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AACN Procedure Manual for Critical Care

Edited by
  • Debra Lynn-McHale Wiegand, PhD, RN, CCRN, FAAN, Assistant Professor, University of Maryland School of Nursing, Baltimore, Maryland; Staff Nurse, Surgical Cardiac Care Unit, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
By

    The AACN Procedure Manual for Critical Care, 6th Edition presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base.

    Paperback, 1312 Pages

    Published: August 2010

    Imprint: Saunders

    ISBN: 978-1-4160-6218-9

    Contents

    • 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

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