The document provides guidelines for intraoperative nursing care for cardiac implantable electronic device (CIED) procedures. It discusses preparations for pacemaker surgery such as obtaining consent and preoperative labs. It also describes accessing blood vessels like the subclavian or cephalic veins for device implantation. Details are given on single, dual, and triple chamber pacemaker systems. Key steps of the implantation procedure include ensuring sterility, monitoring vitals, testing device thresholds and outputs, and confirming proper sensing and pacing. Postoperative care involves monitoring settings, bed rest, antibiotics, and wound compression.