LSUHSC-Shreveport

NURSING ADMINISTRATION- POLICY AND PROCEDURE MANUAL

HOME

To view these documents, you will need the Adobe Acrobat Reader.
Click here to download (--FREE--).

Table of Contents (Updated 7/20/04)

Policy #

Reviewed/Revised

Assessment of Patient

(See P-12: Patient History and Discharge Record)

Alarms (Clinical Alarm Safety)

A-15

7/04

Bed Scales- Scale Tronix 2001

B-06

6/04

Blood Transfusions

7/04

7/04

6/03

Cancer Patient Education

C-7

8/00

CAPD-Continuous Ambulatory Peritoneal Dialysis

C-10

7/01

Care Planning – Nursing Plan of Care

(See N-55: The Nursing Process – Care Planning)

Central Medical Supply (CMS)

CMS Supply Cart (Par Level)

C-21

2/04

Sterilization Requisitions

C-23

7/03

After Hours Requisitioning from Warehouse

C-24

7/04

Central Venous Catheters (CVC’s- Subclavian, Jugular, Femoral)

C-30

7/04

Certification Pay/Differential

C-32

7/04

Cervical Collars (skin care)

C-33

3/01

Charts

Discharged Patients' Medical Records

C-43

8/01

Maintenance of Inpatient Medical Records

C-44

8/01

Chemotherapy (Qualifications to administer/monitor)

C-46

6/00

Chemotherapy (Guidelines for monitoring patients)

C-47

4/01

Chemotherapy-Guidelines for Management

C-48

4/01

Chest Tubes- General Care Units

C-50

7/01

Classifications

Neonatal Intensive Care

C-74

4/01

Critical Care- Acuity Policy

C-75

5/01

Cleaning of Patient Rooms

C-80

1/01

Clinics- Appointments

C-91

5/01

Conscious Sedation

(See I-50: IV Therapy- Conscious Sedation/Administering Medications)

(See I-51: IV Therapy – Conscious Sedation Guidelines)

CPR Learning Center

(See M-60 Mandatory Education (MED) and CPR Learning Center)

Defibrillator Testing

D-05

3/01

Diabetes Educator

D-10

4/02

Disaster - Emergency Preparedness Plan/Patient Care Services

D-16

5/02

Disaster - Mass Casualty Bioterrorism Plan for Smallpox, Plague, and Viral Hemorrhagic Fevers / Patient Care Services

D-17

5/02

Disciplinary/Counseling

D-25

7/04

Dress Code

D-30

3/01

Dressings for Ulcers/Wounds

(See P-71: Pressure Ulcer/Wound Dressing Guideline)

Drugs

Duration of Administration

D-41

2/04

Mediation (Drug) Security

D-43

6/03

Drugs/Medication Administration

D-44

7/04

Discharge Planning

D-47

2/04

Education, Patient/Family

E-5

7/01

Enterostomal Therapy (ET) Nurse/Wound Ostomy Continence Nurse (WOCN)

E-15

10/03

Emergency Care Center ECC)

E-21

9/01

Epidural Analagesia, (Continuous)

E-25

2/04

Equipment (Defective/Malfunctioning)

E-40

6/04

Feeding Pump (Enteral) Kangaroo 324

F-2

6/04

Files (Historical) For Nursing Services

F-10

2/04

G.U. Catheters

Catherization/Continent Urinary Reservoir

G-5

7/01

Catheterizing a Patient

G-10

7/01

External Urinary Catheters

G-11

7/01

Catheter/Bladder Irrigation and Installation

G-12

7/01

Continuous Bladder Irrigation

G-13

7/01

Helicopter Safety Measures

H-06

3/01

Hemodialysis Catheters (Acute Femoral)

H-08

2/04

Heparin IV Intermittent Locks

(See S-5: Saline/ Heparin IV Locks)

Hickman Catheters

H-15

8/01

Hyperalimentation –Total Parenteral Nutrition (TPN)

H-35

7/04

Hyper-Hypothermia Units, Blanketrol II

H-37

1/01

Infection Control- Blood borne Infection- Prevention

I-13

8/01

Inpatient Transfer Form Policy

I-21

6/03

Insulin Administration

I-25

7/04

Isolation Precautions

I-30

7/03

IVAC Thermometer Control and Maintenance

I-36

11/02

IVAC Volumetric Pump, Model 7100, 7200

I-37

12/00

Vital Check Machine- IVAC Model 4200 (Vital Signs Measurement System)

I-38

6/04

Administering Medications by IV Push (General Care Units)

I-40

7/04

IV Therapy

Intravenous (IV) Admixtures

I-45

7/04

IV Meds, Prescribing, Preparing and Administering

I-46

12/01

Peripheral IV Therapy

I-49

11/01

IV Therapy- Conscious Sedation

I-50

7/04

IV Therapy – Conscious Sedation (Guidelines)

I-51

7/04

Lab Reports- charting

L-2

8/03

Leave Time-Requesting

L-10

6/03

Lift Devices- Hoyer

L-11

6/04

Linen Use/ Bed Changes Policy

L-15

1/01

LA State Board of Nursing

Disciplinary Code for RN=s

L-30

Nurse Practice Act for RN=s

L-31

Rules of the Board of Nursing

L-32

Legal Standards of Nursing Practice

L-33

LA State Board of Practice ANA Code

L-34

LA State Board of Practical Nurse Examiners

L-35

Nurse Practice Act for LPN

Magnetic Resonance Imaging (MRI)

M-5

3/01

Mattresses- Disposal of Damaged/ Contaminated

M-10

3/01

Morphine Continuous Infusion

M-35

5/01

Mandatory Education (MED) and CPR Learning Center

M-60

7/04

Name Alert

N-05

8/01

Neurological Assessment and Flow Sheet

N-14

8/01

Neurovascular Assessment

N-15

8/01

Nosocomial Pneumonia/Prevention

N-20

5/01

Nurses’ 24-Hour Patient Progress report /Plan of Care

N-25

7/04

Nursing Administration

Philosophy

N-30

5/01

Designee for Assistant Hospital Administrator for Patient Care Services

N-35

6/04

Competency Assessment

N-38

5/02

Performance Appraisal/ Evaluation

N-40

5/02

Hours of Work

N-41

8/01

Nursing Documentation, Rules and Regulations

N-43

10/03

Nursing Education/ Patient Care Support

Verification for Inservice/Continuing Education Courses

N-44

7/04

Orientation for New Nursing Employees

N-46

5/02

Preceptorship Program

N-47

3/01

Nursing License Verification

N-50

1/01

Patient Care Support/Hospital Education and Standards Consultative Services

N-51

6/04

Nurse Practice Council

N-53

5/01

The Nursing Process – Care Planning

N-55

7/04

Nursing Students

N-60

2/04

Organ/Tissue/Eye/Cornea Donation/Suitability

O-9

6/01

Observation Admissions

2/01

7/04

7/04

Pain Management Flowsheet

P-5

7/04

Patient Factor Screen Information

P-10

1/01

Patient History and Discharge Record

P-12

12/03

PCA/Patient Controlled Analgesia

P-15

5/03

Peripheral Intravenous Nutrition (PIN)

P-35

4/01

Peripheral Inserted Central Catheters (PICC)

P-36

10/98

Processing a Physician’s Emergency Certificate (PEC)

P-40

7/04

Policy and Procedure, Nursing

11/02

6/04

2/04

Pre-Op Patient Preparation

P-64

5/03

Pressure Ulcer Prevention and Wound Care

P-70

9/03

Pressure Ulcer/Wound Dressing Guideline

P-71

10/03

Private Duty Nurse or Sitter

P-75

1/00

Procedures not Permitted

P-80

7/04

Portal Access Device (Port-A-Cath, P.A.S., Life Port)

P-81

7/04

Performance Improvement Policy for Patient Care Services

Q-5

3/01

Radiology Department

Ordering Procedure

R-10

8/01

Radiology Preps- Adults and Pediatric

R-11

7/04

Radiation Oncology Precautions

R-35

1/01

Resolutions of Concerns Regarding Medical Management Issues in Patient Care

R-40

2/04

Restraint Application

R-45

7/04

Safety Devices to Prevent Neddlestick Injuries

S-1

09/01

Saline/Heparin IV Locks (Intermittent Intravenous Locks)

S-5

6/04

Sequential Compression Device (Flowtron Excel Prophylactic D.V.T. System)

S-16

6/04

Guide Assistance Animals for the Visually Impaired (Seeing Eye Dogs)

S-17

6/04

Side Rails

S-25

7/04

Sitters / Attendants (In-House) for [ Non-violent and / or Violent Patients]

S-30

9/03

Specialty Mattress / Bed

10/03

5/03

5/02

Staffing: NBO/Staffing Office Guidelines

S-48

3/01

Storage and Warming of IV fluids/Irrigation fluids

S-50

6/01

Suctioning (Respiratory Tract)

S-60

6/04

Specimen Collection-Urine (Clean Catch)

S-67

7/01

Syringes and Needles

S-72

2/04

Task Force/ Ad Hoc Committee

T-5

1/01

Telephone Contact with Patients Documentation

T-7

9/03

Telemetry

T-10

6/03

Time and Attendance (Patient Care Services Employees)

T-12

8/03

Tracheotomy Care (Both Metal and Disposable)

T-25

8/01

Skeletal Traction

T-30

7/04

Skin Traction/Non-Invasive

T-31

7/04

Transfer Summary - Inpatient

T-40

11/02

Tubes/Feeding - Nasogastric/Enteric

T-58

10/01

Unit Dose System (Medication Cart)

U-15

7/04

Weather- Inclement Plan (Patient Care Services)

W-10

9/03

Water Pitchers

W-15

7/04

Warming Unit (Bair Hugger Warming Unit 505)

W-20

6/04

Wound VAC

W-25

4/02