AACN Procedure Manual for Critical Care

PULMONARY SYSTEM . Airway Management . Endotracheal Intubation (Perform) AP . Endotracheal Intubation (Assist) . Endotracheal Tube Care . Extubation / Decannulation (Perform) AP (new) . Extubation / Decannulation (Assist) . Nasopharyngeal Airway Insertion . Oropharyngeal Airway Insertion . Oxygen Tank Preparation and Setup . Suctioning, Endotracheal or Tracheostomy Tube . Tracheal Tube (Cuff) Care . Tracheostomy Tube Care . Special Pulmonary Procedures . Continuous End-Tidal Carbon Dioxide Monitoring (new) . Continuous Mixed Venous Oxygen Saturation . Oxygen Saturation Monitoring by Pulse Oximetry . Pronation Therapy (new) . Thoracic Cavity Management . Autotransfusion . Chest Tube Placement (Perform) AP (new) . Chest Tube Placement (Assist) . Chest Tube Removal (Perform) AP . Chest Tube Removal (Assist) . Closed Chest Drainage System (Bottle and disposable units) . Needle Thoracostomy (Perform) AP . Thoracentesis (Perform) AP . Thoracentesis (Assist) . Ventilatory Management . Arterial-Venous Oxygen Difference Calculation . Auto-PEEP Calculation . Compliance and Resistance Measurement . Manual Self-inflating Resuscitation Bag . Oxygenation Indices . Shunt Calculation . Ventilatory Management (Volume and Pressure modes) . Weaning Criteria (Negative Inspiratory Pressure, Positive End-expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity Measurement) . Weaning Process . CARDIOVASCULAR SYSTEM . Cardiac Emergencies . Automatic External Defibrillation . Cardioversion . Defibrillation (External) . Defibrillation (Internal) . Emergent Open Sternotomy (Perform) AP (new) . Emergent Open Sternotomy (Assist) (new) . Pericardiocentesis (Assist) . Cardiac Pacemakers . Atrial Electrograms . Atrial Overdrive Pacing (Perform) AP . Implantable Cardioverter Defibrillator . Permanent Pacing . Temporary Transcutaneous (External) Pacing . Temporary Transvenous Pacemaker Insertion (Perform) AP (new) . Temporary Transvenous and Epicardial Pacing . Circulatory Assist Devices . Intraaortic Balloon Pump Management . External Counterpressure with Pneumatic Antishock Garments . Ventricular Assist Devices (new) . Electrocardiographic Leads and Cardiac Monitoring . Electrophysiologic Monitoring: Hardwire and Telemetry . Extra Electrocardiography Leads: Right Precordial and Left Posterior (new) . ST Segment Monitoring (new) . Twelve Lead Electrocardiogram . Hemodynamic Monitoring . Arterial Catheter Insertion (Perform) AP (new) . Arterial Catheter Insertion (Assist), Care and Removal . Blood Sampling from Arterial Pressure Line . Blood Sampling from Pulmonary Artery Line . Cardiac Output Measurement Techniques (invasive) . Central Venous / Right Atrial Pressure Line, Removal . Central Venous / Right Atrial Pressure Line Site Care . Central Venous / Right Atrial Pressure Monitoring . Left Atrial Pressure Line, Care and Assisting with Removal . Non-invasive Hemodynamic Monitoring: Impedance Cardiography (new) . Pulmonary Artery Catheter Insertion (Perform) AP (new) . Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring . Pulmonary Artery Pressure Lines, Removal . Pulmonary Artery Pressure Lines, Troubleshooting . Single and Multiple Pressure Transducer Systems . Special Cardiac Procedures . Arterial Sheath Removal AP (new) . Pericardial Catheter Management . Vascular Access . Arterial Puncture AP . Central Venous Catheter Insertion (Perform) AP . Central Venous Catheter Insertion (Assist) . Peripheral IV Insertion . Peripherally Inserted Central Catheters (PICC) AP . Venipuncture . NEUROLOGIC SYSTEM . Neurologic Monitoring . Intracranial Bolt Insertion (Assist), Care, and Troubleshooting . Intraventricular Catheter Insertion (Assist), Care, and Troubleshooting . Jugular Venous Oxygen Saturation (SVO2) Monitoring: Insertion (Assist), Care, and Removal (new) . Transcranial Doppler Monitoring AP (new) . Special Neurologic Procedures . Cerebrospinal Fluid Drainage Assessment . External Warming / Cooling Devices . Ice-Water Caloric Testing for Vestibular Dysfunction (Assist) . Lumbar Punctures (Perform) AP . Lumbar and Cisternal Punctures (Assist) . Lumbar Subarachnoid Catheter Insertion for Cerebral Spinal Fluid Pressure Monitoring and Drainage . Traction Management . External Fixation Device Insertion (Assist) . Halo Traction Care . Tong and Pin Care . Traction Maintenance . Pain Management . Epidural Catheters (new) . Peripheral Nerve Stimulators (new) . GASTROINTESTINAL SYSTEM . Esophagogastric Tamponade Tube . Gastric Lavage in Hemorrhage and Overdose . Intra-abdominal Pressure Monitoring (new) . Nasogastric Tube Insertion, Care, and Removal . Paracentesis (Perform) AP (new) . Paracentesis (Assist) . Peritoneal Lavage (Perform) AP . Peritoneal Lavage (Assist) . Scleral Endoscopic Therapy . RENAL SYSTEM . Renal Replacement . Continuous Renal Replacement Therapies . Hemodialysis . Peritoneal Dialysis . Special Renal Replacement . Plasmaphoresis . HEMOTOLOGIC SYSTEM . Fluid Management . Blood and Blood Component Administration . Blood Pump Use . Continuous Arteriovenous Rewarming . Massive Transfusion Devices . Transfusion Reaction Management . Special Hematologic Procedures . Bone Marrow Biopsy and Aspiration (Perform) AP (new) . Bone Marrow Biopsy and Aspiration (Assist) (new) . Determination of Microhematocrit via Centrifuge . INTEGUMENTARY SYSTEM . Burn Wound Management . Donor Site Care . Burn Wound Care . Skin Graft Care . Special Integumentary Procedures . Intercompartmental Pressure Monitoring . Pressure Reducing Devices: Lateral Rotation Therapy . Suturing (Perform) AP . Wound Management . Cleaning, Irrigating, Culturing, and Dressing an Open Wound . Dressing Wounds with Drains . Drain Removal . Pouching a Wound . NUTRITION . Enteral Nutrition . Parenteral Nutrition . Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, or Jejunostomy Tube Care . Small Bore Feeding Tube, Insertion and Care . END OF LIFE . Advance Directives (new) . Determination of Death AP (new) . Care of Organ Donors . Identification of Potential Organ Donors . Request for Organ Donation . Withholding/Withdrawing Life Sustaining Treatment (new) . CALCULATING MEDICATION DOSES . Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions