AACN Procedure Manual for Pediatric Acute and Critical Care

AACN Procedure Manual for Pediatric Acute and Critical Care


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
Unit I: Respiratory System

SECTION ONE: Airway Management

1. Cricothyroidotomy: Assist

2. Endotracheal Tube: Care and Suctioning

3. Endotracheal Tube: Taping

4. 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 Monitoring

17. Arterial Blood Gas Analysis

18. End Tidal Carbon Dioxide Measurement: Continuous Monitoring

19. Indices of Oxygenation and Ventilation

20. Mixed Venous Oxygen Saturation: Continuous Monitoring

21. Negative Inspiratory Force Measurement

22. Pulse Oximetry

23. Respiratory Rate: Obtaining an Accurate Measurement

SECTION THREE: Ventilatory Management

24. Auto-PEEP Calculation

25. Extracorporeal Membrane Oxygenation

26. High Frequency Oscillatory Ventilation

27. Manual Ventilation Devices

28. Mechanical Ventilation: Conventional Modes

29. Negative Pressure Ventilation

30. Non-Invasive Positive Pressure Ventilation (CPAP, BiPAP)

31. Pronation Therapy

32. Weaning from Ventilatory Support

SECTION FOUR: Thoracic Cavity Management

33. Chest Tube Placement: Assist

34. Chest Tube Removal: Assist

35. Closed Chest Drainage System: Set up and Management

36. Pleural Catheter: Care

37. Thoracentesis: Assist

38. Chest Tube Placement: Perform, AP

39. Chest Tube Removal: Perform, AP

40. Needle Thoracostomy: Perform, AP

41. Thoracentesis: Perform, AP

Unit II: Cardiovascular System

SECTION FIVE: Cardiac Emergencies

42. Emergency Medication Preparation and Administration

43. Open Sternotomy: Assist

44. Pericardiocentesis: Assist

45. Cardioversion, AP

46. Defibrillation: External , AP

SECTION SIX: Cardiac Pacemakers

47. Atrial Electrogram

48. Atrial Overdrive Pacing

49. Electrocardiogram: Obtaining and Monitoring a 12-Lead Electrocardiogram

50. Implantable Cardioverter/Defibrillator

51. Permanent Pacemaker: Assessing Function

52. Transcutaneous Pacing: Initiation and Monitoring

53. Transesophageal Pacing: Assist

54. Transvenous and Epicardial Pacing: Monitoring

55. Epicardial Pacing Wire Removal: Perform, AP

56. Transvenous Pacemaker Insertion: Perform, AP

SECTION SEVEN: Circulatory Assist Devices

57. Intraarotic Balloon Pump: Management

58. Ventricular Assist Device: Management

SECTION EIGHT: Hemodynamic Monitoring

59. Flow Directed Pulmonary Artery Catheter: Cardiac Output Measurement

60. 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 Systems

64. Pulmonary Artery Intracardiac Line: Care and Management

65. Right Atrial Intracardiac Line: Care and Management

66. Left Atrial Intracardiac Line Removal: Perform, AP

67. Pulmonary Artery Intracardiac Line Removal: Perform, AP

68. Right Atrial Intracardiac Line Removal: Perform, AP

SECTION NINE: Special Cardiac Procedures


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