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AACN Procedure Manual for Progressive and Critical Care

AACN Procedure Manual for Progressive and Critical Care

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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.

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  • UNIT I: Pulmonary System

    Section One: Airway Management

    1. Combitube Insertion and Removal AP

    2. Endotracheal Intubation (Perform) AP

    3. Endotracheal Intubation (Assist)

    4. Endotracheal Tube and Oral Care Practices for Ventilated and Non-ventilated Patients

    5. Extubation/Decannulation (Perform) AP

    6. Extubation/Decannulation (Assist)

    7. King Airway Insertion and Removal AP

    8. Laryngeal Mask Airway AP

    9. Nasopharyngeal and Oral Airway Insertion

    10. Suctioning: Endotracheal or Tracheostomy Tube

    11. Surgical Cricothyrotomy (Perform) AP

    12. Surgical Cricothyrotomy (Assist)

    13. Tracheostomy Cuff and Tube Care

    Section Two: Special Pulmonary Procedures

    14. Continuous End-Tidal Carbon Dioxide Monitoring

    15. Continuous Lateral Rotation Therapy

    16. Continuous Venous Oxygen Saturation Monitoring

    17. Extracorporeal Life Support (ECLS) and Extracorporeal Membrane Oxygenation (ECMO)

    18. Oxygen Saturation Monitoring with Pulse Oximetry

    19. Pronation Therapy

    Section Three: Thoracic Cavity Management

    20. Autotransfusion

    21. Chest Tube Placement (Perform) AP

    22. Chest Tube Placement (Assist)

    23. Chest Tube Removal (Perform) AP

    24. Chest Tube Removal (Assist)

    25. Closed Chest Drainage System

    26. Needle Thoracostomy (Perform) AP

    27. Thoracentesis (Perform) AP

    28. Thoracentesis (Assist)

    Section Four: Ventilatory Management

    29. Invasive Mechanical Ventilation (Through an Artificial Airway): Volume and Pressure Modes

    30. Noninvasive Positive Pressure Ventilation: Continuous Positive Airway Pressure (CPAP) and Bilevel Positive Airway Pressure (BiPAP)

    31. Manual Self-Inflating Resuscitation Bag-Valve Device

    32. Peripheral Nerve Stimulators

    33. Weaning Mechanical Ventilation

    UNIT II: Cardiovascular System

    Section Five: Cardiac Emergencies

    34. Automated External Defibrillation

    35. Cardioversion

    36. Defibrillation (External)

    37. Defibrillation (Internal) (Perform) AP

    38. Defibrillation (Internal) Assist

    39. Emergent Open Sternotomy (Perform) AP

    40. Emergent Open Sternotomy (Assist)

    41. External Wearable Cardioverter Defibrillator

    42. Pericardiocentesis (Perform) AP

    43. Pericardiocentesis (Assist)

    Section Six: Cardiac Pacemakers

    44. Atrial Electrogram

    45. Atrial Overdrive Pacing (Perform) AP

    46. Epicardial Pacing Wire Removal AP

    47. Implantable Cardioverter-Defibrillator

    48. Permanent Pacemaker (Assessing Function)

    49. Temporary Transcutanous (External) Pacing

    50. Temporary Transvenous Pacemaker Insertion (Perform) AP

    51. Temporary Transvenous and Epicardial Pacing

    Section Seven: Circulatory Assist Devices

    52. Intraaortic Balloon Pump Management

    53. Ventricular Assist Devices AP

    Section Eight: Electrocardiographic Leads and Cardiac Monitoring

    54. Cardiac Monitoring and Electrocardiographic Leads

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

    56. ST-Segment Monitoring (Continuous)

    57. Twelve-Lead Electrocardiogram

    Section Nine: Hemodynamic Monitoring

    58. Arterial Catheter Insertion (Perform) AP

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

    60. Arterial Pressure-Based Cardiac Output Monitoring

    61. Blood Sampling from an Arterial Catheter

    62. Blood Sampling from a Central Venous Catheter

    63. Blood Sampling from a Pulmonary Artery Catheter

    64. Cardiac Output Measurement Techniques (Invasive)

    65. Central Venous Catheter Removal

    66. Central Venous Catheter Site Care

    67. Central Venous/Right Atrial Pressure Monitoring

    68. Esophageal Cardiac Output Monitoring: Perform AP

    69. Esophageal Cardiac Output Monitoring: Assist

    70. Non-Invasive Cardiac Output Monitoring

    71. Pulmonary Artery Catheter Insertion (Perform) AP

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

    73. Pulmonary Artery Catheter Removal

    74. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting

    75. Single-Pressure and Multiple-Pressure Transducer Systems

    Section Ten: Special Cardiac Procedures

    76. Femoral Arterial and Venous Sheath Removal

    77. Radial Arterial Sheath Removal

    78. Pericardial Catheter Management

    79. Thenar Tissue Oxygen Saturation Monitoring

    80. Transesophageal Echocardiography (Assist)

    Section Eleven: Vascular Access

    81. Arterial Puncture AP

    82. Central Venous Catheter Insertion (Perform) AP

    83. Central Venous Catheter Insertion (Assist)

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

    85. Intraosseus Devices

    86. Mid Line Catheters AP

    87. Peripherally Inserted Central Catheter AP

    UNIT III: Neurologic System

    Section Twelve: Neurologic Monitoring

    88. Bispectral Index Monitoring

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

    90. Cerebral Blood Flow Monitoring

    91. Cerebral Micodialysis

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

    93. Intraventricular/Fiberoptic Catheter Insertion (Assist), Monitoring, Nursing Care, Troubleshooting, and Removal

    94. Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring

    95. Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebrospinal Fluid Drainage and Pressure Monitoring

    Section Thirteen: Special Neurologic Procedures

    96. Lumbar Puncture (Perform) AP

    97. Lumbar Puncture (Assist)

    98. NEW! Pupillometer

    99. Rotorest® Lateral Rotation Surface

    100. Thermoregulation: External and Intravascular Warming & Cooling Devices

    Section Fourteen: Traction Management

    101. Cervical Tongs or Halo Ring: Application for Use in Cervical Traction (Assist)

    102. Cervical Traction Maintenance

    103. Halo Ring and Vest Care

    104. Pin Site Care: Cervical Tongs and Halo Pins

    Section Fifteen: Pain Management

    105. Epidural Catheters: Assisting with Insertion and Pain Management

    106. Patient-Controlled Analgesia

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

    UNIT IV: Gastrointestinal System

    Section Sixteen: Special Gastrointestinal Procedures

    108. Esophagogastric Tamponade Tube

    109. NEW! Focused Assessment with Sonography in Trauma (FAST)

    110. Gastric Lavage in Hemorrhage and Overdose

    111. Endoscopic Therapy

    112. Intraabdominal Pressure Monitoring

    113. Nasogastric and Orogastric Tube Insertion, Care, and Removal

    114. Molecular Adsorbents Recirculation System (MARS)

    115. Paracentesis (Perform) AP

    116. Paracentesis (Assist)

    117. Peritoneal Lavage (Perform) AP

    118. Peritoneal Lavage (Assist)

    UNIT V: Renal System

    Section Seventeen: Renal Replacement

    119. Continuous Renal Replacement Therapies

    120. Hemodialysis

    121. Peritoneal Dialysis

    UNIT VI: Hematologic System

    Section Eighteen: Fluid Management

    122. Use of a Massive Infusion Device and a Pressure Infuser Bag

    Section Nineteen: Special Hematologic Procedures

    123. Apheresis and Therapeutic Plasma Exchange (Assist)

    124. Bone Marrow Biopsy and Aspiration (Perform) AP

    125. Bone Marrow Biopsy and Aspiration (Assist)

    UNIT VII: Integumentary System

    Section Twenty: Burn Wound Management

    126. Burn Wound Care

    127. Donor Site Care

    128. Skin Graft Care

    Section Twenty-One: Special Integumentary Procedures

    129. Intracompartmental Pressure Monitoring AP

    130. Suture and Staple Removal

    131. Wound Closure AP

    Section Twenty-Two: Wound Management

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

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

    134. Drain Removal

    135. Fecal Containment Devices and Bowel Management System

    136. Negative-Pressure Wound Therapy

    137. Wound Management with Excessive Drainage

    UNIT VIII: Nutrition

    138. Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, and Jejunostomy Tube Care

    139. Small-Bore Feeding Tube Insertion and Care

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

    UNIT IX: Calculating Medication Doses

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

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