AACN Procedure Manual for Critical Care This title has been archived.

Author: Debra Lynn-McHale Wiegand, PhD, RN, CCRN, FAAN
Affiliation: University of Maryland School of Nursing, Baltimore
Publisher: Elsevier Health Sciences
Publication Date: 2011
ISBN 10: 1416062181
ISBN 13: 9781416062189
eISBN: 9781455776900
Edition: 6th

Description:

The AACN Procedure Manual for Critical Care, 6th Edition presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base.

Table of Contents

Front Matter

  • ABOUT
  • CRITICAL CARE NURSING PROCEDURES
  • Notice
  • DEDICATION
  • Section Editors
  • Contributors
  • Reviewers
  • Preface
  • Acknowledgments

UNIT I Pulmonary System

    SECTION ONE Airway Management

      PROCEDURE 1: Combitube Insertion and Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 2: Endotracheal Intubation (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 3: Endotracheal Intubation (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 4: Endotracheal Tube and Oral Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 5: Extubation/Decannulation (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 6: Extubation/Decannulation (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 7: Laryngeal Mask Airway

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 8: Surgical Cricothyrotomy (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 9: Surgical Cricothyrotomy (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 10: Nasopharyngeal Airway Insertion

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 11: Oropharyngeal Airway Insertion

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 12: Suctioning: Endotracheal or Tracheostomy Tube

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 13: Tracheal Tube Cuff Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 14: Tracheostomy Tube Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION TWO Special Pulmonary Procedures

      PROCEDURE 15: Continuous End-Tidal Carbon Dioxide Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 16: Continuous Venous Oxygen Saturation Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 17: Oxygen Saturation Monitoring with Pulse Oximetry

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 18: Pronation Therapy

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

    SECTION THREE Thoracic Cavity Management

      PROCEDURE 19: Autotransfusion

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 20: Chest Tube Placement (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 21: Chest Tube Placement (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 22: Chest Tube Removal (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 23: Chest Tube Removal (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 24: Closed Chest Drainage System

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 25: Needle Thoracostomy (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 26: Thoracentesis (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 27: Thoracentesis (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION FOUR Ventilatory Management

      PROCEDURE 28: Noninvasive Positive Pressure Ventilation: Continuous Positive Airway Pressure (CPAP) and Bilevel Positive Airway Pressure (BiPAP)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 29: Arterial-Venous Oxygen Content Difference and Oxygen Transport (Delivery) and Consumption Calculations

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 30: Auto–Positive End-Expiratory Pressure (Auto-PEEP) Calculation

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 31: Compliance and Resistance Measurement

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 32: Manual Self-Inflating Resuscitation Bag-Valve Device

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 33: Indices of Oxygenation

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 34: Shunt Calculation

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 35: Invasive Mechanical Ventilation (Through an Artificial Airway): Volume and Pressure Modes

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings
      • Selected Manufacturers’ Websites

      PROCEDURE 36: Standard Weaning Criteria: Negative Inspiratory Force or Pressure, Positive Expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity, and Rapid Shallow Breathing Index

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 37: Weaning Process

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 38: Peripheral Nerve Stimulators

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

UNIT II Cardiovascular System

    SECTION FIVE Cardiac Emergencies

      PROCEDURE 39: Automated External Defibrillation

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 40: Cardioversion

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 41: Defibrillation (External)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 42: Defibrillation (Internal)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 43: Emergent Open Sternotomy (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 44: Emergent Open Sternotomy (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 45: Pericardiocentesis (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 46: Pericardiocentesis (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION SIX Cardiac Pacemakers

      PROCEDURE 47: Atrial Electrogram

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 48: Atrial Overdrive Pacing (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 49: Epicardial Pacing Wire Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 50: Implantable Cardioverter-Defibrillator

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 51: Permanent Pacemaker (Assessing Function)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 52: Temporary Transcutaneous (External) Pacing

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 53: Temporary Transvenous Pacemaker Insertion (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 54: Temporary Transvenous and Epicardial Pacing

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION SEVEN Circulatory Assist Devices

      PROCEDURE 55: Intraaortic Balloon Pump Management

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 56: Ventricular Assist Devices

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION EIGHT Electrocardiographic Leads and Cardiac Monitoring

      PROCEDURE 57: Electrocardiographic Leads and Cardiac Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 58: Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 59: Continuous ST-Segment Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 60: Twelve-Lead Electrocardiogram

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION NINE Hemodynamic Monitoring

      PROCEDURE 61: Arterial Catheter Insertion (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 62: Arterial Catheter Insertion (Assist), Care, and Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 63: Arterial Pressure-Based Cardiac Output Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 64: Blood Sampling from an Arterial Catheter

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 65: Blood Sampling from a Central Venous Catheter

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 66: Blood Sampling from a Pulmonary Artery Catheter

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 67: Cardiac Output Measurement Techniques (Invasive)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 68: Central Venous Catheter Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 69: Central Venous Catheter Site Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 70: Central Venous/Right Atrial Pressure Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 71: Left Atrial Catheter: Care and Assisting with Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 72: Pulmonary Artery Catheter Insertion (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 73: Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 74: Pulmonary Artery Catheter Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 75: Pulmonary Artery Catheter and Pressure Lines, Troubleshooting

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 76: Single-Pressure and Multiple-Pressure Transducer Systems

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION TEN Special Cardiac Procedures

      PROCEDURE 77: Arterial and Venous Sheath Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 78: Pericardial Catheter Management

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 79: Transesophageal Echocardiography (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION ELEVEN Vascular Access

      PROCEDURE 80: Arterial Puncture

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 81: Central Venous Catheter Insertion (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 82: Central Venous Catheter Insertion (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 83: Implantable Venous Access Device: Access, Deaccess, and Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 84: Intraosseous Devices

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 85: Peripherally Inserted Central Catheter

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

UNIT III Neurologic System

    SECTION TWELVE Neurologic Monitoring

      PROCEDURE 86: Bispectral Index Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 87: Brain Tissue Oxygen Monitoring: Insertion (Assist), Care, and Troubleshooting

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 88: Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 89: Combination Intraventricular/Fiberoptic Catheter Insertion (Assist), Monitoring, Nursing Care, Troubleshooting, and Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 90: Jugular Venous Oxygen Saturation Monitoring: Insertion (Assist), Patient Care, Troubleshooting, and Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 91: Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebrospinal Fluid Drainage and Pressure Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 92: Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 93: Transcranial Doppler Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION THIRTEEN Special Neurologic Procedures

      PROCEDURE 94: External and Intravascular Warming/Cooling Devices

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

      PROCEDURE 95: Lumbar Puncture (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 96: Lumbar Puncture (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION FOURTEEN Traction Management

      PROCEDURE 97: Cervical Tongs or Halo Ring: Application for Use in Cervical Traction (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 98: Halo Ring and Vest Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 99: Pin Site Care: Cervical Tongs and Halo Pins

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 100: Cervical Traction Maintenance

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

    SECTION FIFTEEN Pain Management

      PROCEDURE 101: Epidural Catheters: Assisting with Insertion and Pain Management

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 102: Patient-Controlled Analgesia

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 103: Peripheral Nerve Blocks: Assisting with Insertion and Pain Management

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

UNIT IV Gastrointestinal System

    SECTION SIXTEEN Special Gastrointestinal Procedures

      PROCEDURE 104: Esophagogastric Tamponade Tube

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Reading

      PROCEDURE 105: Gastric Lavage in Hemorrhage and Overdose,

      • PREREQUISITE NURSING KNOWLEDGE,
      • EQUIPMENT,
      • PATIENT AND FAMILY EDUCATION,
      • PATIENT ASSESSMENT AND PREPARATION,
      • References,
      • Additional Readings,

      PROCEDURE 106: Intraabdominal Pressure Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 107: Paracentesis (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 108: Paracentesis (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 109: Peritoneal Lavage (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 110: Peritoneal Lavage (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 111: Endoscopic Therapy

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

UNIT V Renal System

    SECTION SEVENTEEN Renal Replacement

      PROCEDURE 112: Continuous Renal Replacement Therapies

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT (FOR INITIATION)
      • EQUIPMENT (FOR TERMINATION)
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 113: Hemodialysis

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 114: Peritoneal Dialysis

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

UNIT VI Hematologic System

    SECTION EIGHTEEN Fluid Management

      PROCEDURE 115: Use of a Massive Infusion Device and a Pressure Infusor Bag

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION NINETEEN Special Hematologic Procedures

      PROCEDURE 116: Apheresis and Therapeutic Plasma Exchange (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 117: Bone Marrow Biopsy and Aspiration (Perform)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 118: Bone Marrow Biopsy and Aspiration (Assist)

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

UNIT VII Integumentary System

    SECTION TWENTY Burn Wound Management

      PROCEDURE 119: Donor Site Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 120: Burn Wound Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 121: Skin Graft Care

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION TWENTY-ONE Special Integumentary Procedures

      PROCEDURE 122: Intracompartmental Pressure Monitoring

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 123: Pressure Redistribution Surfaces: Continual Lateral Rotation Therapy and RotoRest™ Lateral Rotation Surface

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 124: Wound Closure

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 125: Suture and Staple Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

    SECTION TWENTY-TWO Wound Management

      PROCEDURE 126: Cleaning, Irrigating, Culturing, and Dressing an Open Wound

      • PREREQUISITE NURSING KNOWLEDGE
      • CRITICAL CARE DIMENSION
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 127: Débridement: Pressure Ulcers, Burns, and Wounds

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 128: Wound Management with Excessive Drainage

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 129: Drain Removal

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 130: Fecal Containment Devices and Bowel Management System

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References
      • Additional Readings

      PROCEDURE 131: Negative-Pressure Wound Therapy

      • PREREQUISITE NURSING KNOWLEDGE
      • EQUIPMENT
      • PATIENT AND FAMILY EDUCATION
      • PATIENT ASSESSMENT AND PREPARATION
      • References

UNIT VIII Nutrition

    PROCEDURE 132: Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK®)

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Readings

    PROCEDURE 133: Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, and Jejunostomy Tube Care

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Readings

    PROCEDURE 134: Small-Bore Feeding Tube Insertion and Care

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Readings

UNIT IX End of Life

    PROCEDURE 135: Determination of Death in Adult Patients

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Reading

    PROCEDURE 136: Organ Donation: Identification of Potential Organ Donors, Request for Organ Donation, and Care of the Organ Donor

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Reading

    PROCEDURE 137: Donation After Cardiac Death

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Readings

    PROCEDURE 138: Withholding and Withdrawing Life-Sustaining Therapy

    • PREREQUISITE NURSING KNOWLEDGE
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Readings

UNIT X Calculating Medication Doses

    PROCEDURE 139: Calculating Doses and Flow Rates and Administering Continuous Intravenous Infusions

    • PREREQUISITE NURSING KNOWLEDGE
    • EQUIPMENT
    • PATIENT AND FAMILY EDUCATION
    • PATIENT ASSESSMENT AND PREPARATION
    • References
    • Additional Readings