AACN Procedure Manual for Pediatric Acute and Critical Care

Unit I: Respiratory SystemSECTION ONE: Airway Management1. Cricothyroidotomy: Assist 2. Endotracheal Tube: Care and Suctioning 3. Endotracheal Tube: Taping4. 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 Monitoring17. Arterial Blood Gas Analysis18. End Tidal Carbon Dioxide Measurement: Continuous Monitoring19. Indices of Oxygenation and Ventilation20. Mixed Venous Oxygen Saturation: Continuous Monitoring21. Negative Inspiratory Force Measurement22. Pulse Oximetry23. Respiratory Rate: Obtaining an Accurate MeasurementSECTION THREE: Ventilatory Management24. Auto-PEEP Calculation25. Extracorporeal Membrane Oxygenation 26. High Frequency Oscillatory Ventilation27. Manual Ventilation Devices28. Mechanical Ventilation: Conventional Modes29. Negative Pressure Ventilation30. Non-Invasive Positive Pressure Ventilation (CPAP, BiPAP)31. Pronation Therapy32. Weaning from Ventilatory SupportSECTION FOUR: Thoracic Cavity Management33. Chest Tube Placement: Assist34. Chest Tube Removal: Assist35. Closed Chest Drainage System: Set up and Management 36. Pleural Catheter: Care37. Thoracentesis: Assist38. Chest Tube Placement: Perform, AP39. Chest Tube Removal: Perform, AP40. Needle Thoracostomy: Perform, AP41. Thoracentesis: Perform, APUnit II: Cardiovascular SystemSECTION FIVE: Cardiac Emergencies42. Emergency Medication Preparation and Administration 43. Open Sternotomy: Assist44. Pericardiocentesis: Assist 45. Cardioversion, AP 46. Defibrillation: External , AP SECTION SIX: Cardiac Pacemakers47. Atrial Electrogram 48. Atrial Overdrive Pacing 49. Electrocardiogram: Obtaining and Monitoring a 12-Lead Electrocardiogram50. Implantable Cardioverter/Defibrillator 51. Permanent Pacemaker: Assessing Function52. Transcutaneous Pacing: Initiation and Monitoring53. Transesophageal Pacing: Assist54. Transvenous and Epicardial Pacing: Monitoring55. Epicardial Pacing Wire Removal: Perform, AP56. Transvenous Pacemaker Insertion: Perform, APSECTION SEVEN: Circulatory Assist Devices57. Intraarotic Balloon Pump: Management58. Ventricular Assist Device: ManagementSECTION EIGHT: Hemodynamic Monitoring59. Flow Directed Pulmonary Artery Catheter: Cardiac Output Measurement60. 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 Systems64. Pulmonary Artery Intracardiac Line: Care and Management65. Right Atrial Intracardiac Line: Care and Management 66. Left Atrial Intracardiac Line Removal: Perform, AP67. Pulmonary Artery Intracardiac Line Removal: Perform, AP68. Right Atrial Intracardiac Line Removal: Perform, APSECTION NINE: Special Cardiac Procedures69. Arterial and Venous Sheath Removal 70. Pericardial Catheter: Management71. Pulmonary Hypertension: Management72. Staple Removal73. Pleural Pigtail Catheter: Insertion , AP Unit III: Neurologic SystemSECTION TEN: Neurologic Monitoring74. Cerebral Tissue Oxygenation Monitoring: Insertion Assist, Monitoring and Care75. Intracranial/Intraparenchymal Catheter: Insertion Assist, Set-up and Care76. Intracranial Pressure Monitoring77. Intraventricular Catheter: Insertion Assist, Monitoring, and Care78. Jugular Venous Saturation Monitor: Insertion Assist, Monitoring and CareSECTION ELEVEN: Special Neurologic Procedures79. Cerebral Spinal Fluid Drainage: Assessment80. Externalized Ventricular Shunts and Drains: Catheter Management81. Lumbar Puncture: Assist82. Ventriculoperitoneal Shunt Tap: Assist83. Cerebral Spinal Fluid Sampling from Ventriculostomy/External Ventricular Drain, AP84. Lumbar Puncture: Perform, AP85. Ventriculoperitoneal Shunt Tap: Perform, APSECTION TWELVE: Immobilization86. Cervical Traction Maintenance87. Halo Traction: Application and Care88. Cervical Collar: Placement and Management, APUnit IV: Gastrointestinal SystemSECTION THIRTEEN: Gastrointestinal Procedures89. Abdominal Paracentesis: Assist90. Balloon Gastrostomy and Low-Profile Balloon Gastrostomy: Reinsertion91. Bowel Irrigation92. Closed Surgical Drain: Care and Management93. Decompression Tube: Insertion and Care94. Esophagogastric Tamponade Tube: Care and Management95. Gastric Lavage96. Gastrostomy and Jejunostomy Tubes: Care and Management97. Intra-abdominal Pressure Monitoring98. Ostomy Appliance: Change99. Percutaneous Peritoneal Lavage: Assist100. pH study: Care and Management101. Abdominal Paracentesis: Perform, APUnit V: Renal SystemSECTION FOURTEEN: Renal Replacement102. Apheresis: Assist 103. Continuous Renal Replacement Therapies 104. Hemodialysis: Assist 105. Peritoneal Dialysis Catheter Exit Site Care106. Peritoneal Dialysis: Pass Management SECTION FIFTEEN: Special Renal Procedures107. 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 SystemSECTION SIXTEEN: Oncology/Hematology Procedures114. 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 SystemSECTION SEVENTEEN: Musculoskeletal Procedures118. Brace and Splint Application 119. External Fixation Device: Pin Care 120. External Fixator Lengthening Device: AdjustmentsUnit VIII: SkinSECTION EIGHTEEN: Burn Wound Management121. Burn Wound Care122. Donor Site Care123. Skin Graft CareSECTION NINETEEN: Special Integumentary Procedures124. Intra-compartment Pressure Monitoring125. Skin Assessment TechniquesSECTION TWENTY: Wounds126. Cleansing, Irrigating, Culturing and Dressing Wounds127. Drain Removal128. Dressing Wounds with Drains129. Fistulous Wounds: Care and Management130. Vacuum Assisted Closure (V.A.C.) System: Management of Negative Pressure Therapy 131. Suturing Wounds, APUnit IX: Fluid and Electrolyte Management132. Blood and Blood Component: Administration133. Blood Glucose Monitoring134. Fluid Administration: Rapid Infusion135. Hydration and Rehydration: Fluid Calculations136. Transfusion Reaction: ManagementUnit 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 Monitoring143. Central Venous Tunneled Catheter: Care and Management144. Central Venous Tunneled Catheter: Permanent Catheter Repair (Broviac® or other brand) 145. Intraosseous Needle: Care and Management146. Peripheral Intravenous Line: Insertion147. Peripherally Inserted Central Venous Catheter: Care, Management and Removal148. Skin Puncture for Blood Sampling: Fingerstick and Heelstick149. Totally Implantable Central Venous Port: Accessing, Management and Deaccessing150. Venipuncture for Blood Sampling151. Arterial Catheter Insertion: Perform, AP152. Arterial Puncture: Perform, AP153. Central Venous Non-tunneled Catheter Insertion: Perform, AP154. Intraosseous Needle Placement: Perform, AP155. Peripherally Inserted Central Venous Catheter (PICC) Insertion: Perform, APUnit XI: Medication Administration156. Aerosolized Medication: Metered Dose Inhaler157. Aerosolized Medication: Nebulized Medication 158. Continuous Intravenous Medication Infusion159. Intradermal Injection160. Intramuscular Injection161. Intranasal Medication162. Intravenous Medication: Drip Method163. Intravenous Medication: Heparin Lock Method164. Intravenous Medication: Syringe Pump Method165. Ophthalmic Medication166. Oral Medication167. Otic Medication168. Rectal Medication169. Subcutaneous InjectionUnit XII: Pain Management and Sedation170. Bispectral Index Monitoring171. Epidural Catheter: Care and Management172. Locally Administered Anesthetic Infusions173. Pain Assessment Scales174. Patient Controlled Analgesia175. Peripheral Nerve Stimulator176. Sedation Assessment Scales177. Sedation for Procedures, APUnit XIII: Nutrition178. Breast Milk: Administration, Collection, and Storage179. Enteral Nutrition: Administration180. Enteral Nutrition: Selection of Formulas and Fortification181. Growth Assessment: Obtaining Anthropometric Measurements182. Orogastric/Nasogastric Tubes: Insertion, Care and Management183. Parenteral Nutrition: Administration184. Transplyoric Feeding Tube: Insertion185. Enteral Nutrition: Initiation and Advancement, AP186. Parenteral Nutrition: Initiation and Advancement, APUnit XIV: Thermoregulation187. Hypo/hyperthermia Blanket, Including use of BAIR Hugger® Warming Unit and Warming Cover188. Obtaining an Accurate Temperature Measurement189. Warming Devices: RadiantUnit XV: Neonatal Issues190. Neonatal Thermoregulation191. Neonatal Positioning192. Phototherapy193. Skin to Skin Contact/Kangaroo Care194. Umbilical Vessel Catheter: Care and Management195. Umbilical Vessel Cannulation and Removal: Perform, APUnit XVI: Safety and Transitioning of Pediatric Patients196. Admission197. Discharge 198. Intrahospital Transport199. Outside Facility Transport200. Protective/Restraint Devices: Application and Monitoring201. Providing a Safe Environment