A number of policies have been revised to reflect the implementation
of Computerized Physician Order Entry (CPOE). Units utilizing CPOE
can refer to these policies by clicking on this link:
CPOE
| Protocol: |
Abuse: Child Physical Abuse, Neglect, Sexual Abuse |
| Protocol: |
Abuse: Domestic Violence |
| Protocol: |
Abuse: Elderly Abuse |
| Procedure: |
Addresses and Phone Numbers |
| Procedure: |
Allergies: Identification of Patient Allergies |
| Protocol: |
Anticoagulation Therapy |
| Protocol: |
Antiembolic Therapy: Care of the Patient with Intermittent Pulsatile Stockings and/or A-V Foot Pumps |
| Protocol: |
AP Credential Review |
| Protocol: |
AP Management of Patients |
| Protocol: |
AP Orders Co-Signature |
| Protocol: |
AP Prescriptive Authority |
| Procedure: |
Assessment: Scope of Nursing Practice |
| Procedure: |
Attendance Leave Days |
| Procedure: |
Attendance Sick Leave |
| Procedure: |
Attendance Unauthorized Absence |
| Procedure: |
Attendance Vacation Policy |
| Protocol: |
Blanketrol II: Hypo/Hyperthermia Blanket |
| Procedure: |
Blood Components: Acquisition from the Blood Bank and Transport to the Units |
| Procedure: |
Blood Components: Administration of Packed Cells, Autologous, Fresh Frozen Plasma,
Granulocytes, Cryoprecipitate, Platelets, and Blood Derivative Infusions |
| Procedure: |
Blood Components: Emergency Release |
| Procedure: |
Blood Components: Transfusion Reaction |
| Procedure: |
Blood Components: Type and Screen/ Type and Cross-Match for
Transfusion Purposes |
| Procedure: |
Calorie Counts |
| Procedure: |
Census High |
| Protocol: |
Census High Med-Surg & Attach |
| Procedure: |
Central Lines:
Alteplase (Cathflo Activaseฎ)
Instillation for Catheter Clearance |
| Procedure: |
Central Lines: Blood Drawing |
| Procedure: |
Central Lines (and Implanted Ports): Heparin/Normal Saline Flush |
| Procedure: |
Central Lines (and Implanted Ports): Intravenous Fluid Administration |
| Procedure: |
Central Lines: Dressing/Catheter Site Care |
| Procedure: |
Central Lines: Implanted Port: Accessing Port with Huber Needle |
| Protocol: |
Central Lines: Patient Care |
| Procedure: |
Certification Bonus |
| Procedure: |
Chain of Command - see
Physician Notification of Change in Patient Condition |
| Protocol: |
Charge Nurse Responsibilities |
| Protocol: |
Chart
Review and Audits (Inpatient) |
| Protocol: |
Chest Tube: Care of the Patient with |
| Procedure: |
Code Blue Documentation
|
| Protocol: |
Comp Time Earned |
| Protocol: |
Competency Checklist
- Completion of for Permanent Nursing Staff, Contract Nursing Staff
and Nurse PROs |
| Procedure: |
Conference Time for UHP Professional Staff in the Dept of Nursing |
| Protocol: |
Constant Observation |
| Protocol: |
Contingency Operation Program |
| Protocol: |
Daily Staffing Models |
| Protocol: |
Decentralized Lab Testing |
| Procedure: |
Decentralized Lab Testing |
| Protocol: |
Delirium: Risk Identification and Management of Patients with
Delirium |
| Protocol: |
Diabetes Mellitus Management: Periprocedural Care |
| Protocol: |
Discharge Planning: Nursing Responsibilities for Preparing Inpatients for
Discharge (and Referrals for Post-Hospital Support/Services |
| Procedure: |
Documentation: Admission (Inpatients) |
| Procedure: |
Documentation: Discharge (Inpatients) |
| Procedure: |
Documentation: Progress Notes |
| Procedure: |
Documentation: Standard Care Plan (SCP) |
| Procedure: |
Dress Code |
| Procedure: |
Education Mandatory In-service |
| Protocol: |
Epidural Infusion
and Patient Controlled Epidural Analgesia (PCEA): Care of the Patient
Receiving |
| Procedure: |
Equipment Malfunction |
| Procedure: |
Evaluation Professional Staff |
| Procedure: |
Factor VIII (Anti-Hemophilic Factor) Administration |
| Protocol: |
Falls: Risk Identification, Prevention Management and Treatment |
| Protocol: |
Heimlich Valve: Care of the Patient with |
| Protocol/Procedure: |
Hyperalimentation Administration |
| Clinical Protocol: |
Hypertension |
| Protocol: |
Immune Globulin: Intravenous Administration |
| Guideline: |
Infusion Record |
| Protocol: |
Insulin: Continuous IV Administration |
| Procedure: |
Interventional Radiology Patient Recovery: RN Coverage After Hours /
Weekends |
| Procedure: |
Intravenous (IV) Fluids with Additives/Medications: Preparation and Administration |
| Procedure / Protocol: |
IV Push Medications |
| Protocol: |
Licensing Exam-Failure |
Procedure:
Protocol: |
Lipids
Administration |
| Procedure: |
Medical Order Writing |
| Protocol: |
Medication Administration: Investigational Drugs: Inpatient
Utilization of |
| Procedure: |
Medication Administration: Pyxis for Controlled Substance Security |
| Procedure: |
Medication Administration: Student Nurses |
| Procedure: |
Medication Administration: Therapeutic Interchange of Medications
Appendix - Therapeutic
Interchange List |
| Procedure: |
Medication Administration
and Use of the Inpatient Medication Administration Record (MAR) |
| Procedure: |
Medication: Patients Personal Receipt and Storage, and Non-Formulary Administration |
| Teaching Plan: |
Medication Teaching |
| Procedure: |
Medications:
Double Checks |
| Protocol: |
Night Bonus |
| Protocol: |
1:1 Observation/Constant Observation: Monitoring of Acute Medical/Surgical |
| Protocol: |
Ostomy
Care |
| Teaching Care Plan: |
Ostomy Care |
| |
Attachment: Patient Education Handout -
Patient Discharge Instructions - Colostomy / Ileostomy |
| |
Attachment: Patient Education Handout -
Patient Discharge Instructions - Urostomy |
| Procedure: |
Overtime Approval |
| Protocol: |
Pain: Care of the Adult Patient with |
| Protocol: |
Pain: Care of the Patient Receiving Continuous Narcotic Infusion |
| Protocol: |
Pain (Acute): Care of the Patient Receiving Narcotics via PCA Pump |
| Procedure: |
Pain Scale: Use of
|
| Procedure/
Protocol: |
Parenteral Nutrition Administration |
| Procedure: |
Patient Call System Back Up |
| Protocol: |
Patient Care Assignment of Responsibility |
| Protocol: |
Patient Care Coassignment |
| Procedure: |
Patient Care Private Duty RNs |
| Procedure: |
Payroll Certification Hours |
| Procedure: |
Payroll Check Distribution |
| Procedure: |
Payroll Check Error |
| Procedure: |
Payroll Failure to Issue Check |
| Procedure: |
Peak and Trough Levels: Medications |
| Procedure/ Protocol: |
Peripheral Intravenous (IV) Therapy |
| Procedure: |
Peritoneal Dialysis: Acute |
| Procedure: |
Personnel Licensure Verification |
| Procedure: |
Physician Notification for Change in Patient Condition |
| Procedure: |
Physicians Orders Questioning |
| Procedure: |
Post-Mortem Care |
| Protocol: |
Potassium: IV Infusion (Adult)
|
| Protocol: |
Respiratory Compromise: Assessment and Care of the Patient with Compromised Respiratory Status |
| Protocol: |
Restraints: Acute Medical/Surgical (Non-behavioral) |
| Protocol: |
Restraints: Behavioral: Care of the Patient
In |
| Procedure: |
RhoGAM |
| Procedure: |
Rotation Bonus Payment |
| Procedure: |
Scheduling Staffing 12 Hour Shifts |
| Procedure: |
Scheduling Practices |
| Protocol: |
Seizures: Care of the Patient at Risk and Actual |
| Protocol: |
Skin Care: Care of the Patient at Risk for or with Skin Breakdown |
| Procedure: |
Skin Tests: Administration of
HCH-578: Skin Test
Administration and Results |
| Procedure: |
Sleeping on Duty |
| Protocol: |
Solution and
Blanket Warmers: Care of the Patient Using Supplies Stored in
Appendix - Warmer Log |
| Procedure: |
Staffing Assignment of Personnel |
| Procedure: |
Staffing Practices |
| Protocol: |
Standards Development and Approval |
| Procedure: |
Standards of Admin-Clin-Review |
| Protocol: |
Standards of Clinical Practice |
| Procedure: |
Supplemental Nurse PROs |
| Protocol: |
Time Changes Daylight Savings |
| Procedure: |
Transfer Process: In-House |
| Procedure: |
Transportation Deceased Patients |
| Procedure: |
Transportation of Inpatients |
| Protocol: |
Tube Feedings (Adult) |
| Policy: |
Vaccinations:
Adult Pneumococcal and Influenza Vaccination |
| Protocol: |
Volunteers |
| Procedure: |
Wound V.A.C. (Vacuum Assisted Closure) Device |
