CM BC Children s Hospital Child & Youth Health Policy and Procedure Manual Page 1 of 6. Create Date Sep 01, 1998
|
|
- Clifford Nicholson
- 8 years ago
- Views:
Transcription
1 PURPOSE Prcedure t guide clinicians in the safe insertin and remval f an indwelling subcutaneus catheter and administratin f medicatins via the device. POLICY STATEMENTS Administratin f subcutaneus medicatins requires a prescriber s rder. The decisin t use an indwelling subcutaneus catheter is made in cllabratin with the patient/caregiver and the prescriber. The indwelling subcutaneus catheter is t be replaced at least every 7 days r mre ften if any prblems arise such as: pain, discmfrt, redness, leakage, bleeding, swelling, r bruising /hematmas at insertin site kinked catheter r ther bstructins lse adhesive dressing: if the dressing is nt secure, there is the pssibility that the catheter will mve and the medicatin will nt be delivered apprpriately in the subcutaneus tissue deteriratin in drug levels r ther parameters withut bvius cause may indicate that medicatin is nt being delivered apprpriately withdrawn catheter liphypertrphy r fat cushin at the catheter tip Needles used t inject via the catheter must be f the smallest gauge pssible (27-31) and nt exceed 8 mm (3/8 ) in length. A new insufln is placed if required prir t remval f an ld ne t ensure rtatin f sites. SITE APPLICABILITY Applicable t all clinical areas. PRACTICE LEVEL/COMPETENCIES Insertin/remval f an indwelling subcutaneus catheter and medicatin administratin via the catheter are fundatinal pediatirc nursing skills and are practiced nce the RN has the required educatin and has had learning validated at the bedside with the apprpriate clinical supprt persn. EQUIPMENT Insertin: Insufln catheter with dressing supplied chlrhexidine/alchl wipe Lcal anaesthetic cream and tegaderm as required sharps cntainer Medicatin administratin: medicatin in syringe gauge needle. Length f needle nt t exceed 8 mm (3/8") chlrhexidine/alchl swab Remval: Gauze pad and adhesive bandage if needed PROCEDURE: INSERTION 1. ASSESS if the use f an indwelling subcutaneus catheter (Insufln ) is indicated based n: a. frequency f subcutaneus therapy: daily r mre ften b. adequate subcutaneus tissue present: use Ratinale The use f an indwelling subcutaneus catheter (Insufln ) fr the administratin f frequent subcutaneus injectins has been shwn t reduce the pain f repeated injectins in bth diabetic and nndiabetic ppulatins. Refer t nline versin Print cpy may nt be current Discard after use The fllwing infrmatin, i.e. guideline/educatinal material/plicy r prcedure, has been develped fr use nly within BC Children's Hspital (BC Children's) and BC Wmen's Hspital and Health Centre (BC Wmen's). Agencies ther than BC Children's r BC Wmen's shuld use this infrmatin as a guideline fr reference purpses nly. All materials are the prperty f BC Children's and BC Wmen's and may nly be reprinted in whle r in part with ur expressed permissin. Cntact PlicyCrdinatr@cw.bc.ca with questins. CM BC Children s Hspital Child & Yuth Health Plicy and Prcedure Manual Page 1 f 6 Annymus
2 Refer t nline versin Print cpy may nt be current Discard after use The fllwing infrmatin, i.e. guideline/educatinal material/plicy r prcedure, has been develped fr use nly within BC Children's Hspital (BC Children's) and BC Wmen's Hspital and Health Centre (BC Wmen's). Agencies ther than BC Children's r BC Wmen's shuld use this infrmatin as a guideline fr reference purpses nly. All materials are the prperty f BC Children's and BC Wmen's and may nly be reprinted in whle r in part with ur expressed permissin. Cntact PlicyCrdinatr@cw.bc.ca with questins. f an indwelling subcutaneus catheter is dependant n the amunt f subcutaneus tissue present in the patient. NOTE: Generally children shuld weigh at least 2 kg in rder t effectively use the Insufln catheter. Children receiving heparin r lw mlecular weight heparin (LMWH) wh weight less than 5 kg must nt use an Insufln catheter. c. vlume f medicatin t be administered: As the dead space vlume f the Insufln catheter is ml, it is unnecessary t flush the Insufln befre r after use unless mre than 10% f the dse will be lst in the dead space. In this situatin cnsult the prescriber and pharmacy as a small amunt f cmpatible slutin may be cnsidered t flush the medicatin. d. medicatin t be administered. Any medicatin that can be given subcutaneusly, can be given via a subcutaneus indwelling catheter including: Children with very little subcutaneus tissue are nt gd candidates fr use f Insufln as drug absrptin varies with repeated dses in the same lcatin. Sufficient subcutaneus tissue must be present t supprt the catheter. Hematmas will ccur regardless f placement when standard heparin r LMWH are used. T prevent hematmas it is recmmended that 5 minutes f firm pressure be applied t the administratin site fllwing each dse. Due t the catheter dead space vlume, size f the insufln catheter and high incidence f hematmas, use f the device fr delivery f enxaparin is discuraged in babies under 5 kg. Yung children display a strnger preference fr Insufln than lder children. With increasing age, the individual's persnal chice is influenced by factrs ther than pain and cmfrt and these include a desire nt t have visible reminders f their disease. cytsine arabinside desmpressin (DDAVP) erythrpietin G-CSF heparin insulin interfern lw mlecular weight heparin (LMWH) (e.g. enxaparin) mrphine e. patient's preference 2. ASSEMBLE equipment. Facilitates cmpletin f prcedure in a timely manner. 3. PERFORM hand hygiene. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms. 4. IDENTIFY patient using 2 client identifiers (e.g. name, DOB, MRN) and EXPLAIN prcedure. 5. SELECT apprpriate injectin site: center third f lateral aspect f upper arm center third f anterir thigh abdmen NOTE: the Insufln catheter shuld nt be placed near a scar, bruise, skin lesin/abrasin r within a 5 cm radius f the umbilicus as this may increase pain and Failure t crrectly identify patients prir t prcedures may result in errrs. Reduces child and family s anxiety. Evaluates and reinfrces understanding f previusly taught infrmatin and cnfirms cnsent fr medicatin administratin. Sites shuld cntain adequate subcutaneus tissue t accmmdate medicatin t be administered. Cnsider age and develpmental level f the child when selecting apprpriate insertin site. CM BC Children s Hspital Child & Yuth Health Plicy and Prcedure Manual Page 2 f 6 Annymus
3 als affect the absrptin rate f subcutaneus medicatins injected. 6. If desired, APPLY lcal anesthetic cream t the site minutes prir t insertin. 7. OBTAIN help f secnd nurse as needed. Decreases pain at injectin site. 8. PERFORM hand hygiene and DON clean glves. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms. 9. REMOVE tegaderm and lcal anesthetic cream if Decreases risk f infectin. used and CLEAN site (circular area apprximately 5-8 cm) with chlrhexidine/alchl swab and allw skin t dry. 10. OPEN the package cntaining the Insufln and dressing by pulling the paper lid frm the plastic package. Ensure that the pack is undamaged and sterile and within the expiry date. 11. HOLD the catheter hub between the thumb and index Facilitates insertin. finger and remve the prtective cap. PLACE the cap in the rear f the grip as shwn: 12. PINCH the skin at the site f insertin. INSERT the Insufln as far as pssible at a 20- t 45-degree angle t the skin surface i.e. twards the shulder jint in the arm, twards the hip in the leg, hrizntal and twards the umbilicus in the abdmen. This shuld be dne in ne quick, smth mvement with the bevel up. Islates the subcutaneus tissue and decreases the pssibility f inserting the catheter int the muscle. The angle f insertin is dependent n the amunt f subcutaneus tissue the child has and will vary frm patient t patient. Use a smaller angle/shallwer insertin fr patients with less subcutaneus tissue. Insertin hrizntally int abdmen avids skin flds and clth lines that may kink/damage cannula. If Insufln insertin is t slw there is a risk f the catheter "crimping" r peeling back frm the needle. Refer t nline versin Print cpy may nt be current Discard after use The fllwing infrmatin, i.e. guideline/educatinal material/plicy r prcedure, has been develped fr use nly within BC Children's Hspital (BC Children's) and BC Wmen's Hspital and Health Centre (BC Wmen's). Agencies ther than BC Children's r BC Wmen's shuld use this infrmatin as a guideline fr reference purpses nly. All materials are the prperty f BC Children's and BC Wmen's and may nly be reprinted in whle r in part with ur expressed permissin. Cntact PlicyCrdinatr@cw.bc.ca with questins. 13. REMOVE the needle by hlding the catheter hub Care must be taken t prevent catheter withdrawing CM BC Children s Hspital Child & Yuth Health Plicy and Prcedure Manual Page 3 f 6 Annymus
4 firmly and pulling the needle ut slwly, leaving the catheter in place. NOTE: D nt reinsert the needle if catheter is disldged/withdrawn. Repeat the prcedure with a new Insufln. during placement. 14. DISPOSE needle in sharps cntainer immediately. Prevents ptential accidental needlestick injury. 14. SECURE the Insufln by applying the dressing Built in see-thrugh windw allws fr visual supplied frm the catheter end first, ensuring the inspectin f the injectin site. insertin site is visible thrugh the plastic windw and the hub is pen t air. Ttally adhere dressing t skin t prevent bacteria frm entering insertin site. Refer t nline versin Print cpy may nt be current Discard after use The fllwing infrmatin, i.e. guideline/educatinal material/plicy r prcedure, has been develped fr use nly within BC Children's Hspital (BC Children's) and BC Wmen's Hspital and Health Centre (BC Wmen's). Agencies ther than BC Children's r BC Wmen's shuld use this infrmatin as a guideline fr reference purpses nly. All materials are the prperty f BC Children's and BC Wmen's and may nly be reprinted in whle r in part with ur expressed permissin. Cntact PlicyCrdinatr@cw.bc.ca with questins. 15. WRITE the date f insertin n the dressing. If patient is receiving mre than 1 medicatin via insufln, a secnd device is t be inserted. Indicate n dressing which medicatin is being injected via each device. 16. DISPOSE used supplies and equipment in apprpriate cntainer. 17. REMOVE glves and PERFORM hand hygiene. 18. MONITOR insertin site fr any pain, redness, discmfrt, leakage, bleeding, bruising/hematma r swelling. If any adverse reactins ccur, remve device and replace as apprpriate. PROCEDURE: MEDICATION ADMINISTRATION 1. CHECK chart fr prescriber's rder which specifies the drug name, indicatin, dsage, rute and frequency f administratin. Cmmunicatin t thers t ensure device is changed regularly and t prevent administratin f incmpatible medicatins via same device. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms. Allws early identificatin and prmpt interventin fr adverse reactins Ratinale Medicatin rders that meet safe prescribing practices prmte patient safety. 2. ASSEMBLE equipment. Facilitates cmpletin f task in timely manner. 3. IDENTIFY patient using 2 client identifiers and ENSURE patient and family understand what Failure t crrectly identify patients prir t prcedures may result in errrs. medicatin is being given and why and hw, any Reduces child and family s anxiety. Evaluates and pssible side effects and that questins are reinfrces understanding f previusly taught answered. CM BC Children s Hspital Child & Yuth Health Plicy and Prcedure Manual Page 4 f 6 Annymus
5 Refer t nline versin Print cpy may nt be current Discard after use The fllwing infrmatin, i.e. guideline/educatinal material/plicy r prcedure, has been develped fr use nly within BC Children's Hspital (BC Children's) and BC Wmen's Hspital and Health Centre (BC Wmen's). Agencies ther than BC Children's r BC Wmen's shuld use this infrmatin as a guideline fr reference purpses nly. All materials are the prperty f BC Children's and BC Wmen's and may nly be reprinted in whle r in part with ur expressed permissin. Cntact PlicyCrdinatr@cw.bc.ca with questins. 4. INSPECT insufln insertin site fr presence f ANY pain, discmfrt, redness, leakage, bleeding, swelling, r bruising /hematmas (palpate site fr small lumps beneath skin surface) and inspect catheter t determine if it has pulled ut frm the skin. If any prblems identified, REPLACE the Insufln catheter prir t administering the dse. infrmatin and cnfirms cnsent fr medicatin administratin. Administering medicatin dses when any cmplicatin is present will exacerbate the prblem. If catheter has pulled ut, medicatin will likely nt be delivered subcutaneusly when injecting. 5. PERFORM hand hygiene. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms. 6. CLEAN membrane f catheter with Decreases risk f infectin. chlrhexidine/alchl swab and allw t dry. 7. INSERT syringe needle int the Insufln hub. The needle must penetrate the membrane by at least 3 mm (1/8") and nt mre than 8 mm (3/8"). D nt use excessive frce t insert the needle. A lnger needle culd pssibly damage the catheter. 8. INJECT the medicatin slwly then remve the needle. 9. APPLY firm pressure t site fr at least 5 minutes fllwing administratin f heparin r LMWH ( e.g. enxaparin). A slw injectin will help t reduce site irritatin caused by the medicatin. Minimizes bruising. 10. DISPOSE used supplies and equipment in apprpriate cntainer. PERFORM hand hygiene. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms PROCEDURE: REMOVAL Ratinale 1. PERFORM hand hygiene and DON clean glves. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms. 2. IDENTIFY patient using 2 client identifiers and EXPLAIN prcedure. Failure t crrectly identify patients prir t prcedures may result in errrs. 3. PEEL OFF the adhesive dressing, beginning at the catheter end and then REMOVE catheter. APPLY pressure with gauze pad as needed. 4. ASSESS site and place adhesive bandage as needed. 5. DISPOSE used supplies and equipment in apprpriate cntainer. REMOVE glves and PERFORM hand hygiene DOCUMENTATION Reduces child and family s anxiety. Evaluates and reinfrces understanding f previusly taught infrmatin and cnfirms cnsent fr medicatin administratin. Facilitates smth remval f catheter. Minimizes bruising. Rutine Infectin Cntrl practices; reduces transmissin f micrrganisms. DOCUMENT n apprpriate recrd(s): i.e. patient flwsheet, nursing ntes, MAR date and time f insertin site f insertin date and time f remval reasn fr remval site assessments date and time f medicatin administratin CM BC Children s Hspital Child & Yuth Health Plicy and Prcedure Manual Page 5 f 6 Annymus
6 REFERENCES drug, dse, rute patient's respnse t prcedures unexpected utcmes and related treatment patient/family educatin any ther pertinent actins r bservatins Black, K. and Bauman, M. Insufln Care, Insertin & Remval Patient Care Guideline. Stllery Children's Hspital, Child Health Prgram, Alberta Health Services. Revised Nvember de Jng, M.E.A, Carbiere, T. and van den Heuvel-Eibrink, M.M. (2006). the Use f an Insufln Device fr the Administratin f G-CSF in Pediatric Cancer Patients. Supprtive Care in Cancer, 14(1): Dyer, S.L., Cllins, C.T., Baghurst, P., Saxn, B. and Meachan, B. (2004). Insufln Versus Subcutaneus Injectin fr Cytkine Administratin in Children and Adlescents: A Randmized Crssver Study. Jurnal f Pediatric Onclgy Nurses, 21(2): Insufln Insertin Prcedure. The Ryal Children's Hspital Melburne. Retrieved February 14, 2013 frm: Insufln : Directins fr use. IntraPump Infusin Systems. Revised 31/01/05. Retrieved February 14, 2013 frm: Malwany, J.I., Mnagle, P., Knppert, D.C., Lee, D.S.C., Wu, J., McCusker, P., Massictte, M.P., Williams, S. and Chan, A.K.C. (2008). Enxaparin fr Nenatal Thrmbsis: A Call fr a Higher Dse in Nenates. Thrmbsis Research, 122(6): Malwany, J.I., Knppert, D.C., Chan, A.K.C, Pepelassis, D., and Lee, D.S. (2007). Enxaparin use in the nenatal intensive care unit: experience ver 8 years. Pharmactherapy, 27(9): Mnagle, P., Chan, A.K.C., deveber, G. and Massictte, M.P. (2006). Pediatric Thrmbemblism and Strke, third Editin. BC Decker Inc, Hamiltn, Ontari. Russ, K., Gerber, A., Alvisetti, M., Hug, M. and Bernet, V. (2007). Lng-term subcutaneus mrphine administratin after surgery in newbrns. Jurnal f Perinatal Medicine, 35(1): Shereck, E. (2008). Insufln Plicy. In P. DeZrzi (Ed.). Vancuver. Refer t nline versin Print cpy may nt be current Discard after use The fllwing infrmatin, i.e. guideline/educatinal material/plicy r prcedure, has been develped fr use nly within BC Children's Hspital (BC Children's) and BC Wmen's Hspital and Health Centre (BC Wmen's). Agencies ther than BC Children's r BC Wmen's shuld use this infrmatin as a guideline fr reference purpses nly. All materials are the prperty f BC Children's and BC Wmen's and may nly be reprinted in whle r in part with ur expressed permissin. Cntact PlicyCrdinatr@cw.bc.ca with questins. CM BC Children s Hspital Child & Yuth Health Plicy and Prcedure Manual Page 6 f 6 Annymus
The aim of the procedure is to insert a central venous catheter to safely administer drugs, liquid food or take blood samples over a period of time.
Departments f Anaesthesia, Haematlgy, Medicine and Surgery Prcedure infrmatin leaflet Name f prcedure: Percutaneus insertin f a central venus catheter [ PICC] It has been recmmended fr yu t have a PICC
More informationPATIENTS WITH SPECIAL NEEDS
PATIENTS WITH SPECIAL NEEDS This prtcl includes: Patient with trachestmies Patient n ventilatrs Patients with indwelling catheters Patients with gastrstmy tubes Bariatric patients GENERAL CONSIDERATIONS
More informationAdministration of Medication in School Policy & Procedures
Administratin f Medicatin in Schl Plicy & Prcedures Plicy Last Reviewed: July 2014 Agreed by Directrs: T be cnfirmed Plicy Next Review: July 2016 Inspired t strive fr persnal excellence Redcar Academy
More informationBRILL s Editorial Manager (EM) Manual for Authors Table of Contents
BRILL s Editrial Manager (EM) Manual fr Authrs Table f Cntents Intrductin... 2 1. Getting Started: Creating an Accunt... 2 2. Lgging int EM... 3 3. Changing Yur Access Cdes and Cntact Infrmatin... 3 3.1
More informationLicensed Practical Nurse (LPN) Role and Scope Course
Licensed Practical Nurse (LPN) Rle and Scpe Curse LPN Rle and Scpe 7/11/2014 1 Intrductin This mdule was develped t implement the educatinal prvisins in R4-19-301, which requires candidates wh are graduates
More informationState Opioid Prescribing Policy: Florida
State Opiid Prescribing Plicy: Flrida Pain Plicy and Regulatin: Flrida General Plicies f the Flrida Bards f Medicine and Ostepathic Medicine (Bards) The Bards recgnize that "cntrlled substances, including
More informationObtaining Controlled Drugs In Primary Care- Supply Routes In Exceptional Circumstances
Obtaining Cntrlled Drugs In Primary Care- Supply Rutes In Exceptinal Circumstances Backgrund This guidance is intended fr use by trained nursing/medical/pharmacy staff acrss NHS Grampian and describes
More informationPatient Participation Report
Patient Participatin Reprt In 2011, Westngrve Partnership decided t establish a PPG (Patient Participatin Grup) that wuld allw us t engage with ur patients, receive feedback frm them and ensure that they
More informationTAKING OWNERSHIP OF HEALTH CARE
TAKING OWNERSHIP OF HEALTH CARE TIPS FOR PARENTS AND CAREGIVERS Are yu ready fr the day when yu take yur sn r yur daughter fr a medical appintment and the dctr r medical staff says t yu, as the parent
More informationMEDICATION GUIDE Prolia (PRÓ-lee-a) (denosumab) Injection, for subcutaneous use
MEDICATION GUIDE Prlia (PRÓ-lee-a) (densumab) Injectin, fr subcutaneus use Read the Medicatin Guide that cmes with Prlia befre yu start taking it and each time yu get a refill. There may be new infrmatin.
More informationEnrollee Health Assessment Program Implementation Guide and Best Practices
Enrllee Health Assessment Prgram Implementatin Guide and Best Practices March 2015 033129 (03-2015) This guide will help yu answer these questins: What is the Enrllee Health Assessment (EHA) prgram and
More informationUpdated PT, OT, and ST Benefit Changes for Acute Services for Texas Medicaid Effective January 1, 2014
Updated PT, OT, and ST Benefit Changes fr Acute Services fr Texas Medicaid Effective January 1, 2014 Infrmatin psted December 31, 2013 Nte: This article applies t claims submitted t TMHP fr prcessing.
More informationObjectives At the completion of this module, unlicensed assistive personnel (UAP) should be able to:
Objectives At the completion of this module, unlicensed assistive personnel (UAP) should be able to: 1. administer medications by subcutaneous injections. 2. document medication administration in the client
More informationKey Steps for Organizations in Responding to Privacy Breaches
Key Steps fr Organizatins in Respnding t Privacy Breaches Purpse The purpse f this dcument is t prvide guidance t private sectr rganizatins, bth small and large, when a privacy breach ccurs. Organizatins
More information990 e-postcard FAQ. Is there a charge to file form 990-N (e-postcard)? No, the e-postcard system is completely free.
990 e-pstcard FAQ Fr frequently asked questins abut filing the e-pstcard that are nt listed belw, brwse the FAQ at http://epstcard.frm990.rg/frmtsfaq.asp# (cpy and paste this link t yur brwser). General
More informationWORKPLACE INJURY/ILLNESS/INCIDENT INVESTIGATION & REPORTING POLICY (BC VERSION)
WORKPLACE INJURY/ILLNESS/INCIDENT INVESTIGATION & REPORTING POLICY (BC VERSION) Intrductin: Hw t Use This Tl As d all ther jurisdictins, BC requires emplyers t investigate and reprt specific kinds f wrkplace
More informationA.M. BEST RATING SERVICES, INC. RATING DIVISION INTERNAL POLICY AND PROCEDURE. Subject: Dissemination Number: CRPC Policy 5
A.M. BEST RATING SERVICES, INC. RATING DIVISION INTERNAL POLICY AND PROCEDURE Subject: Disseminatin Number: CRPC Plicy 5 Effective Date: Nvember 29, 2006 Revisin Date: January 04, 2016 Purpse: The purpse
More informationWhat payments will I need to make during the construction phase? Will the lender advance construction funds prior to the work being completed?
Q&A What is a cnstructin lan? A cnstructin lan prvides the financing fr the cnstructin f yur new hme. Cnstructin lans may be structured as a single r tw-settlement transactin. Cnstructin lans culd include
More informationProject Open Hand Atlanta. Health Insurance Portability and Accountability Act (HIPAA) NOTICE OF PRIVACY PRACTICES
Prject Open Hand Atlanta Effective Date: April 14, 2003 Health Insurance Prtability and Accuntability Act (HIPAA) The Health Insurance Prtability and Accuntability Act f 1996 (HIPAA) directs health care
More informationUTAH YOUTH SOCCER ASSOCIATION CONCUSSION & TRAUMATIC BRAIN INJURY POLICY
Page 1 f 5 Mdified 4/16/13 UTAH YOUTH SOCCER ASSOCIATION CONCUSSION & TRAUMATIC BRAIN INJURY POLICY Effective May 10, 2011, a Utah law called the The Prtectin f Athletes with Head Injuries Act (UCA 26-53-101,
More informationThe local school Technology Specialist will provide support for laptop and printer configurations.
Chapter 34 Easy IEP fr Special Educatin Easy IEP, a cmpnent f Fultn Cnnect, is the infrmatin management system fr dcumentatin f events fr special educatin students. The student infrmatin system fr Fultn
More informationWITS Implementation Toolkit. For All Substance Use Disorder Network Service Providers
WITS Implementatin Tlkit Fr All Substance Use Disrder Netwrk Service Prviders February 20, 2013 WITS Implementatin Tlkit 1 Overview Beginning July 1, 2013, all SUD netwrk prviders will be required t utilize
More information#1 #2. How should insulin be ordered? 1) Click the Add Order icon 2) Type insulin 3) Select Insulin Subcutaneous Orderset
Insulin Subcutaneus Orderset In the past, insulin sliding scales were the standard methd f cntrlling bld sugars in the hspital. Hwever, sliding scales were develped fr regular and NPH insulins. Since emulating
More informationORIENTATION TO THE HEALTH INFORMATION MANAGEMENT DEPARTMENT
ORIENTATION TO THE HEALTH INFORMATION MANAGEMENT DEPARTMENT q ORIENTATION q INSERTS 1. DOCUMENTATION GUIDELINES 2. DICTATION OF DISCHARGE SUMMARIES / OPERATIVE REPORTS 3. INSTRUCTIONS FOR DICTATING 4.
More informationCalling 9-1-1 from a Cell Phone
Calling 9-1-1 frm a Cell Phne When calling 9-1-1 frm a cell phne, yur lcatin may nt autmatically display t the 9-1-1 center as it des when calling frm mst hmes r businesses. Be Prepared t tell the 9-1-1
More informationCancer Treatments. Cancer Education Project. Overview:
Cancer Educatin Prject Cancer Treatments Overview: This series f activities is designed t increase students understanding f the variety f cancer treatments. Students als explre hw the txicity f a chemtherapy
More informationFIRST STEPS NUTRITION TRUST
FIRST STEPS NUTRITION TRUST Safety advice fr infant milk preparatin: Vacuum flasks, cmbined frmula mixer and bttle insulatr and milk preparatin machines. March 2015 This statement ffers advice t prfessinals
More informationHampton Roads Orthopaedics & Sports Medicine. Notice of Privacy Practices
This is being prvided t yu as a requirement f the privacy regulatins issued under the Health Insurance Prtability and Accuntability Act f 1996 (HIPAA). This ntice describes hw HROSM may use and disclse
More informationPADUA COLLEGE LIMITED ACN 072 693 700 ABN 20 072 693 700
PADUA COLLEGE LIMITED ACN 072 693 700 ABN 20 072 693 700 Plicy Title Versin Number Date Issued Critical Incident Management Plicy 2.0 Nvember 2007 Reviewed April 2010 June 2015 Definitin Critical incidents
More informationCLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS
CLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS Only the Ministry f Training, Clleges & Universities can cnsider clearance reviews fr mst ther student restrictin issues. These
More informationNational Australia Bank Limited Group Disclosure & External Communications Policy
Natinal Australia Bank Limited Grup Disclsure & External Cmmunicatins Plicy Grup Disclsure & External Cmmunicatins Plicy Page 2 f 7 Grup Disclsure & External Cmmunicatins Plicy ( the Plicy ) 1. Overview
More informationData Protection Act Data security breach management
Data Prtectin Act Data security breach management The seventh data prtectin principle requires that rganisatins prcessing persnal data take apprpriate measures against unauthrised r unlawful prcessing
More informationMarch 2016 Group A Payment Issues: Missing Information-Loss Calculation letters ( MILC ) - deficiency resolutions: Outstanding appeals:
The fllwing tpics were discussed in the March 24, 2016 meeting with law firms representing VCF claimants. Grup A Payment Issues: We cntinue t fcus n paying Grup A claims in full and are meeting the schedule
More informationPhi Kappa Sigma International Fraternity Insurance Billing Methodology
Phi Kappa Sigma Internatinal Fraternity Insurance Billing Methdlgy The Phi Kappa Sigma Internatinal Fraternity Executive Bard implres each chapter t thrughly review the attached methdlgy and plan nw t
More informationDRUG, ALCOHOL AND SUBSTANCE MISUSE POLICY FOR THE WORKPLACE
DRUG, ALCOHOL AND SUBSTANCE MISUSE POLICY FOR THE WORKPLACE Intrductin Write yur business name here recgnises that drug, alchl and substance misuse are grwing scial and medical prblems, which can lead
More informationTRIM 64694. User Guide to National Insulin Subcutaneous Order and Blood Glucose Record: Adult
TRIM 64694 User Guide t Natinal Insulin Subcutaneus Order and Bld Glucse Recrd: Adult Cmmnwealth f Australia 2012 This wrk is cpyright. It may be reprduced in whle r in part fr study r training purpses
More informationMedication Guide ANDROGEL (AN DROW JEL) CIII (testosterone gel) 1.62%
Medicatin Guide ANDROGEL (AN DROW JEL) CIII (teststerne gel) 1.62% Read this Medicatin Guide befre yu start using ANDROGEL 1.62% and each time yu get a refill. There may be new infrmatin. This infrmatin
More informationKnee Class Fremont Physical Therapy
Fremnt Knee Facts The knee lses strength and stability after an injury. Stretching, strengthening and stability exercises are recmmended nt nly fr peple wh have injured their knees, but als t prevent injury.
More informationHelpdesk Support Tickets & Knowledgebase
Helpdesk Supprt Tickets & Knwledgebase User Guide Versin 1.0 Website: http://www.mag-extensin.cm Supprt: http://www.mag-extensin.cm/supprt Please read this user guide carefully, it will help yu eliminate
More informationPersonal Data Security Breach Management Policy
Persnal Data Security Breach Management Plicy 1.0 Purpse The Data Prtectin Acts 1988 and 2003 impse bligatins n data cntrllers in Western Care Assciatin t prcess persnal data entrusted t them in a manner
More informationThe Ohio Board of Regents Credit When It s Due process identifies students who
Credit When It s Due/ Reverse Transfer FAQ fr students Ohi is participating in a natinal grant initiative, Credit When It s Due, designed t implement reverse-transfer, which is a prcess t award assciate
More informationSymantec User Authentication Service Level Agreement
Symantec User Authenticatin Service Level Agreement Overview and Scpe This Symantec User Authenticatin service level agreement ( SLA ) applies t Symantec User Authenticatin prducts/services, such as Managed
More informationTRAINING GUIDE. Crystal Reports for Work
TRAINING GUIDE Crystal Reprts fr Wrk Crystal Reprts fr Wrk Orders This guide ges ver particular steps and challenges in created reprts fr wrk rders. Mst f the fllwing items can be issues fund in creating
More informationExecutive Summary DIABETES MELLITUS AND GLUCOSE CONTROL BIOTECHNOLOGY INNOVATION IN DIABETES: INSULIN ANALOGS EXECUTIVE SUMMARY
Executive Summary DIABETES MELLITUS AND GLUCOSE CONTROL Diabetes is widely acknwledged as an immense and grwing public health prblem. The disease is assciated with increased risk f death, decreased quality
More informationUNIVERSITY OF CALIFORNIA MERCED PERFORMANCE MANAGEMENT GUIDELINES
UNIVERSITY OF CALIFORNIA MERCED PERFORMANCE MANAGEMENT GUIDELINES REFERENCES AND RELATED POLICIES A. UC PPSM 2 -Definitin f Terms B. UC PPSM 12 -Nndiscriminatin in Emplyment C. UC PPSM 14 -Affirmative
More informationCMS Eligibility Requirements Checklist for MSSP ACO Participation
ATTACHMENT 1 CMS Eligibility Requirements Checklist fr MSSP ACO Participatin 1. General Eligibility Requirements ACO participants wrk tgether t manage and crdinate care fr Medicare fee-fr-service beneficiaries.
More informationHow To Get A Credit By Examination
LAW ENFORCEMENT TECHNOLOGY CREDIT BY EXAMINATION FACT SHEET Texas Ri Salad Cllege, a Maricpa Cunty Cmmunity Cllege in Tempe, Arizna, is prud t annunce its Credit by Examinatin prgram in Law Enfrcement
More informationSKILLS CANADA - ONTARIO
Emplyment Plicy and Prcedure Manual Sectin: Cmmunicatin SPP N: 4.06 Subject: AODA Custmer Service Issued: January 31, 2016 Issue t: All Manual Hlders Replaces: NA Issued by: Re-Evaluatin Date: NA Executive
More informationedoc Lite Recruitment Guidelines
edc Lite Recruitment Guidelines Intrductin OneStart & the Academic Psitin Search Channel edc Lite Ruting and Wrkgrups Ruting Actin List Ruting Cntrls Wrkgrups Dcument Search edc Lite Dcuments Vacancy Ntice
More informationACQUIRED RARE DISEASE DRUG THERAPY EXCEPTION PROCESS
ADMINISTRATIVE POLICY ACQUIRED RARE DISEASE DRUG THERAPY EXCEPTION PROCESS Plicy Number: ADMINISTRATIVE 19.8 T Effective Date: Octber 1, 014 Table f Cntents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS...
More informationWyoming Trauma Conference
Wyming Trauma Cnference Wyming Medicaid Ambulance Services August 22, 2015 Presenters: Kilee Thmpsn and Melissa Davis, Field Representatives CMS-1500 Prvider Manual Lcated n the Wyming Medicaid Website
More informationAim The aim of a communication plan states the overall goal of the communication effort.
Develping a Cmmunicatin Plan- Aim Aim The aim f a cmmunicatin plan states the verall gal f the cmmunicatin effrt. Determining the Aim Ask yurself r yur team what the verall gal f the cmmunicatin plan is.
More informationGroup 3 Flip Chart Notes
MDH-DLI Sympsium -- Meeting Mandates, Making the Cnnectin: Wrkers Cmpensatin Electrnic Health Care Transactins -- Nvember 5, 2014 Grup 3 Flip Chart Ntes Meeting Mandates, Making the Cnnectin: Wrkers Cmpensatin
More informationGUIDANCE FOR BUSINESS ASSOCIATES
GUIDANCE FOR BUSINESS ASSOCIATES This Guidance fr Business Assciates dcument is intended t verview UPMCs expectatins, as well as t prvide additinal resurces and infrmatin, t UPMC s HIPAA business assciates.
More informationThe P.S. Program: Using predictive analytics in program implementation
The P.S. Prgram: Using predictive analytics in prgram implementatin Pst Reunificatin Supprt (P.S.) Prgram Overview Helping Families Stay Tgether Wiscnsin s Waiver Demnstratin Prject Develped t address
More informationCOMPREHENSIVE SAFETY ASSESSMENT INSTRUCTIONS for STUDY ABROAD PROGRAMS
COMPREHENSIVE SAFETY ASSESSMENT INSTRUCTIONS fr STUDY ABROAD PROGRAMS Belw is a list f items t address and questins that need t be addressed in the cmprehensive safety assessment. In additin t the safety
More informationHIPAA 5010 Implementation FAQs for Health Care Professionals
HIPAA 5010 Implementatin FAQs fr Health Care Prfessinals Updated September 27, 2012 Key Messages In January 2009, the Department f Health and Human Services published the final rule cntaining the requirements
More informationAccident Investigation
Accident Investigatin APPLICABLE STANDARD: 1960.29 EMPLOYEES AFFECTED: All emplyees WHAT IS IT? Accident investigatin is the prcess f determining the rt causes f accidents, n-the-jb injuries, prperty damage,
More informationProcess for Responding to Privacy Breaches
Prcess fr Respnding t Privacy Breaches 1. Purpse 1.1 This dcument sets ut the steps that ministries must fllw when respnding t a privacy breach. It must be read in cnjunctin with the Infrmatin Incident
More informationHearing Loss Regulations Vendor information pack
Hearing Lss Regulatins Vendr infrmatin pack Nvember 2010 Implementing the Accident Cmpensatin (Apprtining Entitlements fr Hearing Lss) Regulatins 2010 The Minister fr ACC, the Hn. Dr Nick Smith, has annunced
More informationMulti-Year Accessibility Policy and Plan for NSF Canada and NSF International Strategic Registrations Canada Company, 2014-2021
Multi-Year Accessibility Plicy and Plan fr NSF Canada and NSF Internatinal Strategic Registratins Canada Cmpany, 2014-2021 This 2014-21 accessibility plan utlines the plicies and actins that NSF Canada
More informationJohnston Public Schools Special Education Procedural Manual. IEP Overview
Jhnstn Public Schls Special Educatin Prcedural Manual IEP Overview Definitin The Individualized Educatin Prgram (IEP) is a written plan fr the apprpriate educatin f students with disabilities. It is a
More informationInformation Services Hosting Arrangements
Infrmatin Services Hsting Arrangements Purpse The purpse f this service is t prvide secure, supprted, and reasnably accessible cmputing envirnments fr departments at DePaul that are in need f server-based
More informationConnecticut State Department of Education 2014-15 School Health Services Information Survey
Cnnecticut State Department f Educatin 2014-15 Schl Health Services Infrmatin Survey General Directins fr Cmpletin by Schl Nurse Crdinatr/Supervisr This Schl Health Services Infrmatin Survey was designed
More informationExercise 5 Server Configuration, Web and FTP Instructions and preparatory questions Administration of Computer Systems, Fall 2008
Exercise 5 Server Cnfiguratin, Web and FTP Instructins and preparatry questins Administratin f Cmputer Systems, Fall 2008 This dcument is available nline at: http://www.hh.se/te2003 Exercise 5 Server Cnfiguratin,
More informationChlamydia Screening for Women (NQF 0033)
Chlamydia Screening fr Wmen (NQF 0033) EMeasure Name Chlamydia Screening fr Wmen EMeasure Id Pending Versin Number 1 Set Id Pending Available Date N infrmatin Measurement Perid January 1, 20xx thrugh December
More informationPENNSYLVANIA SURPLUS LINES ASSOCIATION Electronic Filing System (EFS) Frequently Asked Questions and Answers
PENNSYLVANIA SURPLUS LINES ASSOCIATION Electrnic Filing System (EFS) Frequently Asked Questins and Answers 1 What changed in Release 2.0?...2 2 Why was my accunt disabled?...3 3 Hw d I inactivate an accunt?...4
More informationMalpractice and Maladministration Policy
TR340 Malpractice and Maladministratin Plicy This plicy aims t: Define malpractice and maladministratin in the cntext f CIM/CAM studying members, Accredited study centres (ASCs), examinatin centres, invigilatrs
More informationPlanning a Successful State LEADS Program
Planning a Successful State LEADS Prgram A Suggested Timeline fr State Federatins Spring State Cnventins Annunce the current year s LEADS candidate at the state Cnventin. Use the pprtunity t build enthusiasm
More informationWatlington and Chalgrove GP Practice - Patient Satisfaction Survey 2011
Watlingtn and Chalgrve GP - Patient Satisfactin Survey 2011 Backgrund During ne week in Nvember last year patients attending either the Chalgrve r the Watlingtn surgeries were asked t cmplete a survey
More informationAccess EEC s Web Applications... 2 View Messages from EEC... 3 Sign In as a Returning User... 3
EEC Single Sign In (SSI) Applicatin The EEC Single Sign In (SSI) Single Sign In (SSI) is the secure, nline applicatin that cntrls access t all f the Department f Early Educatin and Care (EEC) web applicatins.
More informationNew in this release. Sphere 9.4.3.2 (October 2013)
New in this release Sphere 9.4.3.2 (Octber 2013) The fllwing client-facing changes were implemented: An issue that prevented certain Friends Asking Friends spnsrship levels frm appearing as ptins n the
More informationTerms and Conditions of Use of Bewley s Hotel Dublin Airport Car Park
Terms and Cnditins f Use f Bewley s Htel Dublin Airprt Car Park Yu shuld read these Cnditins f Parking carefully as they cntain imprtant infrmatin regarding yur legally binding cntract with us. 1. The
More informationBill Payment Agreement & Disclosures
Bill Payment Agreement & Disclsures Welcme t Online Banking Bill Payment Service. Use f the Bill Payment Service indicates acceptance f terms and cnditins set frth in the Online Banking Agreement & Disclsures
More informationHow to put together a Workforce Development Fund (WDF) claim 2015/16
Index Page 2 Hw t put tgether a Wrkfrce Develpment Fund (WDF) claim 2015/16 Intrductin What eligibility criteria d my establishment/s need t meet? Natinal Minimum Data Set fr Scial Care (NMDS-SC) and WDF
More informationNHS Citizen Assembly Stocktake (March 2015) Mental health and parity of esteem. Version 1
NHS Citizen Assembly Stcktake (March 2015) Mental health and parity f esteem Versin 1 1 Mental health and parity f esteem Parity f Esteem Objective 1. In line with the cmmitment in the Mandate, 2013 t
More informationPolicy Title: Infection Control in the Dental Laboratory Policy Number: 16. Effective Date: 6/10/2013 Review Date: 6/10/2016
Plicy Title: Infectin Cntrl in the Dental Labratry Plicy Number: 16 6.16. Disinfectin: 6.16.1. Prsthdntic items cntaminated by handling shuld be disinfected (by spray r immersin technique based n type
More informationBreast Cancer. Patient Resources. Classification of Breast Cancer YOUR GUIDE TO
YOUR GUIDE TO Breast Cancer Classificatin f Breast Cancer Treatment Optins Fllw-up Patient Resurces Patient Resurces Natinal Cancer Centre Cancer Helpline Tel: 6225 5565 www.nccs.cm.sg Breast Cancer Fundatin
More informationSTEP 1: Student Application Submission
Student Applicatin Prcess fr Chice Districts Interdistrict Public Schl Chice Prgram New Jersey State Department f Educatin P.O. Bx 500 Trentn, New Jersey 08625-0500 Email: pschice@de.state.nj.us STEP 1:
More informationPersonal Support Plan
HIGHLIGHT AND PLACE NAME HERE Date f PSP: Date f Disseminatin: Persnal Supprt Plan Residential and Vcatinal/Day Services Residential Services Only Vcatinal/Day Services Only Self-Directed Services (must
More informationUsing Sentry-go Enterprise/ASPX for Sentry-go Quick & Plus! monitors
Using Sentry-g Enterprise/ASPX fr Sentry-g Quick & Plus! mnitrs 3Ds (UK) Limited, February, 2014 http://www.sentry-g.cm Be Practive, Nt Reactive! Intrductin Sentry-g Enterprise Reprting is a self-cntained
More informationAustralian Institute of Psychology. Human Research Ethics Committee. Terms of Reference
Australian Institute f Psychlgy Human Research Ethics Cmmittee Terms f Reference What is research? Accrding t the Natinal Statement research... is widely understd t include at least investigatin undertaken
More informationPrivacy Breach and Complaint Protocol
Privacy Breach and Cmplaint Prtcl Effective: December 31, 2012 Apprved by: Le McKenna, CFO 1.0 General Privacy breaches and privacy cmplaints will be handled in accrdance with this prtcl. This prtcl is
More information3/2 MBA Application Instructions
3/2 MBA Applicatin Instructins IMPORTANT INFORMATION Deadlines fr admissin are psted t the 3/2 MBA website. Applicatins are encuraged t be submitted by Nvember 1 f the Junir year. Please nte that all required
More informationIMPORTANT INFORMATION ABOUT MEDICAL CARE FOR YOUR WORK-RELATED INJURY OR ILLNESS
IMPORTANT INFORMATION ABOUT MEDICAL CARE FOR YOUR WORK-RELATED INJURY OR ILLNESS MEDICAL PROVIDER NETWORK (MPN) NOTIFICATION If yu are injured at wrk, Califrnia Law requires yur emplyer t prvide and pay
More informationOTOLARYNGOLOGY PHYSICIAN ASSISTANT CLINICAL PRIVILEGES
Ntice t Applicant: Applicants have the burden f prducing infrmatin deemed adequate by University f Mississippi Medical Center (UMMC) fr a prper evaluatin f current cmpetence, current clinical activity,
More informationGFWC Leadership Education and Development Seminar (LEADS)
GFWC Leadership Educatin and Develpment Seminar (LEADS) Infrmatin fr GFWC State Federatins The GFWC LEADS prgram is intended t identify GFWC members at the grassrts level wh have the ptential and the desire
More informationAddressing Drug and Device Recalls in Hospitals
Addressing Drug and Device Recalls in Hspitals Develped by participants at the meetings f the Califrnia State Bard f Pharmacy s Subcmmittee t Evaluate Drug Distributin in Hspitals January 2010 BOARD MEMBERS
More informationThe Stanley Foundation 209 Iowa Avenue Muscatine, IA 52761 563-264-1500 563-264-0864 FAX EVENT PLANNER S GUIDE
The Stanley Fundatin 209 Iwa Avenue Muscatine, IA 52761 563-264-1500 563-264-0864 FAX EVENT PLANNER S GUIDE Table f Cntents Abut the Nw Shwing Event-in-a-Bx Tlkit...2 Event Planning Checklist...4 Pre-Event
More informationAdductor Tendonopathy Rehabilitation Programme
Adductr Tendnpathy Rehabilitatin Prgramme Updated May 2010 This prgramme has been develped t enable swelling and discmfrt t settle quickly, t prmte rapid healing f the injury while maintaining a gd level
More informationFinancial Accountability Handbook
Financial Accuntability Handbk >> Vlume 5 Reprting Systems Infrmatin Sheet 5.2 Preparatin f Financial Statements Intrductin The Financial Accuntability Act 2009 (the Act) and the Financial and Perfrmance
More informationDr G Gupta. South Reddish Medical Centre. Patient Participation Group Action Plan 2014/15
Dr G Gupta Suth Reddish Medical Centre Patient Participatin Grup Actin Plan 2014/15 Imprving Access Bkable, Acute & Rutine Appintments 82% f patients wh cmpleted ur survey were fairly satisfied with the
More informationWhat Happens To My Benefits If I Get a Bunch of Money? TANF Here is what happens if you are on the TANF program when you get lump-sum income:
126 Sewall Street Augusta, Maine 04330-6822 TTY/Vice: (207) 626-7058 Fax: (207) 621-8148 www.mejp.rg What Happens T My Benefits If I Get a Bunch f Mney? Each prgram, (TANF, SSI, MaineCare, etc.) has its
More informationCustomer Care Policy
Custmer Care Plicy Page 1 f 12 CUSTOMER CARE POLICY Keighley & District Vlunteer Centre and Bradfrd Vlunteer Centre are independent charities that wrk in partnership t prmte vlunteering and t supprt lcal
More informationPost-Baccalaureate Certificate Programs
Pst-Baccalaureate Certificate Prgrams Certificate prgrams benefit students and/r interest by prviding greater flexibility and brader training in areas related t the students' majr fields and making thse
More informationFREE TO BREATHE ACCELERATE CLINICAL TRIALS GRANT REQUEST FOR APPLICATIONS
AWARD OVERVIEW FREE TO BREATHE ACCELERATE CLINICAL TRIALS GRANT REQUEST FOR APPLICATIONS Free t Breathe has a new funding pprtunity fcused n research t investigate strategies and interventins t increase
More informationAccessible Service Policy
Accessible Service Plicy Date Created Revisin Oct. 16, 2012 1 Gal This plicy is intended t meet the requirements f the Accessibility Standards fr Custmer Service, Ontari Regulatin 429/07 under the Accessibility
More informationANTIMICROBIAL STEWARDSHIP: START SMART - THEN FOCUS. Guidance for Antimicrobial Stewardship for Hospitals in Wales
ANTIMICROBIAL STEWARDSHIP: START SMART - THEN FOCUS Guidance fr Antimicrbial Stewardship fr Hspitals in Wales Antimicrbial Stewardship: Start Smart - then Fcus Right Drug, Right Dse, Right Time, Right
More informationAmbulance and Medical Transport Services
MEDICAL POLICY POLICY RELATED POLICIES POLICY GUIDELINES DESCRIPTION SCOPE BENEFIT APPLICATION RATIONALE REFERENCES CODING APPENDIX HISTORY Ambulance and Medical Transprt Services Number 10.01.512* Effective
More information