AACN Procedure Manual for Critical Care

Unit I Pulmonary SystemSection One Airway Management: Section Editor, Michael W. Day1 Combitube Insertion and Removal Jeffrey Dawson Dawson, Jeffrey 12 Endotracheal Intubation (Perform) Cynthia A. Goodrich Goodrich, Cynthia A. 93 Endotracheal Intubation (Assist) Cynthia A. Goodrich Goodrich, Cynthia A. 224 Endotracheal Tube and Oral Care Mary Lou Sole Sole, Mary Lou 315 Extubation/Decannulation (Perform) Bonnie L. Curtis Curtis, Bonnie L. 396 Extubation/Decannulation (Assist) Bonnie L. Curtis Curtis, Bonnie L. 437 Laryngeal Mask Airway Jeffrey Dawson Dawson, Jeffrey 478 Surgical Cricothyrotomy (Perform) Patricia L. Hahn Hahn, Patricia L. 589 Surgical Cricothyrotomy (Assist) Patricia L. Hahn Hahn, Patricia L. 6410 Nasopharyngeal Airway Insertion Bonnie L. Curtis Curtis, Bonnie L. 6911 Oropharyngeal Airway Insertion Bonnie L. Curtis Curtis, Bonnie L. 7412 Suctioning: Endotracheal or Tracheostomy Tube Maureen A. Seckel Seckel, Maureen A. 7913 Tracheal Tube Cuff Care Bonnie L. Curtis Curtis, Bonnie L. 8814 Tracheostomy Tube Care Bonnie L. Curtis Curtis, Bonnie L. 96Section Two Special Pulmonary Procedures: Section Editor, Michael W. Day15 Continuous End-Tidal Carbon Dioxide Monitoring Paul Luehrs Luehrs, Paul 10516 Continuous Venous Oxygen Saturation Monitoring Karen K. Giuliano Giuliano, Karen K. 11317 Oxygen Saturation Monitoring with Pulse Oximetry Sandra L. Schutz Schutz, Sandra L. 12118 Pronation Therapy Jan Powers Powers, Jan 129Section Three Thoracic Cavity Management: Section Editor Michael W. Day19 Autotransfusion Robin M. Beard Beard, Robin M. 15020 Chest Tube Placement (Perform) Finn Scott Scott, Finn 15421 Chest Tube Placement (Assist) Finn Scott Scott, Finn 16422 Chest Tube Removal (Perform) Peggy Kirkwood Kirkwood, Peggy 17123 Chest Tube Removal (Assist) Peggy Kirkwood Kirkwood, Peggy 17824 Closed Chest Drainage System Joya D. Pickett Pickett, Joya D. 18425 Needle Thoracostomy (Perform) Cynthia A. Goodrich Goodrich, Cynthia A. 20426 Thoracentesis (Perform) Susan Yeager Yeager, Susan 20827 Thoracentesis (Assist) Susan Yeager Yeager, Susan 219Section Four Ventilatory Management: Section Editor, Michael W. Day28 Noninvasive Positive Pressure Ventilation: Continuous Positive Airway Pressure (CPAP) and Bilevel Positive Airway Pressure (BiPAP) Suzanne M. Burns Burns, Suzanne M. 22529 Arterial-Venous Oxygen Content Difference and Oxygen Transport (Delivery) and Consumption Calculations Suzanne M. Burns Burns, Suzanne M. 23530 Auto---Positive End-Expiratory Pressure (Auto-PEEP) Calculation Suzanne M. Burns Burns, Suzanne M. 23931 Compliance and Resistance Measurement Suzanne M. Burns Burns, Suzanne M. 24432 Manual Self-Inflating Resuscitation Bag-Valve device Suzanne M. Burns Burns, Suzanne M. 24833 Indices of Oxygenation Suzanne M. Burns Burns, Suzanne M. 25534 Shunt Calculation Suzanne M. Burns Burns, Suzanne M. 25935 Invasive Mechanical Ventilation (Through an Artificial Airway): Volume and Pressure Modes Suzanne M. Burns Burns, Suzanne M. 26236 Standard Weaning Criteria: Negative Inspiratory Force or Pressure, Positive Expiratory Pressure, Spontaneous Tidal Volume, Vital capacity, and Rapid Shallow Breathing Index Suzanne M. Burns Burns, Suzanne M. 28537 Weaning Process Suzanne M. Burns Burns, Suzanne M. 29138 Peripheral Nerve Stimulators Janet G. Whetstone Foster Foster, Janet G. Whetstone 303Unit II Cardiovascular SystemSection Five Cardiac Emergencies: Section Editor, Debra Lynn-McHale Wiegand39 Automated External Defibrillation Charlotte A. Green Green, Charlotte A. 31240 Cardioversion Cynthia Hambach Hambach, Cynthia 31941 Defibrillation (External) Cynthia Hambach Hambach, Cynthia 32942 Defibrillation (Internal) Linda Schakenbach Schakenbach, Linda 33743 Emergent Open Sternotomy (Perform) Linda Schakenbach Schakenbach, Linda 34344 Emergent Open Sternotomy (Assist) Linda Schakenbach Schakenbach, Linda 35045 Pericardiocentesis (Perform) Deborah E. Becker Becker, Deborah E. 35546 Pericardiocentesis (Assist) Deborah E. Becker Becker, Deborah E. 364Section Six Cardiac Pacemakers: Section Editor Debra Lynn-McHale Wiegand47 Atrial Electrogram Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 37148 Atrial Overdrive Pacing (Perform) Linda Schakenbach Schakenbach, Linda 38049 Epicardial Pacing Wire Removal Linda Schakenbach Schakenbach, Linda 38750 Implantable Cardioverter-Defibrillator Sharon R. Josephson-Keeven Josephson-Keeven, Sharon R. 39151 Permanent Pacemaker (Assessing Function) Carol A. Offutt Offutt, Carol A. 40352 Temporary Transcutaneous (External) Pacing Valerie Spotts Spotts, Valerie 41353 Temporary Transvenous Pacemaker Insertion (Perform) Deborah E. Becker Becker, Deborah E. 42154 Temporary Transvenous and Epicardial Pacing Valerie Spotts Spotts, Valerie 429Section Seven Circulatory Assist Devices: Section Editor, Debra Lynn-McHale Wiegand55 Intraaortic Balloon Pump Management Deborah Castellucci Castellucci, Deborah 44356 Ventricular Assist Devices Mark Puhlman Puhlman, Mark 464Section Eight Electrocardiographic Leads and Cardiac Monitoring: Section Editor, Debra Lynn-McHale Wiegand57 Electrocardiographic Leads and Cardiac Monitoring Mary G. McKinley McKinley, Mary G. 49058 Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads Barbara J. Drew Drew, Barbara J. 50259 Continuous ST-Segment Monitoring Mary G. Carey Carey, Mary G. 51160 Twelve-Lead Electrocardiogram Mary G. McKinley McKinley, Mary G. 519Section Nine Hemodynamic Monitoring: Section Editor, Debra Lynn-McHale Wiegand61 Arterial Catheter Insertion (Perform) Deborah E. Becker Becker, Deborah E. 52762 Arterial Catheter Insertion (Assist), Care, and Removal Rose B. Shaffer Shaffer, Rose B. 53463 Arterial Pressure-Based Cardiac Output Monitoring Mary Ellen Kern Kern, Mary Ellen 54864 Blood Sampling from an Arterial Catheter Rose B. Shaffer Shaffer, Rose B. 55565 Blood Sampling from a Central Venous Catheter Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 56566 Blood Sampling from a Pulmonary Artery Catheter Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 57267 Cardiac Output Measurement Techniques (Invasive) Deborah G. Klein Klein, Deborah G. 57768 Central Venous Catheter Removal Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 59569 Central Venous Catheter Site Care Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 60070 Central Venous/Right Atrial Pressure Monitoring Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 60371 Left Atrial Catheter: Care and Assisting with Removal Barbara Leeper Leeper, Barbara 60972 Pulmonary Artery Catheter Insertion (Perform) Desiree A. Fleck Fleck, Desiree A. 61773 Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 62674 Pulmonary Artery Catheter Removal Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 64875 Pulmonary Artery Catheter and Pressure Lines, Troubleshooting Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 65576 Single-Pressure and Multiple-Pressure Transdoucer Systems Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 670Section Ten Special Cardiac Procedures: Section Editor, Debra Lynn-McHale Wiegand77 Arterial and Venous Sheath Removal Rose B. Shaffer Shaffer, Rose B. 68178 Pericardial Catheter Management Mary Ellen Kern Kern, Mary Ellen 69079 Transesophageal Echocardiography (Assist) Janice Y. Dawson Dawson, Janice Y. 705Section Eleven Vascular Access: Section Editor, Debra Lynn-McHale Wiegand80 Arterial Puncture Joel M. Brown II Brown, Joel M., II 71381 Central Venous Catheter Insertion (Perform) Desiree A. Fleck Fleck, Desiree A. 72182 Central venous Catheter Insertion (Assist) Desiree A. Fleck Fleck, Desiree A. 73883 Implantable venous Access Device: Access, Deaccess, and Care Anne C. Muller Muller, Anne C. 74584 Intraosseous Devices Michael W. Day Day, Michael W. 75585 Peripherally Inserted Central Catheter Linda V. Sanderson Sanderson, Linda V. 763Unit III Neurologic SystemSection Twelve Neurologic Monitoring: Section Editors, Mary Beth Flynn Makic and Debra Lynn-McHale Wiegand86 Bispectral Index Monitoring Richard B. Arbour Arbour, Richard B. 77587 Brain Tissue Oxygen Monitoring: Insertion (Assist), Care, and Troubleshooting Michael F. Stiefel Stiefel, Michael F. 79288 Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal Tess Slazinski Slazinski, Tess 80289 Combination Intraventricular/Fiberoptic Catheter Insertion (Assist), Monitoring, Nursing Care, Troubleshooting, and Removal Tess Slazinski Slazinski, Tess 80990 Jugular Venous Oxygen Saturation Monitoring: Insertion (Assist), Patient Care, Troubleshooting, and Removal Tess Slazinski Slazinski, Tess 81691 Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebrospinal Fluid Drainage and Pressure Monitoring Debra Lynn-McHale Wiegand Wiegand, Debra Lynn-McHale 82692 Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring D. Nathan Preuss Preuss, D. Nathan 83693 Transcranial Doppler Monitoring Anne W. Alexandrov Alexandrov, Anne W. 849Section Thirteen Special Neurologic Procedures: Section Editors, Mary Beth Flynn Makic and Debra Lynn-McHale Wiegand94 External and Intravascular Warming/Cooling Devices Nicole L. Kupchik Kupchik, Nicole L. 86195 Lumbar Puncture (Perform) Susan Chioffi Chioffi, Susan 87296 Lumbar puncture (Assist) Susan Chioffi Chioffi, Susan 880Section Fourteen Traction Management: Section Editors, Debra Lynn-McHale Wiegand and Teresa Preuss97 Cervical Tongs or Halo Ring: Application for Use in cervical Traction (Assist) Mary Hanson Hanson, Mary 88898 Halo Ring and Vest Care Mary Hanson Hanson, Mary 89599 Pin Site Care: Cervical Tongs and Halo Pins Mary Hanson Hanson, Mary 904100 Cervical Traction Maintenance Mary Hanson Hanson, Mary 908Section Fifteen Pain Management: Section Editors, Debra Lynn-McHale Wiegand and Teresa Preuss101 Epidural Catheters: Assisting with Insertion and Pain Management Sarah-Jane Lawless Lawless, Sarah-Jane 915102 Patient-Controlled Analgesia Lorie Ann Meek Meek, Lorie Ann 928103 Peripheral Nerve Blocks: Assisting with Insertion and Pain management Sarah-Jane Lawless Lawless, Sarah-Jane 936Unit IV Gastrointestinal SystemSection Sixteen Special Gastrointestinal Procedures: Section Editor, Eleanor Fitzpatrick104 Esophagogastric Tamponade Tube Kathy Bunzli Bunzli, Kathy 947105 Gastric Lavage in Hemorrhage and Overdose Ann G. Will Will, Ann G. 958106 Intraabdominal Pressure Monitoring John J. Gallagher Gallagher, John J. 967107 Paracentesis (Perform) Eleanor Fitzpatrick Fitzpatrick, Eleanor 981108 Paracentesis (Assist) Eleanor Fitzpatrick Fitzpatrick, Eleanor 988109 Peritoneal Lavage (Perform) Jenny Bosley Bosley, Jenny 994110 Peritoneal Lavage (Assist) Jenny Bosley Bosley, Jenny 1002111 Endoscopic Therapy Eleanor Fitzpatrick Fitzpatrick, Eleanor 1010Unit V Renal SystemSection Seventeen Renal Replacement: Section Editor, Teresa Preuss112 Continuous Renal Replacement Therapies Sonia M. Astle Astle, Sonia M. 1018113 Hemodialysis Sonia M. Astle Astle, Sonia M. 1033114 Peritoneal Dialysis Sonia M. Astle Astle, Sonia M. 1048Unit VI Hematologic SystemSection Eighteen Fluid Management: Section Editor, Teresa Preuss115 Use of a Massive Infusion Device and a Pressure Infusor Bag D. Nathan Preuss Preuss, D. Nathan 1057Section Nineteen Special Hematologic Procedures: Section Editor, Teresa Preuss116 Apheresis and Therapeutic Plasma Exchange (Assist) Sonia M. Astle Astle, Sonia M. 1070117 Bone Marrow Biopsy and Aspiration (Perform) Eileen C. Finnegan Finnegan, Eileen C. 1079118 Bone Marrow Biopsy and Aspiration (Assist) Eileen C. Finnegan Finnegan, Eileen C. 1086Unit VII Integumentary SystemSection Twenty Burn Wound Management: Section Editor, Mary Beth Flynn Makic119 Donor Site Care Elizabeth A. Mann Mann, Elizabeth A. 1091120 Burn Wound Care Elizabeth A. Mann Mann, Elizabeth A. 1097121 Skin Graft Care Dawn Lequatte Sculco Sculco, Dawn Lequatte 1109Section Twenty-One Special Integumentary Procedures: Section Editor, Mary Beth Flynn Makic122 Intracompartmental Pressure Monitoring Christine A. Cottingham Cottingham, Christine A. 1118123 Pressure Redistribution Surfaces: Continual Lateral Rotation Therapy and RotoRestTM Lateral rotation Surface Shannon Johnson Johnson, Shannon 1124124 Wound Closure Tracey Anderson Anderson, Tracey 1133125 Suture and Staple Removal Tracey Anderson Anderson, Tracey 1144Section Twenty-Two Wound Management: Section Editor, Mary Beth Flynn Makic126 Cleaning, Irrigating, Culturing, and Dressing an Open Wound Marylou V. Robinson Robinson, Marylou V. 1149127 Debridement: Pressure Ulcers, Burns, and Wounds Julie Lynn Henderson Henderson, Julie Lynn 1159128 Wound Management with Excessive Drainage Mary Beth Flynn Makic Makic, Mary Beth Flynn 1166129 Drain Removal Mary Beth Flynn Makic Makic, Mary Beth Flynn 1172130 Fecal Containment Devices and Bowel Management System Mary Beth Flynn Makic Makic, Mary Beth Flynn 1175131 Negative-Pressure Wound Therapy Paula Gipp Gipp, Paula 1182Unit VIII Nutrition: Section Editor, Eleanor Fitzpatrick132 Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK®) Patricia H. Worthington Worthington, Patricia H. 1192133 Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, and Jejunostomy Tube Care Margaret M. Ecklund Ecklund, Margaret M. 1201134 Small-Bore Feeding Tube Insertion and Care Margaret M. Ecklund Ecklund, Margaret M. 1206Unit IX End of Life: Section Editor, Debra Lynn-McHale Wiegand135 Determination of Death in Adult Patients Margaret L. Campbell Campbell, Margaret L. 1211136 Organ Donation: Identification of Potential Organ Donors, Request for Organ Donation, and Care of the Organ Donor D. Nathan Preuss Preuss, D. Nathan 1223137 Donation After Cardiac Death Margaret L. Campbell Campbell, Margaret L. 1229138 Withholding and Withdrawing Life-Sustaining Therapy Margaret M. Mahon Mahon, Margaret M. 1235Unit X Calculating Medication Doses: Section Editor, Eleanor Fitzpatrick139 Calculating Doses and Flow Rates and Administering Continuous Intravenous Infusions Maribeth Kelly Kelly, Maribeth 1242

\ From the Publisher"This sixth edition text prepared under the auspices of the American Association of Critical Care Nurses continues its mission as a comprehensive reference presenting quick access to the abundance of information necessary for providing high-quality care to seriously ill patients. Procedures are detailed in a consistent format covering purpose, prerequisite nursing knowledge, equipment, patient and family education, and patient assessment and preparation. Procedures are described step by step, with identification and delineation of rationale, special considerations, expected and unexpected outcomes, patient monitoring, documentation, and references. Icons identify procedures that require, for example advanced skills, hand hygiene, or personal protective equipment. Charts, tables, diagrams, and illustrations are all designed to present information efficiently and well."\ - Book News, Inc.\ \ \