Key Features

  • Advanced Practice Skills are included throughout the text and are marked with a special AP icon indicating that these procedures should only be performed by qualified personnel.
  • Evidence-based practice and research-based data are used to support the recommendations for each procedure.
  • Each procedure follows a consistent, step-by-step format with rationales.
  • Developmental differences are highlighted in special Procedure tables.
  • This valuable, everyday resource is sponsored by the American Association of Critical-Care Nurses.
  • Each procedure is covered in a consistent structure:
    • Purpose
    • Prerequisite knowledge
    • Child and family assessment
    • Child and family education
    • Equipment
    • Procedure (with steps, rationale, and considerations)
    • Expected and unexpected outcomes
    • Monitoring and care of the child (with activities and interventions, rationale, and reportable conditions)
    • Documentation

Table of 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


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