Emergency Nursing Procedures, 4th Edition

Emergency Nursing Procedures

4th Edition

By Jean A. Proehl, RN, MN, CEN, CCRN, FAEN, Emergency Clinical Nurse Specialist, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA


Section One: Assessment Procedures

1. Primary Survey
2. Secondary Survey

Section Two: Airway Procedures

3. Airway Positioning
4. Airway Foreign Object Removal
5. Oral Airway Insertion
6. Nasal Airway Insertion
7. Laryngeal Mask Airway
8. General Principles of Endotracheal Intubation
9. Rapid Sequence Intubation
10. Oral Endotracheal Intubation
11. Nasotracheal Intubation
12. Retrograde Intubation
13. Extubation
14. Combitube Airway
15. Crichothyrotomy
16. Percutaneous Transtracheal Ventilation
17. Tracheostomy

Section Three: Breathing Procedures

18. Positioning the Dyspneic Patient
19. Drawing Arterial Blood Gases
20. Capillary Blood Gases
21. Pulse Oximetry / Carbon Monoxide Oximetry
22. Assessing Pulsus Paradoxus
23. Peak Expiratory Flow Measurement
24. End Tidal Carbon Dioxide Detection/Monitoring

Section Four: Oxygen Therapy

25. General Principles of Oxygen Therapy and Oxygen Delivery Devices
26. Application and Removal of Oxygen Tank Regulators
27. Non-Invasive Assisted Ventilation
28. T-piece

Section Five: Suctioning

29. Pharyngeal Suctioning
30. Nasotracheal Suctioning
31. Endotracheal/Tracheostomy Suctioning

Section Six: Ventilation

32. Mouth-to-Mask Ventilation
33. Bag-Mask Ventilation
34. Anesthesia Bag Ventilation
35. Mechanical Ventilators

Section Seven: Inhalation Therapy

36. Nebulizer Therapy
37. Metered Dose Inhaler

Section Eight: Pleural Decompression

38. Emergency Needle Thoracentesis
39. Chest Tube Insertion
40. Management of Chest Drainage Systems
41. One-Way Valve
42. Chest Drainage Bottles
43. Chest Drainage Devices: Emerson
44. Chest Drainage Devices: Pleur-Evac®
45. Chest Drainage Devices: Argyle®
46. Chest Drainage Devices: Atrium®
47. Thoracentesis

Section Nine: Circulation Procedures

48. Positioning the Hypotensive Patient
49. Doppler BP and Pulses
50. Measuring Postural Vital Signs
51. Pneumatic Antishock Garment
52. Therapeutic Phlebotomy
53. Pericardiocentesis
54. Emergency Thoracotomy and Internal Defibrillation
55. Electrocardiographic Monitoring
56. 12-, 15-, and 18-Lead Electrocardiogram
57. Continuous ST Segment Monitoring
58. Phlebotomy for Labatory Specimens
59. Blood Glucose Monitoring

Section Ten: Vascular Access

60. Peripheral Intravenous Cannulation
61. Rapid Infusion Catheter Exchange
62. External Jugular Venous Access
63. Subclavian Venous Access
64. Internal Jugular Venous Access
65. Femoral Venous Access
66. Venous Cutdown
67. Intraosseous Access
68. Umbilical Vessel Cannulation
69. Accessing Preexisting Central Venous Catheters
70. Accessing Implanted Vascular Port Devices

Section Eleven: Blood Product Administration

71. Declotting Central Venous Access Devices
72. Administration of Blood Products
73. Blood Filters
74. Massive Transfusion
75. Blood and Fluid Warmers
76. Blood and Fluid Pressure Infusers
77. General Principles of Autotransfusion
78. Autotransfusion Devices: Pleur-Evac®
79. Autotransfusion Devices: Argyle®
80. Autotransfusion Devices: Atrium®

Section Twelve: Electrical Therapy

81. Defibrillation
82. Synchronized Cardioversion
83. Automatic External Defibrillation
84. Emergency Management of the Patient with an ICD

Section Thirteen: Cardiac Pacing

85. Transcutaneous Cardiac Pacing
86. Temporary Transvenous Pacemaker Insertion

Section Fourteen: Invasive Hemodynamic Monitoring

87. Central Venous Pressure Monitoring
88. Arterial Line Insertion and Monitoring
89. Pulmonary Artery Catheter Insertion

Section Fifteen: Neurologic Procedures

90. Positioning the Patient with Increased ICP
91. Lumbar Puncture
92. Intracranial Pressure Monitoring
93. Burr Holes
94. Tongs or Open Back Halo Application for Cervical Traction

Section Sixteen: Abdominal and Genitourinary Procedures

95. Diagnostic Peritoneal Lavage
96. Paracentesis
97. Intra-Abdominal Pressure Monitoring
98. Insertion of Orogastric and Nasogastric Tubes
99. Gastric Lavage for GI Bleeding
100. Gastric Lavage for Removal of Toxic Substances
101. Whole Bowel Irrigation
102. Balloon Tamponade of Gastroesophageal Varices
103. Diagnostic Bladder Ultrasound
104. Urinary Bladder Catheterization
105. Suprapubic Urine Aspiration
106. Suprapubic Catheter Insertion
107. Pelvic Examination
108. Assessing Fetal Heart Tones
109. Emergency Childbirth
110. Dilatation and Curettage

Section Seventeen: Musculoskeletal Procedures

111. Spinal Immobilization
112. Helmet Removal
113. General Principles of Splinting
114. Ring Removal
115. Body Jewelry Removal
116. Vacuum Splints
117. Air Splints
118. Traction Splints
119. Pelvic Splinting
120. Sling Application
121. Shoulder Immobilization
122. Knee Immobilization
123. Finger Immobilization
124. Plaster and Fiberglass Splinting
125. Removal and Bivalving Casts
126. Elastic Bandage Application
127. Skeletal Traction
128. Heat Therapy
129. Cold Therapy
130. Measuring Compartmental Pressure
131. Measuring and Fitting Ambulation Aids
132. Patient Teaching for Ambulation Aids
133. Arthocentesis/Intra-articular Injection

Section Eighteen: Integumentary Procedures

134. Wound Cleansing and Irrigation
135. Wound Anesthesia: Local Infiltration and Topical Agents
136. Digital Block
137. Bier Block
138. Fishhook Removal
139. Wound Care for Amputations
140. Surgical Tape Closures
141. Skin Adhesive
142. Suture Removal
143. Staple Removal
144. Minor Burn Care
145. Escharotomy
146. Incision and Drainage

Section Nineteen: Thermoregulation

147. Measures to Reverse Hyperthermia
148. Measures to Reverse Hypothermia
149. Heat Lamp
150. Forced Air Warming Blanket
151. Warm/Cool Water Circulating Blankets
152. Continuous ArterioVenous Rewarming (CAVR)

Section Twenty: Ophthalmic Procedures

153. Assessing Visual Acuity
154. Contact Lens Removal
155. Eye Irrigation
156. Fluorescein Staining of Eyes
157. Ophthalmic Foreign Body Removal
158. Instillation of Eye Medications
159. Eye Patching
160. Tonometry
161. Immobilization of an Ophthalmic Foreign Body

Section Twenty-One: Otic Procedures

162. Instillation of Ear Medications
163. Ear Wick Insertion
164. Ear Irrigation
165. Otic Foreign Body Removal
166. Cerumen Removal

Section Twenty-Two: Nasal Procedures

167. Topical Vasoconstrictors for Epistaxis
168. Electrical and Chemical Cautery for Epistaxis
169. Anterior Packing for Epistaxis
170. Posterior Packing for Epistaxis
171. Balloon Catheters for Epistaxis
172. Nasal Foreign Body Removal

Section Twenty-Three: Dental and Throat Procedures

173. Indirect Laryngoscopy
174. Esophageal Foreign Body Removal
175. Tooth Preservation and Replantation
176. Nitrous Oxide Administration

Section Twenty-Four: Medication Administration

177. Sedation
178. Peripheral Nerve Stimulator (Twitch monitor)
179. Streptokinase Administration
180. TNK-tPA Administration for Acute Myocardial Infarction
181. tPA Administration for AMI/PE
182. tPA Administration for Acute Ischemic Stroke
183. Reteplase Administration for Acute Myocardial Infarction
184. High-Dose Steroids for Spinal Cord Injury

Section Twenty-Five: Miscellaneous Procedures

185. Methotrexate for Ectopic Pregnancy
186. Drug and Alcohol Specimen Collection
187. Preservation of Evidence
188. Sexual Assault Examination
189. Collection of Bite Mark Evidence
190. Application of Restraints
191. Preparing and Restraining Children for Procedures
192. Decontamination
193. Preparation for Interfacility Ground/Air Transport


Index