ANP 635CE Assignment: Acute Care Nurse Practitioner
ANP 635CE Assignment: Acute Care Nurse Practitioner
Preparatory Work
| Learner: | Date: |
| E-mail: | Cohort: |
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Instructions: Complete one form for each of the following prior to your assigned skill day:
- Suturing
- Wound debridement/incision and drainage
- Arterial line insertion
- Central venous catheter insertion
- Chest tube insertion
- Intubation
- Lumbar puncture
| Skill: | |
| Pertinent anatomy: | |
| Indications: | |
| Contraindications/ Special considerations:[elementor-template id="165244"]
|
|
| Complications: | |
| Reviewed videos and text: | ____Yes ____ No |
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ANP-635CE – Acute Care Nurse Practitioner
Preparatory Work
| Learner: | Date: |
| E-mail: | Cohort: |
Instructions: Complete one form for each of the following prior to your assigned skill day:
- Suturing
- Wound debridement/incision and drainage
- Arterial line insertion
- Central venous catheter insertion
- Chest tube insertion
- Intubation
- Lumbar puncture
| Skill: Chest tube insertion
|
|
| Pertinent anatomy: | The clinician should be well-versed with the anatomy of the chest cavity including the chest wall, pleural cavities, intercostal muscles, intercostal space, and the nerve, artery and vein that run through the intercostal space (Wiegand, 2017). |
| Indications: | · Pneumothorax.
· Hemothorax. · Hemopneumothorax. · Tension pneumothorax. · Thoracotomy like patients on open heart surgery and pneumonectomy (Wiegand, 2017). · Pyothorax or empyema. · Chylothorax. · Cholothorax. · Hydrothorax. · Pleural effusion (Wiegand, 2017). |
| Contraindications/ Special considerations:
|
· Patients requiring an emergency thoracotomy (Wiegand, 2017).
· Pulmonary bullae. · Coagulopathy. · Pulmonary, pleural, or thoracic adhesions. · Pulmonary abscess. · Loculated pleural effusion or empyema. · Skin infection at the chest-tube insertion site (Wiegand, 2017).
|
| Complications: | · Failure of the lung to fully re-expand (Wiegand, 2017).
· Infection. · Blocked chest tube. · Cardiac dysrhythmia. · Persistent pneumothorax. · Leak around the chest tube (Wiegand, 2017).
|
| Reviewed videos and text: | _X_Yes ____ No |
Reference
Wiegand, D. J. L. M. (2017). AACN procedure manual for critical care (7th ed.). Elsevier. ISBN-13:9780323376624
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