PCC Skills and Procedures

Reference for day-to-day procedures in prolonged casualty care. Covers Foley catheter insertion, nasogastric and orogastric tube placement, whole blood transfusion, peripheral IV placement, intraosseous access extended use, cricothyrotomy tube maintenance, chest tube ongoing management, suturing and wound closure, and arterial blood draw. Aligned with current JTS Clinical Practice Guidelines.

PCC

Skills & Procedures

JTS CPG FY26 · Reference

Training Reference Only

Verify against current unit SOPs, JTS CPGs, and telemedicine guidance. Not a substitute for clinical judgment or hands-on training.

8 procedures

Foley Catheter Insertion

Urine output monitoring in prolonged care (goal >0.5 mL/kg/hr adult, >1 mL/kg/hr peds and burns), urinary rete...

›

NG / OG Tube Placement

Gastric decompression for ileus, bowel obstruction, or gastric distension on ventilated casualty. Enteral medi...

›

Blood

Whole Blood Transfusion

Class III or IV hemorrhagic shock, ongoing non-compressible hemorrhage, activation of massive transfusion, sho...

›

Access

Peripheral IV Placement

Fluid and medication administration, blood product transfusion, blood sampling. Minimum two sites for casualty...

›

Intraosseous Access (Extended Use)

Emergency access when PIV cannot be obtained within 90 seconds or 2 attempts in a shock or arrest casualty. Br...

›

Arterial Blood Draw (Radial)

Arterial blood gas analysis when available, lactate sampling, blood for emergency typing or specialized assays...

›

Airway

Cricothyrotomy Tube Maintenance

Ongoing airway management for a casualty with an established surgical cricothyrotomy during prolonged care. In...

›

Chest Tube Ongoing Management

Ongoing drainage of hemothorax, pneumothorax, or hemopneumothorax after initial tube placement. Covers daily m...

›