AACN Procedure Manual for Critical Care

UNIT I Pulmonary System

Section One

Airway Management: Michael W. Day

1. Combitube Insertion and Removal AP

2. Endotracheal Intubation (Perform) AP

3. Endotracheal Intubation (Assist)

4. Endotracheal Tube and Oral Care

5. Extubation/Decannulation (Perform) AP

6. Extubation/Decannulation (Assist)

7. Laryngeal Mask Airway AP

8. Emergency Cricothyroidotomy (Perform) NEW!

9. Emergency Cricothyroidotomy (Assist) NEW!

10. Nasopharyngeal Airway Insertion

11. Oropharyngeal Airway Insertion

12. Suctioning: Endotracheal or Tracheostomy Tube

13. Tracheal Tube Cuff Care

14. Tracheostomy Tube Care

Section Two

Special Pulmonary Procedures: Michael W. Day

15. Continuous End-Tidal Carbon Dioxide Monitoring

16. Continuous Venous Oxygen Saturation Monitoring

17. Oxygen Saturation Monitoring by Pulse Oximetry

18. Pronation Therapy

Section Three

Thoracic Cavity Management: Michael W. Day

19. Autotransfusion

20. Chest Tube Placement (Perform) AP

21. Chest Tube Placement (Assist)

22. Chest Tube Removal (Perform) AP

23. Chest Tube Removal (Assist)

24. Closed Chest Drainage System

25. Needle Thoracostomy (Perform) AP

26. Thoracentesis (Perform) AP

27. Thoracentesis (Assist)

Section Four

Ventilatory Management: Michael W. Day

28. Noninvasive Ventilation (CPAP and BiPAP Masks) NEW!

29. Arterial-Venous Oxygen Content Difference (a-v DO2) and Oxygen Transport (Delivery) and Consumption Calculations

30. Auto-PEEP Calculation

31. Compliance and Resistance Measurement

32. Manual Self-Inflating Resuscitation Bag

33. Indices of Oxygenation

34. Shunt Calculation

35. Invasive Mechanical Ventilation (Through an Artificial Airway)---Volume and Pressure Modes36. Standard Weaning Criteria-Negative Inspiratory Pressure, Positive End-Expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity, and Rapid Shallow Breathing Index

37. Weaning Process

38. Peripheral Nerve Stimulators

UNIT II Cardiovascular System

Section Five

Cardiac Emergencies: Debra Wiegand

39. Automated External Defibrillation

40. Cardioversion

41. Defibrillation (External)

42. Defibrillation (Internal) AP

43. Emergent Open Sternotomy (Perform) AP

44. Emergent Open Sternotomy (Assist)

45. Pericardiocentesis (Perform) AP

46. Pericardiocentesis (Assist)

Section Six

Cardiac Pacemakers: Debra Wiegand

47. Atrial Electrogram

48. Atrial Overdrive Pacing (Perform) AP

49. Epicardial Pacing Wire Removal AP

50. Implantable Cardioverter-Defibrillator

51. Permanent Pacemaker (Assessing Function)

52. Temporary Transcutanous (External) Pacing

53. Temporary Transvenous Pacemaker Insertion (Perform) AP

54. Temporary Transvenous and Epicardial Pacing

Section Seven

Circulatory Assist Devices: Debra Wiegand

55. Intraaortic Balloon Pump Management

56. Ventricular Assist Devices

Section Eight

Electrocardiographic Leads and Cardiac Monitoring: Debra Wiegand

57. Electrophysiologic Leads and Cardiac Monitoring

58. Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads

59. Continuous ST-Segment Monitoring

60. Twelve-Lead Electrocardiogram

Section Nine

Hemodynamic Monitoring: Debra Wiegand

61. Arterial Catheter Insertion (Perform) AP

62. Arterial Catheter Insertion (Assist), Care and Removal

63, Arterial Pressure-Based Cardiac Output Monitoring

6. Blood Sampling From an Arterial Catheter

65, Blood Sampling from a Central Venous Catheter

66. Blood Sampling From a Pulmonary Artery Catheter

67. Cardiac Output Measurement Techniques (Invasive)

68. Central Venous Catheter Removal

69. Central Venous Catheter Site Care

70. Central Venous/Right Atrial Pressure Monitoring

71. Left Atrial Catheter: Care and Assisting With Removal

72. Pulmonary Artery Catheter Insertion (Perform) AP

73. Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring

74. Pulmonary Artery Catheter Removal

75. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting

76. Single- and Multiple-Pressure Transducer Systems

Section Ten

Special Cardiac Procedures: Debra Wiegand

77. Arterial and Venous Sheath Removal AP

78. Pericardial Catheter Management

79. Transesophageal Echocardiography (Assist)

Section Eleven

Vascular Access: Debra Wiegand

80. Arterial Puncture AP

81. Central Venous Catheter Insertion (Perform) AP

82. Central Venous Catheter Insertion (Assist)

83. Implantable Venous Access Device: Access, Deaccess, and Care AP

84. Intraosseous Devices

85. Peripherally Inserted Central Catheter AP

UNIT III Neurologic System

Section Twelve

Neurologic Monitoring: Patricia A. Blissitt

86. Bispectral Index Monitoring

87. Brain Tissue Oxygenation Monitoring: Insertion (Assist), Care, and Troubleshooting

88. Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal

89. Combination Intraventricular/Fiberoptic Catheter Insertion (Assist) and Monitoring

90. Jugular Venous Oxygen Saturation Monitoring: Insertion (Assist), Care, Troubleshooting, and Removal

91. Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebral Spinal Fluid Pressure Monitoring and Drainage

92. Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring93. Transcranial Doppler Monitoring AP

Section Thirteen

Special Neurologic Procedures: Pat Blissitt

94. External and Intravascular Warming/Cooling Devices

95. Lumbar Puncture (Perform) AP

96 Lumbar Puncture (Assist)

Section Fourteen

Traction Management: Patricia A. Blissitt

97. Application of Tongs or Halo Ring for Use in Cervical Traction

98. Halo Ring and Vest Care

99. Pin Site Care: Cervical Tongs and Halo Pins

100. Cervical Traction Maintenance

Section Fifteen

Pain Management: Patricia A. Blissitt

101. Epidural Catheters: Assisting with Insertion and Pain Management

102. Patient-Controlled Analgesia

103. Peripheral Nerve Blocks: Assisting with Insertion and Pain Management

UNIT IV Gastrointestinal System

Section Sixteen

Special Gastrointestinal Procedures: Eleanor Fitzpatrick

104. Esophagogastric Tamponade Tube

105. Gastric Lavage in Hemorrhage and Overdose

106. Intraabdominal Pressure Monitoring

107. Paracentesis (Perform) AP

108. Paracentesis (Assist)

109. Peritoneal Lavage (Perform) AP

110. Peritoneal Lavage (Assist)

111. Endoscopic Therapy

UNIT V Renal System

Section Seventeen

Renal Replacement: Teresa Preuss

112. Continuous Renal Replacement Therapies

113. Hemodialysis

114. Peritoneal Dialysis

UNIT VI Hematologic System

Section Eighteen

Fluid Management: Teresa Preuss

115. Use of a Massive Transfusion Device and a Pressure Infusor BagSection NineteenSpecial Hematologic Procedures: Teresa Preuss

116. Apheresis and Therapeutic Plasma Exchange (Assist)

117. Bone Marrow Biopsy and Aspiration (Perform) AP

118. Bone Marrow Biopsy and Aspiration (Assist)

UNIT VII Integumentary System

Section TwentyBurn Wound Management: Mary Beth Makic

119. Donor Site Care

120. Burn Wound Care

121. Skin Graft Care

Section Twenty-One

Special Integumentary Procedures: Mary Beth Makic

122. Intracompartmental Pressure Monitoring AP

123. Pressure Redistribution Surfaces: Continual Lateral Rotation Therapy and Rotorest Lateral Rotation Surface

124. Wound Closure AP

125. Suture and Staple Removal

Section Twenty-Two

Wound Management: Mary Beth Makic

126. Cleaning, Irrigating, Culturing, and Dressing an Open Wound

127. Débridement: Pressure Ulcers, Burns, and Wounds AP

128. Wound Management with Excessive Drainage

129. Drain Removal

130. Fecal Containment Devices and Bowel Management System NEW!

131. Negative-Pressure WoundTherapy

UNIT VIII Nutrition: Eleanor Fitzpatrick

132. Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK®) NEW!

133. Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, or Jejunostomy Tube Care

134. Small-Bore Feeding Tube Insertion and Care

UNIT IX End of Life: Debra Wiegand

135. Determination of Death in Adult Patients AP

136. Organ Donation: Identification of Potential Organ Donors, Request for Organ Donation, and Care of the Organ Donor

137. Cardiac Donation

138. Withholding and Withdrawing Life-Sustaining Therapy

UNIT X Calculating Medication Doses: Eleanor Fitzpatrick

139. Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions