AACN Procedure Manual for Pediatric Acute and Critical Care
- 1st Edition - April 24, 2007
- Latest edition
- Author: American Association of Critical-Care Nurses (AACN)
- Language: English
Using detailed, step-by-step guidelines, this comprehensive book covers procedures commonly performed by all nurses in pediatric critical care. Following the successful format of… Read more
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Using detailed, step-by-step guidelines, this comprehensive book covers procedures commonly performed by all nurses in pediatric critical care. Following the successful format of the AACN Procedure Manual for Critical Care, 5th edition, this new resource focuses on the unique aspects of caring for infants and children. This easy-to-use guide includes the latest information, a strong evidence base, and a supporting rationale for each step of each procedure.
- Advanced Practice Skills are included throughout the text and are marked with a special AP icon indicating that these procedures should only be performed by qualified personnel
- Evidence-based practice and research-based data are used to support the recommendations for each procedure
- Each procedure follows a consistent, step-by-step format with rationales
- Developmental differences are highlighted in special Procedure tables
- This valuable, everyday resource is sponsored by the American Association of Critical-Care Nurses
- Each procedure is covered in a consistent structure:
- Purpose
- Prerequisite knowledge
- Child and family assessment
- Child and family education
- Equipment
- Procedure (with steps, rationale, and considerations)
- Expected and unexpected outcomes
- Monitoring and care of the child (with activities and interventions, rationale, and reportable conditions)
- Documentation
Practicing acute and critical care nurses in both specialized pediatric ICUs and lifespanICUs
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
- Edition: 1
- Latest edition
- Published: April 24, 2007
- Language: English