AACN Procedure Manual for Progressive and Critical Care

Unit I PULMONARY SYSTEM
Section I Airway Management
1 Endotracheal Intubation (Perform)
2 Endotracheal Intubation (Assist)
3 Endotracheal Tube Care and Oral Care Practices for Ventilated and Nonventilated Patients
4 Extubation/Decannulation (Perform)
5 Extubation/Decannulation (Assist)
6 Laryngeal Mask Airway
7 Nasopharyngeal and Oral Airway Insertion
8 Suctioning: Endotracheal or Tracheostomy Tube
9 Surgical Cricothyrotomy (Perform)
10 Surgical Cricothyrotomy (Assist)
11 Tracheostomy Cuff and Tube Care

Section Two: Special Pulmonary Procedures
12 Continuous End-Tidal Carbon Dioxide Monitoring
13 Extracorporeal Membrane Oxygenation
14 Oxygen Saturation Monitoring With Pulse Oximetry
15 Prone Positioning for Acute Respiratory Distress Syndrome Patients

Section Three: Thoracic Cavity Management
16 Autotransfusion
17 Chest Tube Placement (Perform)
18 Chest Tube Placement (Assist)
19 Chest Tube Removal (Perform)
20 Chest Tube Removal (Assist)
21 Closed Chest-Drainage System
22 Needle Thoracostomy (Perform)
23 horacentesis (Perform)
24 Thoracentesis (Assist)
25 Bronchoscopy (Perform)
26 Bronchoscopy (Assist)

Section Four: Ventilatory Management
27 Invasive Mechanical Ventilation (Through an Artificial Airway)
28 Noninvasive Ventilation
29 Manual Self-Inflating Resuscitation Bag-Valve-Mask Device
30 Weaning Mechanical Ventilation

UNIT 2: CARDIOVASCULAR SYSTEM
Section Five: Cardiac Emergencies
31 Automated External Defibrillation
32 Cardioversion
33 Defibrillation (External)
34 Emergent Open Sternotomy (Perform) and Defibrillation (Internal) (Perform)
35 Emergent Open Sternotomy and Internal Defibrillation (Assist)
36 External Wearable Cardioverter-Defibrillator
37 Pericardiocentesis (Perform)
38 Pericardiocentesis (Assist)

Section Six: Cardiac Pacemakers
39 Atrial Electrogram
40 Atrial Overdrive Pacing (Perform)
41 Temporary Epicardial Pacing Wire Removal
42 Implantable Cardioverter-Defibrillator: Post-Insertion Care
43 Permanent Pacemaker (Assessing Function)
44 Temporary Transcutaneous (External) Pacing
45 Temporary Transvenous Pacemaker Insertion (Perform)
46 Temporary Transvenous and Epicardial Pacing

Section Seven: Mechanical Circulatory Assist Devices
47 Intraaortic Balloon Pump Management
48 Ventricular Assist Devices

Section Eight: Electrocardiographic Leads and Cardiac Monitoring
49 Electrocardiographic Leads and Cardiac Monitoring
50 ST-Segment Monitoring (Continuous)
51 Twelve-Lead Electrocardiogram With Right and Left Posterior Leads

Section Nine: Hemodynamic Monitoring
52 Arterial Catheter Insertion (Perform)
53 Arterial Catheter Insertion (Assist), Care, and Removal
54 Blood Sampling From an Arterial Catheter
55 Arterial Pressure-Based Cardiac Output Monitoring
56 Central Venous/Right Atrial Pressure Monitoring
57 Blood Sampling From a Central Venous Catheter
58 Pulmonary Artery Catheter Insertion (Perform)
59 Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring
60 Single-Pressure and Multiple-Pressure Transducer Systems
61 Pulmonary Artery Catheter and Pressure Lines, Troubleshooting
62 Blood Sampling From a Pulmonary Artery Catheter
63 Continuous Venous Oxygen Saturation Monitoring
64 Pulmonary Artery Catheter Removal
65 Cardiac Output Measurement Techniques (Invasive)
66 Noninvasive Cardiac Output Monitoring
67 Esophageal Cardiac Output Monitoring: Perform
68 Esophageal Cardiac Output Monitoring: Assist, Care, and Removal

Section Ten: Special Cardiac Procedures
69 Femoral Arterial and Venous Sheath Removal
70 Radial Arterial Sheath Removal
71 Pericardial Catheter Management
72 Transesophageal Echocardiography (Assist)

Section Eleven: Vascular Access and Fluid Management
73 Arterial Puncture
74 Central Venous Catheter Insertion (Perform)
75 Central Venous Catheter Insertion (Assist), Nursing Care and Removal
76 Implantable Venous Access Device: Access, Deaccess, and Care
77 Peripherally Inserted Central Catheter and Midline Catheters
78 Use of a Massive Infusion Device and a Pressure Infuser Bag
79 Intraosseous Access

UNIT 3: NEUROLOGIC SYSTEM
Section Twelve: Neurologic Monitoring
80 Peripheral Nerve Stimulation: Train-of-Four Monitoring
81 Noninvasive Brain Tissue Monitoring: Near-Infrared Cerebral Spectroscopy
82 EEG Monitoring Assist and Nursing Care
83 Signal Processed Electroencephalography
84 Brain Tissue Oxygen Monitoring: Insertion (Assist), Nursing Care, and Troubleshooting
85 Cerebral Blood Flow Monitoring
86 Cerebral Microdialysis
87 Intracranial Pressure Monitoring, Nursing Care, Troubleshooting, and Removal

Section Thirteen: Special Neurologic Procedures
88 Lumbar Puncture (Perform)
89 Lumbar Puncture (Assist) and Nursing Care
90 Pupillometer

Section Fourteen: Traction Management
91 Cervical Traction and Stabilization
92 Pin Site and Vest Care

Section Fifteen: Pain Management
93 Epidural Catheters
94 Patient-Controlled Analgesia

UNIT 4: GASTROINTESTINAL SYSTEM
Section Sixteen: Special Gastrointestinal Procedures
95 Esophagogastric Tamponade Tube
96 Focused Abdominal Assessment With Sonography
97 Gastric Lavage in Hemorrhage and Overdose
98 Endoscopic Therapy
99 Intraabdominal Pressure Monitoring
100 Nasogastric and Orogastric Tube Insertion, Nursing Care, and Removal
101 Fecal Microbiota Transplant (Perform)
102 Molecular Adsorbent Recirculating System (MARS)
103 Paracentesis (Perform)
104 Paracentesis (Assist)

UNIT 5: RENAL SYSTEM
Section Seventeen: Renal Replacement
105 Continuous Renal Replacement Therapies
106 Hemodialysis
107 Peritoneal Dialysis

UNIT 6: HEMATOLOGIC SYSTEM
Section Eighteen: Special Hematologic Procedures
108 Apheresis and Therapeutic Plasma Exchange (Assist)
109 Bone Marrow Biopsy and Aspiration
110 Bone Marrow Biopsy and Aspiration (Assist)

UNIT 7: INTEGUMENTARY SYSTEM
Section Nineteen: Burn Wound Management
111 Burn Wound Care
112 Donor-Site Care
113 Skin-Graft Care
Section Twenty: Special Integumentary Procedures
114 Intracompartmental Pressure Monitoring
115 Wound Closure (Perform)

Section Twenty-One: Wound Management
116 Cleansing, Irrigating, Culturing, and Dressing an Open Wound
117 Debridement: Pressure Ulcers, Burns, and Wounds
118 Negative-Pressure Wound Therapy
119 Wound Management With Excessive Drainage
120 Fecal Containment Devices and Bowel Management Systems

UNIT 8: NUTRITION
121 Percutaneous Endoscopic Gastrostomy, Gastrostomy, and Jejunostomy Tube Care
122 Small-Bore Feeding Tube Insertion and Nursing Care
123 Small-Bore Feeding Tube Insertion Using Guidance Systems

UNIT 9: SAFETY
124 Thermoregulation: Heating, Cooling, and Targeted Temperature Management
125 Prevention of Immobility-Related Complications: Kinetic Therapy (Continuous Lateral Rotation Therapy and Lateral Rotation Therapy) and Ambulation of Acute and Critically Ill Patients
126 Intrahospital Transport of Critically Ill Patients