AACN Procedure Manual for Pediatric Acute and Critical Care

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 SECTION TWENTY: Wounds 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(r) 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(r) 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