AACN Procedure Manual for Progressive and Critical Care

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• Unit I PULMONARY SYSTEMSection I Airway Management1. Endotracheal Intubation (Perform)2. Endotracheal Intubation (Assist)3. Endotracheal Tube Care and Oral Care Practices for Ventilated and Nonventilated Patients4. Extubation/Decannulation (Perform)5. Extubation/Decannulation (Assist)6. Laryngeal Mask Airway7. Nasopharyngeal and Oral Airway Insertion8. Suctioning: Endotracheal or Tracheostomy Tube9. Surgical Cricothyrotomy (Perform)10. Surgical Cricothyrotomy (Assist)11. Tracheostomy Cuff and Tube CareSection Two: Special Pulmonary Procedures12. Continuous End-Tidal Carbon Dioxide Monitoring13. Extracorporeal Membrane Oxygenation14. Oxygen Saturation Monitoring With Pulse Oximetry15. Prone Positioning for Acute Respiratory Distress Syndrome PatientsSection Three: Thoracic Cavity Management16. Autotransfusion17. Chest Tube Placement (Perform)18. Chest Tube Placement (Assist)19. Chest Tube Removal (Perform)20. Chest Tube Removal (Assist)21. Closed Chest-Drainage System22. Needle Thoracostomy (Perform)23. horacentesis (Perform)24. Thoracentesis (Assist)25. Bronchoscopy (Perform)26. Bronchoscopy (Assist)Section Four: Ventilatory Management27. Invasive Mechanical Ventilation (Through an Artificial Airway)28. Noninvasive Ventilation29. Manual Self-Inflating Resuscitation Bag-Valve-Mask Device30. Weaning Mechanical VentilationUNIT 2: CARDIOVASCULAR SYSTEMSection Five: Cardiac Emergencies31. Automated External Defibrillation32. Cardioversion33. Defibrillation (External)34. Emergent Open Sternotomy (Perform) and Defibrillation (Internal) (Perform)35. Emergent Open Sternotomy and Internal Defibrillation (Assist)36. External Wearable Cardioverter-Defibrillator37. Pericardiocentesis (Perform)38. Pericardiocentesis (Assist)Section Six: Cardiac Pacemakers39. Atrial Electrogram40. Atrial Overdrive Pacing (Perform)41. Temporary Epicardial Pacing Wire Removal42. Implantable Cardioverter-Defibrillator: Post-Insertion Care43. Permanent Pacemaker (Assessing Function)44. Temporary Transcutaneous (External) Pacing45. Temporary Transvenous Pacemaker Insertion (Perform)46. Temporary Transvenous and Epicardial PacingSection Seven: Mechanical Circulatory Assist Devices47. Intraaortic Balloon Pump Management48. Ventricular Assist DevicesSection Eight: Electrocardiographic Leads and Cardiac Monitoring49. Electrocardiographic Leads and Cardiac Monitoring50. ST-Segment Monitoring (Continuous)51. Twelve-Lead Electrocardiogram With Right and Left Posterior LeadsSection Nine: Hemodynamic Monitoring52. Arterial Catheter Insertion (Perform)53. Arterial Catheter Insertion (Assist), Care, and Removal54. Blood Sampling From an Arterial Catheter55. Arterial Pressure-Based Cardiac Output Monitoring56. Central Venous/Right Atrial Pressure Monitoring57. Blood Sampling From a Central Venous Catheter58. Pulmonary Artery Catheter Insertion (Perform)59. Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring60. Single-Pressure and Multiple-Pressure Transducer Systems61. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting62. Blood Sampling From a Pulmonary Artery Catheter63. Continuous Venous Oxygen Saturation Monitoring64. Pulmonary Artery Catheter Removal65. Cardiac Output Measurement Techniques (Invasive)66. Noninvasive Cardiac Output Monitoring67. Esophageal Cardiac Output Monitoring: Perform68. Esophageal Cardiac Output Monitoring: Assist, Care, and RemovalSection Ten: Special Cardiac Procedures69. Femoral Arterial and Venous Sheath Removal70. Radial Arterial Sheath Removal71. Pericardial Catheter Management72. Transesophageal Echocardiography (Assist)Section Eleven: Vascular Access and Fluid Management73. Arterial Puncture74. Central Venous Catheter Insertion (Perform)75. Central Venous Catheter Insertion (Assist), Nursing Care and Removal76. Implantable Venous Access Device: Access, Deaccess, and Care77. Peripherally Inserted Central Catheter and Midline Catheters78. Use of a Massive Infusion Device and a Pressure Infuser Bag79. Intraosseous AccessUNIT 3: NEUROLOGIC SYSTEMSection Twelve: Neurologic Monitoring80. Peripheral Nerve Stimulation: Train-of-Four Monitoring81. Noninvasive Brain Tissue Monitoring: Near-Infrared Cerebral Spectroscopy82. EEG Monitoring Assist and Nursing Care83. Signal Processed Electroencephalography84. Brain Tissue Oxygen Monitoring: Insertion (Assist), Nursing Care, and Troubleshooting85. Cerebral Blood Flow Monitoring86. Cerebral Microdialysis87. Intracranial Pressure Monitoring, Nursing Care, Troubleshooting, and RemovalSection Thirteen: Special Neurologic Procedures88. Lumbar Puncture (Perform)89. Lumbar Puncture (Assist) and Nursing Care90. PupillometerSection Fourteen: Traction Management91. Cervical Traction and Stabilization92. Pin Site and Vest CareSection Fifteen: Pain Management93. Epidural Catheters94. Patient-Controlled AnalgesiaUNIT 4: GASTROINTESTINAL SYSTEMSection Sixteen: Special Gastrointestinal Procedures95. Esophagogastric Tamponade Tube96. Focused Abdominal Assessment With Sonography97. Gastric Lavage in Hemorrhage and Overdose98. Endoscopic Therapy99. Intraabdominal Pressure Monitoring100. Nasogastric and Orogastric Tube Insertion, Nursing Care, and Removal101. Fecal Microbiota Transplant (Perform)102. Molecular Adsorbent Recirculating System (MARS)103. Paracentesis (Perform)104. Paracentesis (Assist)UNIT 5: RENAL SYSTEMSection Seventeen: Renal Replacement105. Continuous Renal Replacement Therapies106. Hemodialysis107. Peritoneal DialysisUNIT 6: HEMATOLOGIC SYSTEMSection Eighteen: Special Hematologic Procedures108. Apheresis and Therapeutic Plasma Exchange (Assist)109. Bone Marrow Biopsy and Aspiration110. Bone Marrow Biopsy and Aspiration (Assist)UNIT 7: INTEGUMENTARY SYSTEMSection Nineteen: Burn Wound Management111. Burn Wound Care112. Donor-Site Care113. Skin-Graft CareSection Twenty: Special Integumentary Procedures114. Intracompartmental Pressure Monitoring115. Wound Closure (Perform)Section Twenty-One: Wound Management116. Cleansing, Irrigating, Culturing, and Dressing an Open Wound117. Débridement: Pressure Ulcers, Burns, and Wounds118. Negative-Pressure Wound Therapy119. Wound Management With Excessive Drainage120. Fecal Containment Devices and Bowel Management SystemsUNIT 8: NUTRITION121. Percutaneous Endoscopic Gastrostomy, Gastrostomy, and Jejunostomy Tube Care122. Small-Bore Feeding Tube Insertion and Nursing Care123. Small-Bore Feeding Tube Insertion Using Guidance SystemsUNIT 9: SAFETY124. Thermoregulation: Heating, Cooling, and Targeted Temperature Management125. Prevention of Immobility-Related Complications: Kinetic Therapy (Continuous Lateral Rotation Therapy and Lateral Rotation Therapy) and Ambulation of Acute and Critically Ill Patients126. Intrahospital Transport of Critically Ill Patients