Invasive Cardiac Output Monitoring</p><p>71. Pulmonary Artery Catheter Insertion (Perform) AP</p><p>72. Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring</p><p>73. Pulmonary Artery Catheter Removal</p><p>74. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting</p><p>75. Single-Pressure and Multiple-Pressure Transducer Systems</p> <p>Section Ten: Special Cardiac Procedures</p> <p>76. Femoral Arterial and Venous Sheath Removal</p><p>77. Radial Arterial Sheath Removal</p><p>78. Pericardial Catheter Management</p><p>79. Thenar Tissue Oxygen Saturation Monitoring</p><p>80. Transesophageal Echocardiography (Assist)</p> <p>Section Eleven: Vascular Access</p><p>81. Arterial Puncture AP</p><p>82. Central Venous Catheter Insertion (Perform) AP</p><p>83. Central Venous Catheter Insertion (Assist)</p><p>84. Implantable Venous Access Device: Access, Deaccess, and Care AP</p><p>85. Intraosseus Devices </p><p>86. Mid Line Catheters AP</p><p>87. Peripherally Inserted Central Catheter AP</p> <p><u>UNIT III: Neurologic System</u></p> <p>Section Twelve: Neurologic Monitoring</p> <p>88. Bispectral Index Monitoring</p><p>89. Brain Tissue Oxygenation Monitoring: Insertion (Assist), Care, and Troubleshooting</p><p>90. Cerebral Blood Flow Monitoring</p><p>91. Cerebral Micodialysis</p><p>92. Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal</p><p>93. Intraventricular/Fiberoptic Catheter Insertion (Assist), Monitoring, Nursing Care, Troubleshooting, and Removal</p><p>94. Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring</p><p>95. Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebrospinal Fluid Drainage and Pressure Monitoring</p> <p>Section Thirteen: Special Neurologic Procedures</p> <p>96. Lumbar Puncture (Perform) AP</p><p>97. Lumbar Puncture (Assist)</p><p>98. NEW! Pupillometer</p><p>99. Rotorest® Lateral Rotation Surface</p><p>100. Thermoregulation: External and Intravascular Warming & Cooling Devices</p> <p>Section Fourteen: Traction Management</p> <p>101. Cervical Tongs or Halo Ring: Application for Use in Cervical Traction (Assist)</p><p>102. Cervical Traction Maintenance</p><p>103. Halo Ring and Vest Care</p><p>104. Pin Site Care: Cervical Tongs and Halo Pins</p> <p>Section Fifteen: Pain Management</p> <p>105. Epidural Catheters: Assisting with Insertion and Pain Management</p><p>106. Patient-Controlled Analgesia</p><p>107. Peripheral Nerve Blocks: Assisting with Insertion and Pain Management</p> <p><u>UNIT IV: Gastrointestinal System</u></p> <p>Section Sixteen: Special Gastrointestinal Procedures</p> <p>108. Esophagogastric Tamponade Tube</p><p>109. NEW! Focused Assessment with Sonography in Trauma (FAST)</p><p>110. Gastric Lavage in Hemorrhage and Overdose</p><p>111. Endoscopic Therapy</p><p>112. Intraabdominal Pressure Monitoring</p><p>113. Nasogastric and Orogastric Tube Insertion, Care, and Removal</p><p>114. Molecular Adsorbents Recirculation System (MARS)</p><p>115. Paracentesis (Perform) AP</p><p>116. Paracentesis (Assist)</p><p>117. Peritoneal Lavage (Perform) AP</p><p>118. Peritoneal Lavage (Assist)</p> <p>UNIT V: Renal System</p> <p>Section Seventeen: Renal Replacement</p> <p>119. Continuous Renal Replacement Therapies</p><p>120. Hemodialysis</p><p>121. Peritoneal Dialysis</p> <p>UNIT VI: Hematologic System</p> <p>Section Eighteen: Fluid Management</p> <p>122. Use of a Massive Infusion Device and a Pressure Infuser Bag</p> <p>Section Nineteen: Special Hematologic Procedures</p> <p>123. Apheresis and Therapeutic Plasma Exchange (Assist)</p><p>124. Bone Marrow Biopsy and Aspiration (Perform) AP</p><p>125. Bone Marrow Biopsy and Aspiration (Assist)</p> <p>UNIT VII: Integumentary System</p> <p>Section Twenty: Burn Wound Management</p> <p>126. Burn Wound Care</p><p>127. Donor Site Care</p><p>128. Skin Graft Care</p> <p>Section Twenty-One: Special Integumentary Procedures</p><p>129. Intracompartmental Pressure Monitoring AP</p><p>130. Suture and Staple Removal</p><p>131. Wound Closure AP</p> <p>Section Twenty-Two: Wound Management</p> <p>132. Cleaning, Irrigating, Culturing, and Dressing an Open Wound</p><p>133. Débridement: Pressure Ulcers, Burns, and Wounds AP</p><p>134. Drain Removal</p><p>135. Fecal Containment Devices and Bowel Management System</p><p>136. Negative-Pressure Wound Therapy</p><p>137. Wound Management with Excessive Drainage</p> <p><u>UNIT VIII: Nutrition</u></p> <p>138. Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, and Jejunostomy Tube Care</p><p>139. Small-Bore Feeding Tube Insertion and Care</p><p>140. Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK®)</p> <p><u>UNIT IX: Calculating Medication Doses</u></p> <p>141. Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions</p> Index