AACN Procedure Manual for Pediatric Acute and Critical Care book cover

AACN Procedure Manual for Pediatric Acute and Critical Care

Using detailed, step-by-step guidelines, this comprehensive book covers procedures commonly performed by all nurses in pediatric critical care. Following the successful format of the AACN Procedure Manual for Critical Care, 5th edition, this new resource focuses on the unique aspects of caring for infants and children. This easy-to-use guide includes the latest information, a strong evidence base, and a supporting rationale for each step of each procedure.

Paperback, 1520 Pages

Published: April 2007

Imprint: Saunders

ISBN: 978-0-7216-0640-8


  • Unit I: Respiratory System

    SECTION ONE: Airway Management

    1. Cricothyroidotomy: Assist

    2. Endotracheal Tube: Care and Suctioning

    3. Endotracheal Tube: Taping

    4. Extubation: Assist

    5. Intubation: Assist

    6. Nasopharyngeal and Oropharyngeal Airway: Insertion and Care

    7. Nasopharyngeal Suctioning

    8. Noninvasive Oxygen Delivery Devices

    9. Postural Drainage with Percussion and Vibration

    10. Tracheostomy Tube: Stoma Care and Tie Change

    11. Tracheostomy Tube: Change

    12. Tracheostomy Tube: Suctioning

    13. Cricothyroidotomy: Perform, AP

    14. Extubation: Perform, AP

    15. Intubation: Perform Including Laryngeal Mask Airway, AP

    16. Tracheostomy Tube: Decannulation, AP

    SECTION TWO: Pulmonary Monitoring

    17. Arterial Blood Gas Analysis

    18. End Tidal Carbon Dioxide Measurement: Continuous Monitoring

    19. Indices of Oxygenation and Ventilation

    20. Mixed Venous Oxygen Saturation: Continuous Monitoring

    21. Negative Inspiratory Force Measurement

    22. Pulse Oximetry

    23. Respiratory Rate: Obtaining an Accurate Measurement

    SECTION THREE: Ventilatory Management

    24. Auto-PEEP Calculation

    25. Extracorporeal Membrane Oxygenation

    26. High Frequency Oscillatory Ventilation

    27. Manual Ventilation Devices

    28. Mechanical Ventilation: Conventional Modes

    29. Negative Pressure Ventilation

    30. Non-Invasive Positive Pressure Ventilation (CPAP, BiPAP)

    31. Pronation Therapy

    32. Weaning from Ventilatory Support

    SECTION FOUR: Thoracic Cavity Management

    33. Chest Tube Placement: Assist

    34. Chest Tube Removal: Assist

    35. Closed Chest Drainage System: Set up and Management

    36. Pleural Catheter: Care

    37. Thoracentesis: Assist

    38. Chest Tube Placement: Perform, AP

    39. Chest Tube Removal: Perform, AP

    40. Needle Thoracostomy: Perform, AP

    41. Thoracentesis: Perform, AP

    Unit II: Cardiovascular System

    SECTION FIVE: Cardiac Emergencies

    42. Emergency Medication Preparation and Administration

    43. Open Sternotomy: Assist

    44. Pericardiocentesis: Assist

    45. Cardioversion, AP

    46. Defibrillation: External , AP

    SECTION SIX: Cardiac Pacemakers

    47. Atrial Electrogram

    48. Atrial Overdrive Pacing

    49. Electrocardiogram: Obtaining and Monitoring a 12-Lead Electrocardiogram

    50. Implantable Cardioverter/Defibrillator

    51. Permanent Pacemaker: Assessing Function

    52. Transcutaneous Pacing: Initiation and Monitoring

    53. Transesophageal Pacing: Assist

    54. Transvenous and Epicardial Pacing: Monitoring

    55. Epicardial Pacing Wire Removal: Perform, AP

    56. Transvenous Pacemaker Insertion: Perform, AP

    SECTION SEVEN: Circulatory Assist Devices

    57. Intraarotic Balloon Pump: Management

    58. Ventricular Assist Device: Management

    SECTION EIGHT: Hemodynamic Monitoring

    59. Flow Directed Pulmonary Artery Catheter: Cardiac Output Measurement

    60. Flow Directed Pulmonary Artery Catheter: Insertion Assist

    61. Heart Rate and Blood Pressure: Obtaining an Accurate Measurement

    62. Left Atrial Intracardiac Line: Care and Management

    63. Pressure Transducer Systems

    64. Pulmonary Artery Intracardiac Line: Care and Management

    65. Right Atrial Intracardiac Line: Care and Management

    66. Left Atrial Intracardiac Line Removal: Perform, AP

    67. Pulmonary Artery Intracardiac Line Removal: Perform, AP

    68. Right Atrial Intracardiac Line Removal: Perform, AP

    SECTION NINE: Special Cardiac Procedures

    69. Arterial and Venous Sheath Removal

    70. Pericardial Catheter: Management

    71. Pulmonary Hypertension: Management

    72. Staple Removal

    73. Pleural Pigtail Catheter: Insertion , AP

    Unit III: Neurologic System

    SECTION TEN: Neurologic Monitoring

    74. Cerebral Tissue Oxygenation Monitoring: Insertion Assist, Monitoring and Care

    75. Intracranial/Intraparenchymal Catheter: Insertion Assist, Set-up and Care

    76. Intracranial Pressure Monitoring

    77. Intraventricular Catheter: Insertion Assist, Monitoring, and Care

    78. Jugular Venous Saturation Monitor: Insertion Assist, Monitoring and Care

    SECTION ELEVEN: Special Neurologic Procedures

    79. Cerebral Spinal Fluid Drainage: Assessment

    80. Externalized Ventricular Shunts and Drains: Catheter Management

    81. Lumbar Puncture: Assist

    82. Ventriculoperitoneal Shunt Tap: Assist

    83. Cerebral Spinal Fluid Sampling from Ventriculostomy/External Ventricular Drain, AP

    84. Lumbar Puncture: Perform, AP

    85. Ventriculoperitoneal Shunt Tap: Perform, AP

    SECTION TWELVE: Immobilization

    86. Cervical Traction Maintenance

    87. Halo Traction: Application and Care

    88. Cervical Collar: Placement and Management, AP

    Unit IV: Gastrointestinal System

    SECTION THIRTEEN: Gastrointestinal Procedures

    89. Abdominal Paracentesis: Assist

    90. Balloon Gastrostomy and Low-Profile Balloon Gastrostomy: Reinsertion

    91. Bowel Irrigation

    92. Closed Surgical Drain: Care and Management

    93. Decompression Tube: Insertion and Care

    94. Esophagogastric Tamponade Tube: Care and Management

    95. Gastric Lavage

    96. Gastrostomy and Jejunostomy Tubes: Care and Management

    97. Intra-abdominal Pressure Monitoring

    98. Ostomy Appliance: Change

    99. Percutaneous Peritoneal Lavage: Assist

    100. pH study: Care and Management

    101. Abdominal Paracentesis: Perform, AP

    Unit V: Renal System

    SECTION FOURTEEN: Renal Replacement

    102. Apheresis: Assist

    103. Continuous Renal Replacement Therapies

    104. Hemodialysis: Assist

    105. Peritoneal Dialysis Catheter Exit Site Care

    106. Peritoneal Dialysis: Pass Management

    SECTION FIFTEEN: Special Renal Procedures

    107. Continuous Bladder Irrigation

    108. Indwelling Urinary Catheter: Insertion and Removal

    109. Indwelling Urinary Catheter: Irrigation

    110. Indwelling Urinary Catheter: Urinalysis Collection

    111. Urine Culture: Indwelling Catheter or Suprapubic Tube

    112. Urine Culture: Intermittent Catheterization

    113. Urine Culture: Suprapubic Aspirate, AP

    Unit VI: Oncology/Hematology System

    SECTION SIXTEEN: Oncology/Hematology Procedures

    114. Bone Marrow Aspiration and Biopsy: Assist

    115. Red Cell Exchange Transfusion: Manual and Automated

    116. Whole Blood Exchange Transfusion

    117. Bone Marrow Aspiration and Biopsy: Perform, AP

    Unit VII: Musculoskeletal System

    SECTION SEVENTEEN: Musculoskeletal Procedures

    118. Brace and Splint Application

    119. External Fixation Device: Pin Care

    120. External Fixator Lengthening Device: Adjustments

    Unit VIII: Skin

    SECTION EIGHTEEN: Burn Wound Management

    121. Burn Wound Care

    122. Donor Site Care

    123. Skin Graft Care

    SECTION NINETEEN: Special Integumentary Procedures

    124. Intra-compartment Pressure Monitoring

    125. Skin Assessment Techniques


    126. Cleansing, Irrigating, Culturing and Dressing Wounds

    127. Drain Removal

    128. Dressing Wounds with Drains

    129. Fistulous Wounds: Care and Management

    130. Vacuum Assisted Closure (V.A.C.) System: Management of Negative Pressure Therapy

    131. Suturing Wounds, AP

    Unit IX: Fluid and Electrolyte Management

    132. Blood and Blood Component: Administration

    133. Blood Glucose Monitoring

    134. Fluid Administration: Rapid Infusion

    135. Hydration and Rehydration: Fluid Calculations

    136. Transfusion Reaction: Management

    Unit X: Vascular Access

    137. Arterial Catheter: Insertion Assist and Management

    138. Arterial Catheter: Blood Sampling

    139. Central Venous Catheters for Hemodialysis or Hemofiltration: Blood Sampling

    140. Central Venous Non-tunneled Catheter: Insertion Assist

    141. Central Venous Non-tunneled Catheter: Care and Management

    142. Central Venous Non-tunneled Catheter: Central Venous Pressure Monitoring

    143. Central Venous Tunneled Catheter: Care and Management

    144. Central Venous Tunneled Catheter: Permanent Catheter Repair (Broviac® or other brand)

    145. Intraosseous Needle: Care and Management

    146. Peripheral Intravenous Line: Insertion

    147. Peripherally Inserted Central Venous Catheter: Care, Management and Removal

    148. Skin Puncture for Blood Sampling: Fingerstick and Heelstick

    149. Totally Implantable Central Venous Port: Accessing, Management and Deaccessing

    150. Venipuncture for Blood Sampling

    151. Arterial Catheter Insertion: Perform, AP

    152. Arterial Puncture: Perform, AP

    153. Central Venous Non-tunneled Catheter Insertion: Perform, AP

    154. Intraosseous Needle Placement: Perform, AP

    155. Peripherally Inserted Central Venous Catheter (PICC) Insertion: Perform, AP

    Unit XI: Medication Administration

    156. Aerosolized Medication: Metered Dose Inhaler

    157. Aerosolized Medication: Nebulized Medication

    158. Continuous Intravenous Medication Infusion

    159. Intradermal Injection

    160. Intramuscular Injection

    161. Intranasal Medication

    162. Intravenous Medication: Drip Method

    163. Intravenous Medication: Heparin Lock Method

    164. Intravenous Medication: Syringe Pump Method

    165. Ophthalmic Medication

    166. Oral Medication

    167. Otic Medication

    168. Rectal Medication

    169. Subcutaneous Injection

    Unit XII: Pain Management and Sedation

    170. Bispectral Index Monitoring

    171. Epidural Catheter: Care and Management

    172. Locally Administered Anesthetic Infusions

    173. Pain Assessment Scales

    174. Patient Controlled Analgesia

    175. Peripheral Nerve Stimulator

    176. Sedation Assessment Scales

    177. Sedation for Procedures, AP

    Unit XIII: Nutrition

    178. Breast Milk: Administration, Collection, and Storage

    179. Enteral Nutrition: Administration

    180. Enteral Nutrition: Selection of Formulas and Fortification

    181. Growth Assessment: Obtaining Anthropometric Measurements

    182. Orogastric/Nasogastric Tubes: Insertion, Care and Management

    183. Parenteral Nutrition: Administration

    184. Transplyoric Feeding Tube: Insertion

    185. Enteral Nutrition: Initiation and Advancement, AP

    186. Parenteral Nutrition: Initiation and Advancement, AP

    Unit XIV: Thermoregulation

    187. Hypo/hyperthermia Blanket, Including use of BAIR Hugger® Warming Unit and Warming Cover

    188. Obtaining an Accurate Temperature Measurement

    189. Warming Devices: Radiant

    Unit XV: Neonatal Issues

    190. Neonatal Thermoregulation

    191. Neonatal Positioning

    192. Phototherapy

    193. Skin to Skin Contact/Kangaroo Care

    194. Umbilical Vessel Catheter: Care and Management

    195. Umbilical Vessel Cannulation and Removal: Perform, AP

    Unit XVI: Safety and Transitioning of Pediatric Patients

    196. Admission

    197. Discharge

    198. Intrahospital Transport

    199. Outside Facility Transport

    200. Protective/Restraint Devices: Application and Monitoring

    201. Providing a Safe Environment


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