AACN PROCEDURE MANUAL FOR PEDIATRIC ACUTE AND CRITICAL CARE
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By . American Association of Critical-Care Nurses
Description 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.
Contents
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
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
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
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
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
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