AACN Procedure Manual for Pediatric Acute and Critical Care

AACN Procedure Manual for Pediatric Acute and Critical Care

By American Association of Critical-Care Nurses


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® 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