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Emergency Department Unit Manual

The Unit Practice Manual policies can be viewed or printed using Adobe Acrobat.

Please Note: These policies, procedures and protocols are provided for informational purposes only for the staff of John Dempsey Hospital.  The owner and authors assume no liability whatsoever in connection with the use of the information contained within.

The Lippincott Manual of Nursing Practice should be used for nursing procedures not found in the Nursing Practice or Unit Practice Manual’s. Procedures in the Nursing Practice Manual or Unit Practice Manuals supersede the Lippincott reference.


Scope of Services

Structure Standards


Business Continuity Plan

Hazmat Plan

Surge Capacity Plan

Nurse Driven Protocols

Protocol: Abdominal Pain (Nontraumatic) Adult Patient
Administrative Procedure: Admissions: Admission of Emergency Department Patient to the Hospital
Protocol: Alteplase (t-PA): Administration for Acute Ischemic Stroke
Attachment: NIHSS Score Sheet and Instructions
Protocol: Amiodarone: IV Infusion
Procedure: Amputated Digits or Extremity Parts: Care of
Procedure: Arterial Blood Gas Punctures by Registered Nurses
Protocol: Asthma (Adult): Nursing Management for the Adult Patient with
Protocol: Autotransfusion (ATS) of Chest-Tube Drainage Post-Open Heart Surgery or Trauma

Protocol: Back Pain: Nursing Management of the Patient with Low Back Pain
Protocol: Behavioral Patients: Care of the Behavioral Patient in the Emergency Department
Procedure: Belongings List: Completion of
Procedure: Blood Alcohol Levels: Obtaining for Evidence
Protocol: Blood Pressure Screening: Emergency Department Patients
Protocol: Burns: Care of the Patient with
Appendix A: Burn Injury Report

Protocol: Cardioversion: Care of the Patient Undergoing
Procedure: Cardioversion: Emergent
Administrative Protocol: Category I Full Trauma Alert
Administrative Protocol: Category II Modified Trauma Alert
Administrative Protocol: Category III Trauma Consult
Protocol: Cerebral Vascular Accident (CVA), Suspected
Attachment: NIHSS Score Sheet and Instructions
Protocol: Chest Pain (Suspected Cardiac Origin)
Attachment: EKG Triage Protocol
Protocol: Closed Head Injury
Administrative Protocol: Code Blue: MRI: Evacuation Procedures of
Procedure: Commitment for Alcohol and Drug: 5 Day Paper
Protocol: Communication During Emergent Transfer of Patient from ED to Cardiac Catheterization Lab
Procedure: Controlled Substances: Receipt and Disbursement by University of Connecticut Health Center Paramedics


Administrative Protocol: Deaths: Deaths Occurring in Emergency Department and Patients Dead on Arrival
Protocol: Decontamination: Care of Patients that Require Decontamination
Protocol: Delivery, Precipitous: Care of the Patient with
Protocol: Diltiazem (Cardizem) Infusion: for Treatment of Atrial Tachyarrhythmia
Administrative Protocol: Discharge from the Emergency Department
Procedure: Documentation: Emergency Department PulseCheck System
Protocol: Dobutamine: IV Administration
Protocol: Dopamine: IV Administration
Protocol: Drug Overdose/Alcohol Intoxication (Acute): Nursing Management of the Patient

Administrative Protocol: EMTALA - Acceptance of Appropriate Transfers
Administrative Protocol: EMTALA - Ambulance Diversion
Administrative Protocol: EMTALA - Central Log
Administrative Protocol: EMTALA - Medical Screening Examination
Administrative Protocol: EMTALA - Page
Administrative Protocol: EMTALA - Signage
Administrative Protocol: EMTALA - Stabilization Treatment
Administrative Protocol: EMTALA - Transfer to Another Facility
Protocol: Epinephrine (Adrenalin): IV Infusion
Protocol: Esmolol Hydrochloride: IV Administration
Protocol: Extremity Injury (Isolated Musculoskeletal)

Protocol: Fever: Nursing Management for the Pediatric Patient with a Fever    

Protocol: Gastrointestinal Bleed: Nursing Management for the Management for the Patient with Acute GI Bleed

Protocol: Headache (Acute): Nursing Management of the Patient with
Protocol: Hypoglycemic Reaction: Acute (ADULT)
Protocol: Hypothermia: Care of the Patient with
Protocol: Hypothermia Protocol for Resuscitated Cardiac Arrest

Procedure: Intraosseous Infusion: Initiation of
Protocol: Intraosseous Infusion of Fluids/Medications

Protocol: Ketamine IM: Use in Pediatric Patients
Protocol: Ketamine: IV Administration for Pediatric Conscious Sedation in the Emergency Room

Protocol: Labetalol (Normodyne, Trandate): IV Administration
Protocol: Lidocaine: IV Administration
Protocol: Medication: Administration of Medications upon Discharge from the Emergency Department
Protocol: Midazolam - Care of the Patient Receiving Continuous Midazolam Infusion


Protocol: Nitroglycerin: IV Administration
Protocol: Nitroprusside, Sodium (Nipride): IV Administration
Protocol: Norepinephrine (Levophed): IV Administration

Administrative Protocol: Observation of Patient in the ED
Administrative Protocol: Obstetrical Patient: Triage of

Protocol: Pacemaker: Care of the Patients with Temporary Pacemakers
Procedure: Pacemaker, Temporary: Transvenous Insertion
Protocol: Pain: Care of the Adult Emergency Patient Experiencing Pain
Protocol: Phenylephrine (Neosynephrine): IV Administration
Protocol: Procainamide: IV Administration
Administrative Protocol: Procedures Not Performed in the Emergency Department
Protocol: Propofol: Administration for Conscious Sedation in the ED
Protocol: Propofol: Care of the Patient Receiving Continuous Propofol Infusion

Procedure: Rabies Prophylaxis
Protocol: Rash of Suspicious Etiology: Care of the Patient Presenting with
Protocol: Remodulin (Treprostinil Sodium):  Continuous Subcutaneous Administration
Protocol: ReoPro (Abciximab) Infusion: (Care of the Patient Receiving) Post PTCA/Stent
Protocol: Respiratory Difficulty / Distress

Administrative Protocol: Safe Havens
Administrative Protocol: Searching Patient's Personal Possessions
Protocol: Sepsis, Severe Sepsis & Septic Shock: Patient Identification and Care
Protocol: Sexual Assault: Care of the Patient
Procedure: Sexual Assault: Collection of Evidence
Procedure: Sickle Cell Crisis: Use of Fentanyl in a Continuous + PCA Infusion for Opioid Tolerant Patients with Sickle Cell Anemia
Protocol: Sickle Cell Disease: Acute Pain Management of the Patient With Sickle Cell Disease
Appendix: Sickle Cell Disease Pain Management Algorithm
Protocol: Snake Bites

Procedure: Tetanus: Prophylaxis in Wound Management
Administrative Protocol: Traffic Control: Visitors
Protocol: Trauma Patient: Care of
Protocol: Triage of Patients Presenting to the Emergency Department
Administrative Protocol: Triage to the Sub Acute Area

Protocol: Unconscious Patient: Nursing Management of the
Administrative Procedure: Unidentified Patients

Protocol: Vaginal Bleeding: Nursing Management for the Patient with
Protocol: Ventilator: Care of Patient on a Ventilator

Protocol: Wound Care

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