The provision of safe and effective care for all patients undergoing diagnostic and interventional radiologic procedures.
|
|
- Esmond White
- 7 years ago
- Views:
Transcription
1 HOSPITAL NAME INSTITUTIONAL POLICY AND PROCEDURE (IPP) Department: Radiology/Nursing Manual: Section: TITLE/DESCRIPTION POLICY NUMBER GUIDELINES OF CARE & PRACTICE: RADIOLOGY PATIENTS EFFECTIVE DATE REVIEW DUE REPLACES NUMBER NO. OF PAGES APPROVED BY APPLIES TO PURPOSE The provision of safe and effective care for all patients undergoing diagnostic and interventional radiologic procedures. RESPONSIBILITY CROSS REFERENCES POLICY Defines the minimum guidelines for nursing care for all patients undergoing diagnostic and interventional radiology procedures including during transport to and from Radiology Department and during all Radiology procedures and studies. PROCEDURE PROTOCOL: a. A licensed nurse from the unit will accompany patients during transport to and from Radiology and remain in Radiology if the patient is in ICU monitored bed. Exception: Patient in an ICU with written orders to be transferred to a non-monitored bed. b. A licensed nurse shall accompany all monitored patients not in an ICU. The RN responsible for the patient will determine (in collaboration with the physician) the need to continue or discontinue monitoring during transport and will obtain a physician s order when discontinuation of monitoring for transport and procedure/study time is deemed appropriate. c. A licensed nurse form the unit/floor shall accompany all hemodynamically unstable or potentially high risk patients during transport to and from Radiology Department and remain with the patient during the procedure/study Monitoring includes: SaO2&/or apnea &or cardiac d. When a monitored patient is transported to the Radiology Department without a monitor per MD order, or monitoring has been discontinued within two hours of the transport, the nurse taking care of the patient will communicate report directly to a member of the Radiology nursing staff prior to transport. The unit/floor nurse is to call the Radiology Control Desk who will page the Radiology Charge Nurse or nurse on call for report. This report will include: 1. Patient s related history 2. Hemodynamic Status 3. Potential High Risk Considerations 4. Whether monitoring is to be continued during the procedure/study while in Radiology. 5. Notification if multiple radiologic procedures are ordered. Standards Page 1 of 1
2 6. Infection Control (Isolation) status (when applicable) e. Assessment parameters will be based on the patient s condition and the specific procedure to be performed. f. All patients will have a brief history obtained prior to administration of any medication and/or contrast media. The history will include, but not limited to, history of prior contrast administration and allergies. g. Pediatric patients will be supervised at all times. h. An RN will monitor all patients undergoing invasive arterial/venous procedures. Monitoring will minimally include the following: 1.Cardia Monitoring 2. Blood Pressure Monitoring 3. Pulse Oximetry 4. Vital signs at least every 15 minutes 5. Neurological assessment during neurovascular studies i. An RN will monitor all patients undergoing procedures requiring moderate sedation according to the guidelines stated in hospital policy (Sedation and Analgesia) j. Patients may receive medication to decrease their anxiety, discomfort, and/or pain during procedures as medically indicated 1. Only a licensed nurse will administer medications. Only an RN or MD may administer IV medication Exception: Radiopharmaceutical and contrast agents may be administered by Radiology Technologists 2. Prior to the administration of medication, the following information must be obtained (per nurse-tonurse report for inpatients or from medical record, patient and/or family members for outpatients), when possible: a. Age b. Weight c. Past Medical History d. History of Sedation e. Allergies f. Length of Study g. Specific ports to be used for administration of medications and/or contrast media. h. Determination of other procedures that may require sedation and/or nursing support. 3. Prior to the administration of any medication for the purpose of moderate sedation, the guidelines listed in the hospital policy Sedation and Analgesia) k. The patient s status, interventions, and any adverse reactions during and after a Radiology procedure/study with Radiology nursing involvement will be communicated verbally to the staff of the unit/floor receiving the patient after the procedure and will be documented in the patient s medical record. l. Pre-procedure preparation for scheduled procedures will be communicated to the patient care units/floors to 1) minimize radiations 2) reduce the need to repeat examinations 3) decrease the hospital stay. m. Whenever possible, multiple Radiology procedures and studies will be coordinated through the Control Desk or the Radiology Charge Nurse in order to minimize the number of required transports off the unit. n. While in the Radiology Department, patients will receive safe, appropriate, efficient, coordinated care in the event of an emergency: 1. All Radiology RNs will be ACLS/PALS certified and have arrhythmia training Standards Page 2 of 2
3 2. All Radiology nursing staff will be required to attend all mandatory inservices applicable to their role. 3. Emergency drugs, equipment, and supplies will be inventoried daily to assure control, availability and proper functioning. PROCEDURE(S) Considerations: 1. MD/RN need to evaluate appropriateness of each transport. 2. Time required for transport to and from Radiology 3. Staff needed to transport 4. Equipment needed to transport (i.e., O2 cylinder / ventilator, resuscitation bag and mask, cardiac monitoring, emergency drugs, etc.) 5. Clamp any gastric or duodenal tubes for transport time with information given for care during procedure to staff / RN with patient. 6. Appropriate staff available to receive patient and assume responsibility to care OR appropriate staff available to travel and/or stay with patient for time in Radiology. 7. All chest tubes are at least to water-seal drainage with a MD order or per unit standards (suction may need to be applied immediately upon transport to patient care area or procedure room). 8. Schedule multiple tests during a single transport. 9. Need for procedure rescheduling (i.e., conflicts with other procedures, deterioration of condition, patient s ability to tolerate transport and procedure, ventilator adjustments) 10. Patient s need for sedation and/or pain control. 11. Patient s airway needs (i.e., ET Tube, tracheostomy, stomas, ability to maintain own secretions, history of seizure disorder, trauma or surgical intervention). 12. patient s ability to communicate (i.e., artificial airway, language barriers, cultural differences) 13. Security needs for the patient 14. Infection Control needs for the patient 15. Communication needs for technical, transport, physician and nursing staff. PATIENT/FAMILY EDUCATION: a. All radiological procedures and studies will be explained to the patient, including the location of the procedure/study, the approximate length of time for the transport and procedure/study, along with a detailed description of the reasons for the procedure/study. Teaching will be appropriate for age and level of learning. b. Any equipment, possible risks, and the roles of the individuals involved in the procedure/study will be explained to the patient prior to the study/procedure. c. All patient and family questions will be addressed in timely manner. d. Explanations will be given regarding any required sedation/analgesia. e. Any post study/procedure instructions and/or transport needs will be explained to patients, families, and receiving staff on inpatient unit/floor for inpatients, to patients, families and/or responsible caregivers for outpatients prior to discharge (i.e: post arteriogram orders for body positioning requirements) f. All instruction will be provided with appropriate age specific focus including assessment of challenges to learning, previous knowledge/experience, and level of participation in teaching/learning experience. Standards Page 3 of 3
4 DOCUMENTATION: a. Patient assessments according to level of care (RN involvement only) will be documented. b. All invasive procedures will be documented including but not limited to IV starts and catheter placements. c. All medication administrations including radiopharmaceutical and contrast agents will be documented including patient response. d. Continuing needs of patients post-procedure / transport will be documented. e. Patient and family education will be documented on form Inpatient/Outpatient Radiology Documentation Record. f. Report given prior to procedure and post-procedure will be documented with individual giving and receiving7 report specified in the documentation. FORMS EQUIPMENT If patient has an artificial airway and requires artificial ventilation: a. Full Oxygen (O2) Cylinder (2000psi) with patient specific supplies. b. Resuscitator bag with mask c. Pulse Oximeter d. ETCO2 monitor as deemed necessary by MD, RN, and/or Respiratory Care Personnel e. Cardiac Monitor f. Medications for resuscitation as defined by unit specific standards g. Extra endotracheal tube and/or tracheostomy tube (as deemed needed by RN) h. Portable suction machine and suction kits (as deemed need by RN) i. Transport ventilator for patients who require a Positive End Expiratory Pressure > 15cmH20 (and/or appropriate resuscitator bag with mask & Positive End Expiratory Pressure capability) If patient has an artificial airway, but does not require artificial ventilation: a. Full Oxygen (O2) Cylinder (2000psi) with supplies specific to patient s need. b. Resuscitator bag with mask or tracheostomy adapter c. Obturator for tracheostomy tube d. Portable suction machine and suction kit (as deemed needed by RN) If the patient is on supplemental oxygen, but does not have an artificial airway: a. Full Oxygen (O2) Cylinder (2000psi) with supplies specific to patient s need. b. Supplemental 02 equipment (i.e., nasal cannula, face mask etc ) c. Pulse oximeter (MD, RN or RCP deemed necessary) d. Call Respiratory Care (RCP) for patients with high oxygen requirements. Monitoring (Continuous) a. ECG Monitor (as deemed necessary by MD, RN) b. Pulse oximeter (as deemed necessary by MD, RN) c. Other transport monitoring systems as deemed necessary by MD, RN (i.e.: ICP monitoring, Arterial line monitoring, ETCO2 monitoring for mechanically ventilated patients, etc..) REFERENCES Standards Page 4 of 4
5 APPROVAL: Prepared by Reviewed by Approved By Approved By Latest Revision Approved By Name Signature Date Standards Page 5 of 5
1.4.4 Oxyhemoglobin desaturation
Critical Care Therapy and Respiratory Care Section Category: Clinical Section: Clinical Monitoring Title: Monitoring of Patients Undergoing Conscious Sedation Policy #: 09 Revised: 05/00 1.0 DESCRIPTION
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE
UNIT: INTENSIVE CARE UNIT - ICU SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: INTENSIVE CARE UNIT-ICU STANDARD I - SAFETY 3/88
More informationCH CONSCIOUS SEDATION
Summary: CH CONSCIOUS SEDATION It is the policy of Carondelet Health that moderate conscious sedation of patients will be undertaken with appropriate evaluation and monitoring. Effective Date: 9/4/04 Revision
More information*Reflex withdrawal from a painful stimulus is NOT considered a purposeful response.
Analgesia and Moderate Sedation This Nebraska Board of Nursing advisory opinion is issued in accordance with Nebraska Revised Statute (NRS) 71-1,132.11(2). As such, this advisory opinion is for informational
More informationTitle/Subject Procedural Sedation and Analgesia Page 1 of 10
Policy Procedural Sedation and Analgesia Page 1 of 10 Scope: Providers and nurses (M.D., D.O., D.M.D., D.D.S., A.P.R.N., P.A., R.N.) with appropriate privileges and who have successfully demonstrated adequate
More informationSARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: NON-INVASIVE POSITIVE PRESSURE (NPPV) VENTILATION (CPAP/BIPAP) Job Title of Reviewer: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Director, Respiratory
More informationNURSING SERVICES DEPARTMENT
NURSING SERVICES DEPARTMENT TITLE: Mechanical Ventilation PATIENT CARE PLAN DIAGNOSIS: DISCHARGE CRITERIA: 1 The patient will: Maintain adequate mechanics of PERTINENT INFORMATION:. ventilation as demonstrated
More informationLevels of Critical Care for Adult Patients
LEVELS OF CARE 1 Levels of Critical Care for Adult Patients STANDARDS AND GUIDELINES LEVELS OF CARE 2 Intensive Care Society 2009 All rights reserved. No reproduction, copy or transmission of this publication
More informationCUESTA COLLEGE REGISTERED NURSING PROGRAM CRITICAL ELEMENTS
CUESTA COLLEGE REGISTERED NURSING PROGRAM CRITICAL ELEMENTS LEVELS I through IV A. OVERRIDING CRITICAL ELEMENTS Violation of an overriding area will result in termination and failure of the particular
More informationDRAFT 7/17/07. Procedural Sedation and Rapid Sequence Intubation (RSI) Consensus Statement
Procedural Sedation and Rapid Sequence Intubation (RSI) Consensus Statement Many patients with emergency medical conditions in emergency and critical care settings frequently experience treatable pain,
More informationVirginia Office of Emergency Medical Services Scope of Practice - Procedures for EMS Personnel
Specific tasks in this document shall refer to the Virginia Education Standards. AIRWAY TECHNIQUES Airway Adjuncts Airway Maneuvers Alternate Airway Devices Cricothyrotomy Obstructed Airway Clearance Intubation
More informationSimulation Design Template
Simulation Design Template Date: May 7, 2008 Discipline: Expected Simulation Run Time: 20 mins Location: hospital ER Admission Date: Today s Date: Brief Description of Client Name: Mr. Crash Gender: M
More informationRESPIRATORY THERAPIST CLASSIFICATION SERIES
STATE OF WISCONSIN CLASSIFICATION SPECIFICATION RESPIRATORY THERAPIST CLASSIFICATION SERIES Effective Date: June 16, 1985 Modified Effective: November 5, 2000 Modified Effective: May 6, 2001 I. INTRODUCTION
More informationTitle/Description: Admission Criteria, Discharge Criteria, and Standards of Operation of the Pediatric Intensive Care Unit.
University of Kentucky / UK HealthCare Policy and Procedure Policy # CH02-02 Title/Description: Admission Criteria, Discharge Criteria, and Standards of Operation of the Pediatric Intensive Care Unit.
More informationHealthcare Inspection. Evaluation of Management of Moderate Sedation in Veterans Health Administration Facilities
Department of Veterans Affairs Office of Inspector General Healthcare Inspection Evaluation of Management of Moderate Sedation in Veterans Health Administration Facilities Report No. 04-00330-15 November
More informationMississippi Board of Nursing
Mississippi Board of Nursing Regulating Nursing Practice www.msbn.state.ms.us 713 Pear Orchard Road, Suite 300 Ridgeland, MS 39157 Administration and Management of Intravenous (IV) Moderate Sedation POSITION
More informationCritical Care Therapy and Respiratory Care Section
Critical Care Therapy and Respiratory Care Section Category: Clinical Section: Special Procedures Title: Transport of Critically Ill Patients Policy #: 05 Revised: 04/00 1.0 DESCRIPTION 1.1 Definition:
More informationTRANSPORT OF CRITICALLY ILL PATIENTS
TRANSPORT OF CRITICALLY ILL PATIENTS Introduction Inter-hospital and intra-hospital transport of critically ill patients places the patient at risk of adverse events and increased morbidity and mortality.
More informationCorporate Medical Policy
File Name: anesthesia_services Origination: 8/2007 Last CAP Review: 1/2016 Next CAP Review: 1/2017 Last Review: 1/2016 Corporate Medical Policy Description of Procedure or Service There are three main
More informationCredentialing Criteria for Privileges to Administer Sedation/Analgesia by the Non- Anesthesiologist
Credentialing Criteria for Privileges to Administer Sedation/Analgesia by the Non- Anesthesiologist Administrative Policy & Procedure - Jersey Shore University Medical Center Document Number: JM-ADMIN-0004
More informationNurses Competencies in Caring for Mechanically Ventilated Patients, What does the Evidence Say? Dr. Samah Anwar Dr. Noha El-Baz
Nurses Competencies in Caring for Mechanically Ventilated Patients, What does the Evidence Say? Dr. Samah Anwar Dr. Noha El-Baz The mechanically ventilated patient presents many challenges for the intensive
More informationClinical Instructor Orientation Competency Validation Tool
Name: Department: Date Orientation Began: Signature of Preceptor or Evaluators/Initials Levels of Performance: Novice: Novice clinical instructors are gaining knowledge and experience in clinical and technical
More informationGuidelines for Specialized Health Care Procedures (Revision 2004)
Guidelines for Specialized Health Care Procedures (Revision 2004) Vickie H. Southall, MSN, RN Family, Community, and Mental Health Systems Department School of Nursing University of Virginia for the Virginia
More informationETCO2 Monitoring: Riding the Wave! Disclosure 4/11/2013
ETCO2 Monitoring: Riding the Wave! Debbie Fox, MBA, RRT-NPS, FAARC Director, Respiratory Care Wesley Medical Center Disclosure I have no financial conflicts to disclose. I have participated in focus groups
More informationLOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION Hospital Policy Manual Purpose: To define the components of the paper and electronic medical record
More informationSTATE OF NEBRASKA STATUTES RELATING TO RESPIRATORY CARE PRACTICE ACT
2012 STATE OF NEBRASKA STATUTES RELATING TO RESPIRATORY CARE PRACTICE ACT Department of Health and Human Services Division of Public Health Licensure Unit 301 Centennial Mall South, Third Floor PO Box
More informationPROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice
PROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice P.O. BOX 2129 Raleigh, NC 27602 (919) 782-3211 FAX (919) 781-9461 Nurse Aide II Registry (919) 782-7499 www.ncbon.com Issue: Administration
More informationCollege of Applied Medical Sciences\ Department of Nursing
2 nd Edition 2014/2015 College of Applied Medical Sciences\ Department of Nursing CAMS/ Department of Nursing/ Internship Training Logbook 2 nd Edition 1 INTERNSHIP TRAINING LOGBOOK Nurse Intern Name:
More informationRESPIRATORY THERAPIST CLASSIFICATION SERIES
STATE OF WISCONSIN CLASSIFICATION SPECIFICATION RESPIRATORY THERAPIST CLASSIFICATION SERIES Effective Date: June 16, 1985 Modified Effective: November 5, 2000 Modified Effective: May 6, 2001 Modified Effective:
More informationAUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 RECOMMENDATIONS FOR THE POST-ANAESTHESIA RECOVERY ROOM
Review PS4 (2006) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 RECOMMENDATIONS FOR THE POST-ANAESTHESIA RECOVERY ROOM 1. INTRODUCTION A well-planned, well-equipped, well-staffed
More informationCenter for Medicaid and State Operations/Survey and Certification Group
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-12-25 Baltimore, Maryland 21244-1850 Center for Medicaid and State Operations/Survey
More informationPATIENT CARE STANDARD
Sutter Medical Center, Sacramento Nursing POLICY STATEMENT: PATIENT CARE STANDARD It is the policy of hospitals within the Sutter Sacramento Region to provide a uniform, safe, and evidence-based standards
More informationGuidelines for Standards of Care for Patients with Acute Respiratory Failure on Mechanical Ventilatory Support
Guidelines for Standards of Care for Patients with Acute Respiratory Failure on Mechanical Ventilatory Support Copyright by the SOCIETY OF CRITICAL CARE MEDICINE These guidelines can also be found in the
More informationST. ROSE HOSPITAL Job Description
ST. ROSE HOSPITAL Job Description JOB TITLE/CLASSIFICATION... REGISTERED RESPIRATORY THERAPIST (RRT) (163) DEPARTMENT... PULMONARY SERVICES STATUS... NON-EXEMPT RELATIONSHIPS Reports to... PULMONARY SUPERVISOR
More informationClinical Nurse Specialist (CNS) & Nurse Practitioner (NP) Advanced Practice Nurse Survey
1 Clinical Nurse Specialist (CNS) & Nurse Practitioner (NP) Advanced Practice Nurse Survey 1. Name 2. Preferred Mailing Address 3. Phone Number: Office Fax Unit Home 4. Email Address 5. Your Current Job
More informationScope and Standards for Nurse Anesthesia Practice
Scope and Standards for Nurse Anesthesia Practice Copyright 2013 222 South Prospect Ave. Park Ridge, IL 60068 www.aana.com Scope and Standards for Nurse Anesthesia Practice The AANA Scope and Standards
More informationED PATIENT INTERFACILITY TRANSFERS
Page 1 ED PATIENT INTERFACILITY TRANSFERS APPROVED: EMS Medical Director EMS Administrator 1. Purpose 1.1. To provide guidance for emergency departments on ground ambulance transport of patients that require
More informationSedation-Analgesia Quality Improvement
Sedation Analgesia Credentialing For New Credentialing Completion of the Sedation Analgesia Course and satisfactory completion of the post-course test. ACLS or PALS certification For Renewal Performance
More informationPATIENT CARE SERVICES POLICY AND PROCEDURE
PATIENT CARE SERVICES POLICY AND PROCEDURE Title: Transportation of Patients Within a CHN Facility Section: Provision of Care, Treatment, and Services Department of Origin: Patient Care Services Effective
More informationI) Rotation Goals. Teaching Methods
I) Rotation Goals UNMC Anesthesia Rotation Rotation Goals and Objectives Pulmonary/Critical Care Medicine Fellowship Program University of Nebraska Medical Center Revised: 3/2016 A) To manage patients
More information2008 Coding Questions and Answers
2008 Coding Questions and Answers 1. An infant is born at 29 wks gestation and has RDS. His birthweight is 1200 gms. He is admitted to the NICU. It is evident that he has severe RDS and a decision is made
More informationSue Carol Verrillo, RN, MSN, CRRN The Johns Hopkins Hospital November 14, 2014
Early Detection of Patient Deterioration Using Remote Patient Monitoring with Wireless Nurse Notification Sue Carol Verrillo, RN, MSN, CRRN The Johns Hopkins Hospital November 14, 2014 1 Why Remote Patient
More informationSchedule 3. Services Schedule. Respiratory Therapy
Respiratory Therapy Services Schedule 20122014 Consolidated Services Version Template Final Version September, 20122014 Schedule 3 Services Schedule Respiratory Therapy Respiratory Therapy Services Schedule
More informationNCCEP Standards. NCCEP Standards for EMS Equipment
NCCEP Standards NCCEP Standards for EMS Equipment Performance Standards 2009 . The baseline equipment required in all systems (including Specialty Care Transport Programs) with EMS personnel credentialed
More informationLevel 4 Trauma Hospital Criteria
Level 4 Trauma Hospital Criteria Hospital Commitment The board of directors, administration, and medical, nursing and ancillary staff shall make a commitment to providing trauma care commensurate to the
More informationEmergency Medical Services Advanced Level Competency Checklist
Emergency Services Advanced Level Competency Checklist EMS Service: Current License in State of Nebraska: # (Copy of license kept in file at station) Date of joining EMS Service: EMS Service Member Name:
More informationCPT Pediatric Coding Updates 2009. The 2009 Current Procedural Terminology (CPT) codes are effective as of January 1, 2009.
CPT Pediatric Coding Updates 2009 The 2009 Current Procedural Terminology (CPT) codes are effective as of January 1, 2009. NEW CODES Evaluation and Management Services Normal Newborn Care Codes 99431-99440
More informationScope and Standards for Nurse Anesthesia Practice
Scope and Standards for Nurse Anesthesia Practice Copyright 2010 222 South Prospect Ave. Park Ridge, IL 60068 www.aana.com Scope and Standards for Nurse Anesthesia Practice The AANA Scope and Standards
More informationSchool-Based Health Services Medicaid Policy Manual. Nursing Services MODULE 2
School-Based Health Services Medicaid Policy Manual Nursing Services MODULE 2 Administrative Requirements BACKGROUND School-Based Health Services are regulated by the Centers of Medicaid and Medicare Services
More informationTarget groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.
Overview Estimated scenario time: 10 15 minutes Estimated debriefing time: 10 minutes Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.
More informationPercutaneous Abscess Drainage
Scan for mobile link. Percutaneous Abscess Drainage An abscess is an infected fluid collection within the body. Percutaneous abscess drainage uses imaging guidance to place a thin needle through the skin
More informationPHSW Procedural Sedation Post-Test Answer Key. For the following questions, circle the letter of the correct answer(s) or the word true or false.
PHSW Procedural Sedation Post-Test Answer Key 1 1. Define Procedural (Conscious) Sedation: A medically controlled state of depressed consciousness where the patient retains the ability to continuously
More informationPerioperative Management of Patients with Obstructive Sleep Apnea. Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine
Perioperative Management of Patients with Obstructive Sleep Apnea Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine Disclosures. This activity is supported by an education grant from Trivalley
More informationDISCHARGE CRITERIA FOR PHASE I & II- POST ANESTHESIA CARE
REFERENCES: The Joint Commission Accreditation Manual for Hospitals American Society of Post Anesthesia Nurses: Standards of Post Anesthesia Nursing Practice (1991, 2002). RELATED DOCUMENTS: SHC Administrative
More informationPrinted document is accurate & current for 48 hours from 09/02/10 08:41:06.
BryanLGH MEDICAL CENTER PROCEDURE TRANSPORTING PATIENTS WITHIN THE MEDICAL CENTER PURPOSE Date Originated: Effective: Designated Review: PC.A.66 September 17, 2001 November 13, 2009 November 1, 2012 To
More informationMODEL SEDATION PROTOCOL FOR MODERATE SEDATION AND ANALGESIA PERFORMED BY NON-ANESTHESIA PROVIDERS DURING PROCEDURES
MODEL SEDATION PROTOCOL FOR MODERATE SEDATION AND ANALGESIA PERFORMED BY NON-ANESTHESIA PROVIDERS DURING PROCEDURES ON ADULTS AND CHILDREN OLDER THAN 10 YEARS OF AGE. PURPOSE This policy has been established
More informationAMERICAN COLLEGE OF EMERGENCY PHYSICIANS CRUISE SHIP MEDICINE SECTION (CSMS) CRUISE SHIP HEALTHCARE GUIDELINES. January 2013
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS CRUISE SHIP MEDICINE SECTION (CSMS) CRUISE SHIP HEALTHCARE GUIDELINES January 2013 Contents GUIDELINE 1: MEDICAL FACILITY... 2 GUIDELINE 2: STAFF... 3 GUIDELINE
More informationCounty of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy #604: Do Not Resuscitate (DNR) / Advance Directives DO NOT RESUSCITATE (DNR) / ADVANCE DIRECTIVES Effective: September 12, 2014 Replaces:
More informationRegions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationUNMH Procedural Sedation Privileges
o Initial privileges (initial appointment) o Renewal of privileges (reappointment) o Expansion of privileges (modification) All new applicants must meet the following requirements as approved by the UNMH
More informationSchool Based Health Services Medicaid Policy Manual MODULE 2 NURSING SERVICES
School Based Health Services Medicaid Policy Manual MODULE 2 SERVICES BACKGROUND Administrative Requirements SCHOOL BASED HEALTH SERVICES ARE REGULATED BY THE CENTERS OF MEDICAID AND MEDICARE (CMS) AND
More informationGENERAL ADMISSION CRITERIA INPATIENT REHABILITATION PROGRAMS
Originator: Case Management Original Date: 9/94 Review/Revision: 6/96, 2/98, 1/01, 4/02, 8/04, 3/06, 03/10, 3/11, 3/13 Stakeholders: Case Management, Medical Staff, Nursing, Inpatient Therapy GENERAL ADMISSION
More informationBoard of Directors. 28 January 2015
Executive Summary Purpose: Board of Directors 28 January 2015 Briefing on the requirements for the Trust to comply with Hard Truths Commitments Regarding the Publishing of Staffing Data Director of Nursing
More informationMedical Surgical Nursing Skills List
Medical Surgical Nursing Skills List Read each of the required clinical skills for a Registered Nurse working on a typical acute medical-surgical unit. Write the number that corresponds to the level of
More informationINTERFACILITY TRANSFERS
POLICY NO: 7013 PAGE 1 OF 8 EFFECTIVE DATE: 07-01-06 REVISED DATE: 03-15-12 APPROVED: Bryan Cleaver EMS Administrator Dr. Mark Luoto EMS Medical Director AUTHORITY: Health and Safety Code, Section 1798.172,
More informationNORTH WALES CRITICAL CARE NETWORK
NORTH WALES CRITICAL CARE NETWORK LEVELS OF CRITICAL CARE FOR ADULT PATIENTS Throughout the work of the North Wales Critical Care Network reference to Levels of Care for the critically ill are frequently
More informationNAME OF HOSPITAL LOCATION DATE
MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES BUREAU OF EMERGENCY MEDICAL SERVICES TRAUMA CENTER SITE REVIEW CRITERIA CHECK SHEET LEVEL I 19CSR 30-40.430 NAME OF HOSPITAL LOCATION DATE (1) GENERAL
More informationCLINICAL PRIVILEGES- NURSE ANESTHETIST
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationDeleted Elements of Performance for Rehabilitation and Psychiatric Distinct Part Units in Critical Access Hospitals
Deleted Elements of Performance for Rehabilitation and Psychiatric Distinct Part Units in Critical Access Hospitals Effective January 1, 2010 Critical Access Hospital Accreditation Program Standard EC.0001
More informationVOCATIONAL NURSE PROGRAM EXPECTED CLINICAL ROTATION PERFORMANCE GUIDELINES
VN: Objective 01 EXPECTED CLINICAL ROTATION PERFORMANCE GUIDELINES Clinical rotation expected performances are reflected in the clinical objectives. Clinical objectives are posted by instructor at each
More informationSouthern Stone County Fire Protection District Emergency Medical Protocols
TITLE Pediatric Medical Assessment PM 2.4 Confirm scene safety Appropriate body substance isolation procedures Number of patients Nature of illness Evaluate the need for assistance B.L.S ABC s & LOC Focused
More informationHealth Care Job Information Sheet #1. Medical Field
Health Care Job Information Sheet #1 Medical Field A. Occupations 1) Paramedic/ Emergency Medical Attendant 2) Medical Office Assistant 3) Other positions in the medical field B. Labour Market Prospects
More informationPOLICIES AND PROCEDURES GOVERNING ANESTHESIA PRIVILEGING IN HOSPITALS
POLICIES AND PROCEDURES GOVERNING ANESTHESIA PRIVILEGING IN HOSPITALS **Hospitals must review and revise with legal counsel and ensure compliance with State and federal laws and regulations. ASA intends
More information2015 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST
2015 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST STUDENT NURSE EXTERNNAME SCHOOL OF NURSING STUDENT AGREEMENT: I request the Clinical Skills Check list be released to (hospital/agency). I
More informationStress Echocardiogram
Purpose: Heart First Guidelines Stress Echocardiogram To outline the guidelines and protocols for performing Stress Echocardiograms as established by the American College of Cardiology References: 1. Stress
More informationPOLICIES & PROCEDURES. ID Number: 1115
POLICIES & PROCEDURES Title: OXYGEN ADMINISTRATION ID Number: 1115 Authorization [X] SHR Nursing Practice Committee Source: Nursing, Respiratory Therapy, Physiotherapy Date Revised: March 2015 Date of
More informationTitle 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 44 BOARD OF DENTAL EXAMINERS Chapter 12 Anesthesia and Sedation Authority: Health Occupations Article, 4-205 Annotated Code of Maryland.01 Scope.
More informationFORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07)
Name FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07) ELIGIBILITY REQUIREMENTS Required Qualifications: Bachelors
More informationHow To Be A Medical Flight Specialist
Job Class Profile: Medical Flight Specialist Pay Level: CG-36 Point Band: 790-813 Accountability & Decision Making Development and Leadership Environmental Working Conditions Factor Knowledge Interpersonal
More informationHeart Center Packages
Heart Center Packages For more information and appointments, Please contact The Heart Center of Excellence at the American Hospital Dubai Tel: +971-4-377-6571 Email: heartcenter@ahdubai.com www.ahdubai.com
More informationDME: Definition... 2 Life Sustaining DME... 3 Oxygen Use Policy... 4 Non-Life Sustaining DME... 7
DME: Definition... 2 Life Sustaining DME... 3 Oxygen Use Policy... 4 Non-Life Sustaining DME... 7 A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee
More informationGuidelines for Transport of the Critically Ill
Page 1 of 16 Guidelines for Transport of the Critically Ill Version Effective Date 1 May 1994 2 Feb 2002 3 Apr 2014 Document Number Prepared by College Guidelines Committee Endorsed by HKCA Council Next
More informationThe applicant may demonstrate current training/education or competency by any one of the following:
Board of Dentistry 1500 SW 1st Avenue Suite 770 Portland, OR 97201-5828 (971) 673-3200 Fax: (971) 673-3202 www.oregon.gov/dentistry EDUCATIONAL REQUIREMENTS FOR NITROUS OXIDE, MINIMAL SEDATION, MODERATE
More informationGuide to Delegation for Colorado School Nurses
School district s responsibility for the student with special health needs All students attending public schools must have access to health care during the school day and for extra curricular school activities,
More informationTRACHEOSTOMY TUBE PARTS
Page1 NR 33 TRACHEOSTOMY CARE AND SUCTIONING Review ATI Basic skills videos: Tracheostomy care and Endotracheal suction using a closed suction set. TRACHEOSTOMY TUBE PARTS Match the numbers on the diagram
More informationTHE AIRWAY IN AEROMEDICAL EVACUATION. PBLD (Problem Based Learning Discussion)
THE AIRWAY IN AEROMEDICAL EVACUATION PBLD (Problem Based Learning Discussion) D. John Doyle MD PhD 2012 Edition Image Credit: http://www.arabianaerospace.aero/media/images/stories/medevac%20services.jpg
More informationScope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety
Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety This document offers an at-a-glance view of the Scope of Practice for
More informationGUIDELINES FOR THE MANAGEMENT OF OXYGEN THERAPY
SOUTH DURHAM HEALTH CARE NHS TRUST GUIDELINES FOR THE MANAGEMENT OF OXYGEN THERAPY AIM To supplement oxygen intake using the appropriate equipment in order to correct hypoxia and relieve breathlessness.
More informationMedical/Surgical Nursing Core Competency Individual Assessment
Name: Orientation Start Date: Completion Date: Instructions: Pre--the nurse will rate each knowledge, skill, or ability (KSA) from 1 (novice) to 5 (expert) in each box. Following orientation or training,
More informationBOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 info@bpsweb.org www.bpsweb.
BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 info@bpsweb.org www.bpsweb.org Content Outline for the CRITICAL PHARMACY SPECIALTY CERTIFICATION
More informationPARAMEDIC TRAINING CLINICAL OBJECTIVES
Page 1 of 21 GENERAL PATIENT UNIT When assigned to the General Patient unit paramedic student should gain knowledge and experience in the following: 1. Appropriate communication with patients and members
More informationCLINICAL PRIVILEGES- NEONATAL NURSE PRACTITIONER
Name: Page 1 Initial Appointment Department Reappointment Specialty All new applicants must meet the following requirements as approved by the governing body effective: 04/01/2015 Applicant: Check off
More informationHe then needs to work closely with the Quality Management Director or Leader and the Risk Manager to monitor the provision of patient care.
Chapter II Introduction The Director has a major role in the effort to provide high quality medical care with a high degree of clinical safety. He is ultimately responsible for the professional conduct
More informationMillikin University Decatur, Illinois. Nursing Internship Application for Summer 2016
Millikin University Decatur, Illinois Nursing Internship Application for Summer 2016 Applicant s Anticipated Graduation Date (Circle Response) December 2016 OR May 2017 * Please complete this application
More informationEnables MDA Medical Teams to categorize victims in mass casualty scenarios, in order to be able to triage and treat casualties
MDA Disposable ALS + BLS Medical Ambulance Equipment Prices shown in CDN. Funds Items Description Picture Mass Casualty ID tag 1000 units = $350 Enables MDA Medical Teams to categorize victims in mass
More informationCollaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care
Collaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care Purpose Section I Introduction/Overview This document authorizes the nurse practitioner
More informationOhio s Do-Not-Resuscitate Law
Ohio s Do-Not-Resuscitate Law Copied from Choices: Living Well at the End of Life developed in collaboration with the Ohio Hospice and Palliative Care Organization, the Ohio State Medical Association,
More informationRESPIRATORY CRITICAL CARE UNIT STUDENT INTERNSHIP SKILLS LIST Provo School District
RESPIRATORY CRITICAL CARE UNIT STUDENT INTERNSHIP SKILLS LIST Provo School District The following procedures and items of equipment should be noted, observed and studied during this clinical rotation period.
More informationHospital Coding Making the Rounds
Hospital Coding Making the Rounds Initial & Subsequent Care, Consults, Discharges, Observation and Critical Care Objectives Participants will be educated on the documentation requirements for Initial and
More information