AACN Procedure Manual for Critical Care

UNIT I. Pulmonary System Section 1: Airway Management 1.Combitube Insertion and Removal AP NEW! 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 AP NEW! 8.Nasopharyngeal Airway Insertion 9.Oropharyngeal Airway Insertion 10.Suctioning - Endotracheal or Tracheostomy Tube 11.Tracheal Tube Cuff Care 12.Tracheostomy Tube Care Section 2: Special Pulmonary Procedures 13.Continuous End-Tidal Carbon Dioxide Monitoring 14.Continuous Mixed Venous Oxygen Saturation 15.Oxygen Saturation Monitoring by Pulse Oximetry 16.Manual Pronation Therapy Section 3: Thoracic Cavity Management 17.Autotransfusion 18.Chest Tube Placement (Perform) AP 19.Chest Tube Placement (Assist) 20.Chest Tube Removal (Perform) AP 21.Chest Tube Removal (Assist) 22.Closed Chest Drainage System 23.Needle Thoracostomy (Perform) AP 24.Thoracentesis (Perform) AP 25.Thoracentesis (Assist) Section 4: Ventilatory Management 26.Arterial-Venous Oxygen Difference Calculation 27.Auto-PEEP Calculation 28.Compliance and Resistance Measurement 29.Manual Self-Inflating Resuscitation Bag 30.Oxygenation Indices 31.Shunt Calculation 32.Ventilatory Management - Volume and Pressure Modes 33.Weaning Criteria (Negative Inspiratory Pressure, Positive End-Expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity Measurement) 34.Weaning Process UNIT II. Cardiovascular System Section 5: Cardiac Emergencies 35.Automated External Defibrillation 36.Cardioversion 37.Defibrillation (External) 38.Defibrillation (Internal) 39.Emergent Open Sternotomy (Perform) AP 40.Emergent Open Sternotomy (Assist) 41.Pericardiocentesis (Perform) AP NEW! 42.Pericardiocentesis (Assist) Section 6: Cardiac Pacemakers 43.Atrial Electrogram 44.Atrial Overdrive Pacing (Perform) AP 45.Epicardial Pacing Wire Removal AP NEW! 46.Implantable Cardioverter Defibrillator 47.Permanent Pacing (Assessing Function) 48.Temporary Transcutanous (External) Pacing 49.Temporary Transvenous Pacemaker Insertion (Perform) AP 50.Temporary Transvenous and Epicardial Pacing Section 7: Circulatory Assist Devices 51.Intraaortic Balloon Pump Management 52.External Counterpressure with Pneumatic Antishock Garments 53.Ventricular Assist Devices Section 8: Electrocardiographic Leads and Cardiac Monitoring 54.Electrophysiologic Monitoring: Hardwire and Telemetry 55.Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads 56.Continuous ST Segment Monitoring 57.Twelve-Lead Electrocardiogram Section 9: Hemodynamic Monitoring 58.Arterial Catheter Insertion (Perform) AP 59.Arterial Catheter Insertion (Assist), Care and Removal 60.Blood Sampling from Arterial Catheter 61.Blood Sampling from Central Venous Catheters NEW! 62.Blood Sampling from Pulmonary Catheter 63.Cardiac Output Measurement Techniques (invasive) 64.Central Venous Catheter Removal 65.Central Venous Catheter Site Care 66.Central Venous / Right Atrial Pressure Monitoring 67.Esophageal Doppler Monitoring of Aortic Blood Flow: Probe Insertion NEW! 68.Esophageal Doppler Monitoring of Aortic Blood Flow: Care and Removal NEW! 69.Left Atrial Catheter, Care and Assisting with Removal 70.Non-invasive Hemodynamic Monitoring: Impedance Cardiography 71.Pulmonary Artery Catheter Insertion (Perform) AP 72.Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring 73.Pulmonary Artery Catheter Removal 74.Pulmonary Artery Catheter and Pressure Lines, Troubleshooting 75.Single and Multiple Pressure Transducer Systems Section 10: Special Cardiac Procedures 76.Arterial and Venous Sheath Removal AP 77.Pericardial Catheter Management 78.Transesophageal Echocardiography (Assist) NEW! Section 11: Vascular Access 79.Arterial Puncture AP 80.Central Venous Catheter Insertion (Perform) AP 81.Central Venous Catheter Insertion (Assist) 82.Implantable Venous Accessing Device: Access, Deaccess and Care AP NEW! 83.Peripheral Intravenous Catheter Insertion 84.Peripherally Inserted Central Catheter (PICC) AP 85.Venipuncture UNIT III. Neurologic System Section 12: Neurologic Monitoring 86.Bi-Spectral Index Monitoring NEW! 87.Brain Tissue Oxygenation Monitoring NEW! 88.Intracranial Bolt Insertion (Assist), Care, and Troubleshooting 89.Intraventricular Catheter Insertion (Assist), Care, and Troubleshooting 90.Jugular Venous Oxygen Saturation (SVO2) Monitoring: Insertion (Assist), Care, and Removal 91.Lumbar Subarachnoid Catheter Insertion for Cerebral Spinal Fluid Pressure Monitoring and Drainage 92.Neurological Monitoring System NEW! 93.Transcranial Doppler Monitoring AP Section 13: Special Neurologic Procedures 94.Cerebrospinal Fluid Drainage Assessment 95.External Warming / Cooling Devices 96.Ice-Water Caloric Testing for Vestibular Dysfunction (Assist) 97.Lumbar Punctures (Perform) AP 98.Lumbar and Cisternal Punctures (Assist) Section 14: Traction Management 99.External Fixation Device Insertion (Assist) 100.Halo Traction Care 101.Tong and Pin Care 102.Traction Maintenance Section 15: Pain Management 103.Epidural Catheters 104.Peripheral Nerve Stimulators 105.Patient Controlled Analgesia NEW! 106.Major Nerve Sheath Infusions: Femoral, Intrapleural, and Tibial NEW! UNIT IV. Gastrointestinal System 107.Esophagogastric Tamponade Tube 108.Gastric Lavage in Hemorrhage and Overdose 109.Gastric Tonometry NEW! 110.Intra-abdominal Pressure Monitoring 111.Nasogastric Tube Insertion, Care, and Removal 112.Paracentesis (Perform) AP 113.Paracentesis (Assist) 114.Peritoneal Lavage (Perform) AP 115.Peritoneal Lavage (Assist) 116.Scleral Endoscopic Therapy UNIT V. Renal System Section 16: Renal Replacement 117.Continuous Renal Replacement Therapies 118.Hemodialysis 119.Peritoneal Dialysis Section 17: Special Renal Procedures 120.Apheresis, Plasmapheresis and Plasma Exchange (Assist) UNIT VI. Hematologic System Section 18: Fluid Management 121.Blood and Blood Component Administration 122.Blood Pump Use 123.Continuous Arteriovenous Rewarming 124.Massive Transfusion Devices 125.Transfusion Reaction Management Section 19: Special Hematologic Procedures 126.Bone Marrow Biopsy and Aspiration (Perform) AP 127.Bone Marrow Biopsy and Aspiration (Assist) 128.Determination of Microhematocrit via Centrifuge UNIT VII. Integumentary System Section 20: Burn Wound Management 129.Donor Site Care 130.Burn Wound Care 131.Skin Graft Care Section 21: Special Integumentary Procedures 132.Intracompartmental Pressure Monitoring 133.Pressure Reducing Devices: Lateral Rotation Therapy 134.Wound Closure AP 135.Suture Removal NEW! Section 22: Wound Management 136.Cleaning, Irrigating, Culturing, and Dressing an Open Wound 137.Debridement: Pressure Ulcers, Burns, and Wounds AP NEW! 138.Dressing Wounds with Drains 139.Drain Removal 140.Pouching a Wound 141.Vacuum Assisted Closure (VAC) System for Wounds NEW! UNIT VIII. Nutrition 142.Enteral Nutrition 143.Parenteral Nutrition 144.Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, or Jejunostomy Tube Care 145.Small-Bore Feeding Tube Insertion and Care UNIT IX. End of Life 146.Advance Directives 147.Determination of Death AP 148.Care of Organ Donors 149.Identification of Potential Organ Donors 150.Request for Organ Donation 151.Non-Heart Beating Organ Donation NEW! 152.Withholding/Withdrawing Life Sustaining Treatment UNIT X. Calculating Medication Doses 153.Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions