April 6 2015 New Critical Care Book at LNC Library in Sanepa #Nepal

Every nurse in #Nepal is invited to learn about this new resource. It’s perfect if you are doing a research project on ICU care. Or if you wish to learn about mechanical ventilators, for example.


This book costs $125 USD (12,500 nrs) and it is considered to be the most comprehensive and authoritative evidence-based procedure manual for ICU in print. The Library at Lalitpur Nursing Campus in Sanepa now has it in the reference section (not for checkout!). It is available to any nurse who wishes to learn from it. You do not need to be a student at LNC to use this resource. If you are going there, call 975 112 1005 to confirm that the library is open.

This book will join the set of American Heart Association books related to BLS, ACLS, PALS, STEMI, and airway now also at LNC.

Here are the books that LNC now owns. Most are from the American Heart Association.  I will also give them the complete set of materials form the pen drive I usually share at sessions of the CCNEPal class

Here are the books that LNC now owns. Most are from the American Heart Association. I will also give them the complete set of materials form the pen drive I usually share at sessions of the CCNEPal class

Here is more information below, taken from the book’s webpage.


AACN Procedure Manual for Critical Care, 6th Ed.

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.

“The most important aspect of this procedure manual – that sets it apart from ALL the procedure manuals on the market – (is) each procedure is based on the latest evidence and provides a complete EBP (evidence-based practice) resource of critical care procedures. Each step of each procedure has the level of evidence which supports the step.  

Hospitals are struggling with how to insure that their nursing practice is based on the latest evidence – adoption of this procedure manual for a hospital’s critical care units would provide a pain free way to document and verify that critical care nursing practice is evidence-based!”     – Marianne Chulay, RN, PhD, FAAN

Table of Contents:

UNIT I Pulmonary System

Section Editor: Michael W. Day

Section One:

Airway Management

  1. Combitube Insertion and Removal AP
  2. Endotracheal Intubation (Perform) AP
  3. Endotracheal Intubation (Assist)
  4. Endotracheal Tube and Oral Care
  5. Extubation/Decannulation (Perform) AP
  6. Extubation/Decannulation (Assist)
  7. Laryngeal Mask Airway AP
  8. Emergency Cricothyroidotomy (Perform)
  9. Emergency Cricothyroidotomy (Assist)
  10. Nasopharyngeal Airway Insertion
  11. Oropharyngeal Airway Insertion
  12. Suctioning: Endotracheal or Tracheostomy Tube
  13. Tracheal Tube Cuff Care
  14. Tracheostomy Tube Care

Section Two

Special Pulmonary Procedures:

  1. Continuous End-Tidal Carbon Dioxide Monitoring
  2. Continuous Venous Oxygen Saturation Monitoring
  3. Oxygen Saturation Monitoring by Pulse Oximetry
  4. Pronation Therapy

Section Three

Thoracic Cavity Management

  1. Autotransfusion
  2. Chest Tube Placement (Perform) AP
  3. Chest Tube Placement (Assist)
  4. Chest Tube Removal (Perform) AP
  5. Chest Tube Removal (Assist)
  6. Closed Chest Drainage System
  7. Needle Thoracostomy (Perform) AP
  8. Thoracentesis (Perform) AP
  9. Thoracentesis (Assist)

Section Four

Ventilatory Management

  1. Noninvasive Ventilation (CPAP and BiPAP Masks)
  2. Arterial-Venous Oxygen Content Difference (a-v DO2) and Oxygen Transport (Delivery) and Consumption Calculations
  3. Auto-PEEP Calculation
  4. Compliance and Resistance Measurement
  5. Manual Self-Inflating Resuscitation Bag
  6. Indices of Oxygenation
  7. Shunt Calculation
  8. Invasive Mechanical Ventilation (Through an Artificial Airway)—Volume and Pressure Modes
  9. Standard Weaning Criteria –Negative Inspiratory Pressure, Positive End-Expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity, and Rapid Shallow Breathing Index
  10. Weaning Process
  11. Peripheral Nerve Stimulators

UNIT II Cardiovascular System

Section Editor: Debra Wiegand

Section Five

Cardiac Emergencies

  1. Automated External Defibrillation
  2. Cardioversion
  3. Defibrillation (External)
  4. Defibrillation (Internal) AP
  5. Emergent Open Sternotomy (Perform) AP
  6. Emergent Open Sternotomy (Assist)
  7. Pericardiocentesis (Perform) AP
  8. Pericardiocentesis (Assist)

Section Six

Cardiac Pacemakers

  1. Atrial Electrogram
  2. Atrial Overdrive Pacing (Perform) AP
  3. Epicardial Pacing Wire Removal AP
  4. Implantable Cardioverter-Defibrillator
  5. Permanent Pacemaker (Assessing Function)
  6. Temporary Transcutaneous (External) Pacing
  7. Temporary Transvenous Pacemaker Insertion (Perform) AP
  8. Temporary Transvenous and Epicardial Pacing

Section Seven

Circulatory Assist Devices

  1. Intraaortic Balloon Pump Management
  2. Ventricular Assist Devices

Section Eight

Electrocardiographic Leads and Cardiac Monitoring

  1. Electrophysiologic Leads and Cardiac Monitoring
  2. Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads
  3. Continuous ST-Segment Monitoring
  4. Twelve-Lead Electrocardiogram

Section Nine

Hemodynamic Monitoring

  1. Arterial Catheter Insertion (Perform) AP
  2. Arterial Catheter Insertion (Assist), Care and Removal
  3. Arterial Pressure-Based Cardiac Output Monitoring
  4. Blood Sampling From an Arterial Catheter
  5. Blood Sampling from a Central Venous Catheter
  6. Blood Sampling From a Pulmonary Artery Catheter
  7. Cardiac Output Measurement Techniques (Invasive)
  8. Central Venous Catheter Removal
  9. Central Venous Catheter Site Care
  10. Central Venous/Right Atrial Pressure Monitoring
  11. Left Atrial Catheter: Care and Assisting With Removal
  12. Pulmonary Artery Catheter Insertion (Perform) AP
  13. Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring
  14. Pulmonary Artery Catheter Removal
  15. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting
  16. Single- and Multiple-Pressure Transducer Systems

Section Ten

Special Cardiac Procedures

  1. Arterial and Venous Sheath Removal AP
  2. Pericardial Catheter Management
  3. Transesophageal Echocardiography (Assist)

Section Eleven

Vascular Access

  1. Arterial Puncture AP
  2. Central Venous Catheter Insertion (Perform) AP
  3. Central Venous Catheter Insertion (Assist)
  4. Implantable Venous Access Device: Access, Deaccess, and Care AP
  5. Intraosseous Devices
  6. Peripherally Inserted Central Catheter AP

UNIT III Neurologic System

Section Editors: Mary Beth Makic, Teresa Preuss & Debra Wiegand

Section Twelve

Neurologic Monitoring

  1. Bispectral Index Monitoring
  2. Brain Tissue Oxygenation Monitoring: Insertion (Assist), Care, and Troubleshooting
  3. Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal
  4. Combination Intraventricular/Fiberoptic Catheter Insertion (Assist) and Monitoring
  5. Jugular Venous Oxygen Saturation Monitoring: Insertion (Assist), Care, Troubleshooting, and Removal
  6. Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebral Spinal Fluid Pressure Monitoring and Drainage
  7. Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring
  8. Transcranial Doppler Monitoring AP

Section Thirteen

Special Neurologic Procedures

  1. External and Intravascular Warming/Cooling Devices
  2. Lumbar Puncture (Perform) AP
  3. Lumbar Puncture (Assist)

Section Fourteen

Traction Management

  1. Application of Tongs or Halo Ring for Use in Cervical Traction
  2. Halo Ring and Vest Care
  3. Pin Site Care: Cervical Tongs and Halo Pins
  4. Cervical Traction Maintenance

Section Fifteen

Pain Management

  1. Epidural Catheters: Assisting with Insertion and Pain Management
  2. Patient-Controlled Analgesia
  3. Peripheral Nerve Blocks: Assisting with Insertion and Pain Management

UNIT IV Gastrointestinal System

Section Editor: Eleanor Fitzpatrick

Section Sixteen

Special Gastrointestinal Procedures

  1. Esophagogastric Tamponade Tube
  2. Gastric Lavage in Hemorrhage and Overdose
  3. Intraabdominal Pressure Monitoring
  4. Paracentesis (Perform) AP
  5. Paracentesis (Assist)
  6. Peritoneal Lavage (Perform) AP
  7. Peritoneal Lavage (Assist)
  8. Endoscopic Therapy

UNIT V Renal System

Section Editor: Teresa Preuss

Section Seventeen

  1. Continuous Renal Replacement Therapies
  2. Hemodialysis
  3. Peritoneal Dialysis

UNIT VI Hematologic System

Section Eighteen

Fluid Management

  1. Use of a Massive Transfusion Device and a Pressure Infusor Bag

Section Nineteen

Special Hematologic Procedures

  1. Apheresis and Therapeutic Plasma Exchange (Assist)
  2. Bone Marrow Biopsy and Aspiration (Perform) AP
  3. Bone Marrow Biopsy and Aspiration (Assist)

UNIT VII Integumentary System

Section Editor: Mary Beth Makic

Section Twenty

Burn Wound Management

  1. Donor Site Care
  2. Burn Wound Care
  3. Skin Graft Care

Section Twenty-One

Special Integumentary Procedures

  1. Intracompartmental Pressure Monitoring AP
  2. Pressure Redistribution Surfaces: Continual Lateral Rotation Therapy and RotoRest Lateral Rotation Surface
  3. Wound Closure AP
  4. Suture and Staple Removal

Section Twenty-Two

Wound Management

  1. Cleaning, Irrigating, Culturing, and Dressing an Open Wound
  2. Debridement: Pressure Ulcers, Burns, and Wounds AP
  3. Wound Management with Excessive Drainage
  4. Drain Removal
  5. Fecal Containment Devices and Bowel Management System
  6. Negative-Pressure Wound Therapy

UNIT VIII Nutrition

Section Editor: Eleanor Fitzpatrick

  1. Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK )
  2. Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, or Jejunostomy Tube Care
  3. Small-Bore Feeding Tube Insertion and Care

UNIT IX End of Life

Section Editor: Debra Wiegand

  1. Determination of Death in Adult Patients AP
  2. Organ Donation: Identification of Potential Organ Donors, Request for Organ Donation, and Care of the Organ Donor
  3. Cardiac Donation
  4. Withholding and Withdrawing Life-Sustaining Therapy

UNIT X Calculating Medication Doses

Section Editor Eleanor Fitzpatrick

  1. Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions

About Joe Niemczura, RN, MS

These blogs, and my books, and videos are written on the principle that any person embarking on something similar to what I do will gain more preparation than I first had, by reading them. I have fifteen years of USA nursing faculty background. Add to it fifteen more devoted to adult critical care. In Nepal, I started teaching critical care skills in 2011. I figure out what they need to know in a Nepali practice setting. Then I teach it in a culturally appropriate way so that the boots-on-the-ground people will use it. One theme of my work has been collective culture and how it manifests itself in anger. Because this was a problem I incorporated elements of "situational awareness" training from the beginning, in 2011.
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2 Responses to April 6 2015 New Critical Care Book at LNC Library in Sanepa #Nepal

  1. lkafle says:

    Reblogged this on bigadata healthcare software solutions kathmandu nepal lava prasad kafle and commented:
    Every nurse in #Nepal is invited to learn about this new resource. It’s perfect if you are doing a research project on ICU care. Or if you wish to learn about mechanical ventilators, for example.

  2. Pingback: CCNEPal Preliminary report for 2015, late May, part one, just the facts….. | CCNEPal 2015

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