SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
|
|
|
- Mary Goodwin
- 6 years ago
- Views:
Transcription
1 PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC PAIN MANAGEMENT FOR Job Title of Reviewer: Director, Children s EFFECTIVE DATE: REVISED DATE: POLICY TYPE: (Peds) 10/06 9/07, 1/09 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING NURSING CARE 1 of 6 PURPOSE: POLICY STATEMENT: The goal of the pediatric unit at SMH is to provide atraumatic pain management for needle-stick procedures (if time allows) including peripheral intravenous cannula insertion, venipuncture, port-a-cath access, arterial blood gases, and intramuscular injections. The purpose of this policy is to provide safe protocol-based access to pain management for needle sticks in pediatric patients. 1. Atraumatic needle procedures will be facilitated based on the following information: a. Individualized care by considering patient/family preferences and prior patient experience. b. The nurse asses patient, uses algorithm (see Appendix Table 1) to guide the most appropriate pain management to be used,and enters the order in CareVision as a nursing med order (e.g. LMX 4 cream per protocol ). c. The nurse will assess the patient s history of allergies to local anesthetics and any reactions to topical creams. d. The nurse will coordinate with respiratory therapists and phlebotomists to use topical anesthetic agents or 24% sucrose for needle procedures in appropriate situations. 2. Wong s Principles of Atraumatic Care should be used to minimize pain and stress to all patients during all procedures. The goals are: a. Avoid or reduce intrusive and painful procedures. b. Avoid or reduce other kinds of distress. c. Manage pain. d. Prevent or minimize parent/child separation. e. Promote a sense of control. f. Reduce fear of the unknown. g. Provide opportunity for control. 3. The goal is to provide comfort, analgesia/anesthesia for all needle procedures realizing that at times it is not possible as the use of a topical agent may affect the success of the procedure. 4. Encourage use of the treatment room for all needle procedures in order to preserve the patient s bed as a safe place. 5. Alternative methods of pain control (e.g. distraction, music) should be considered and may be used in addition.
2 2 of 6 6. Discuss with the patient and family the use and variety of pharmacologic and non-pharmacologic pain management options for painful needle procedures. Families and patients should also know that each case is considered individually. 7. Registered nurses may activate orders for topical anesthetics with a physician order following this protocol. 8. Surgical observation patients over eight (8) years of age or with a BMI greater than 30 will have LMX 4 cream applied preoperatively upon arrival to the pediatric unit, unless contraindicated (Refer to Pediatric Intravenous Therapy Policy ). EXCEPTIONS: DEFINITION(S): PROCEDURE: 1. A physician may enter an order to exclude patients from access to topical anesthetics and/or sucrose as described in the Pediatric Pain Management for Needle Sticks Policy. 2. Time-sensitive procedures may not allow for the provision of topical anesthetics in order to protect the safety of the child. In this case, however, it is emphasized that there exist ageappropriate non-pharmacologic techniques which may be employed without time delay (e.g. sucrose, distraction, handholding, etc.). 3. Do not use LMX 4 cream if patient has an allergy to lidocaine. 4. Contraindications to use of LMX 4 include liver disease and pseudocholinesterase deficiency.. 5. Do not use topical anesthetics for finger or heel sticks as it may cause vasoconstriction and make obtaining blood for the sample more difficult. 6. Do not apply to broken or inflamed skin due to potential for toxicity related to risk of increased absorption. Non-pharmacologic pain management: Options to assist with pain management that do not involve use of medications (e.g. distraction, music, comfort measures, drawing, bubble-blowing, singing, reading, guided imagery, television, conversation, pacifiers, etc.) 1. The type of topical anesthetic or analgesia chosen is determined by patient age, personal preference, and type of procedure. Use the following guidelines a. Sucrose use per procedure nur27 ( Sucrose Administration in the NICU, Pediatrics, and Mother- Baby Unit ) b. Sucrose is effective for controlling pain under the age of 6 months and non-pharmacologic pain management. c. In infants 6 months and older, use topical anesthetic on one site only and non-pharmacologic pain management. d. In toddlers, preschoolers, school-age children, and adolescents, use topical anesthetic and age-
3 3 of 6 appropriate non-pharmacologic pain management. 2. The urgency of a medical situation may supercede the use of topical anesthetics for pain management. 3. The nurse assesses the patient and family s perception of the painfulness of the procedure. 4. The nurse considers the patient s level of development and their sedation and anxiety levels. 5. Topical anesthetic: a. LMX 4 (Lidocaine 4%): i. Contraindications to use of LMX 4 include liver disease and pseudocholinesterase deficiency. ii. Apply according to Table 2 LMX 4 Recommended Dose and Application Area for Infants and Child Based on Application to Intact Skin. iii. Use only on intact skin. iv. Do not use if patient has an allergy to lidocaine. v. Apply to the site so that skin is not visualized under cream, not exceeding the maximum dose per procedure/day (please see appendix). vi. Cover with bio-occlusive dressing for at least 30 minutes before the intended needle procedure. Do not leave LMX 4 on longer than 2 hours. vii. Completely wash off LMX 4 prior to IV cannulation, venipuncture, or LP. viii. The vein may constrict after LMX 4 application. A warm compress may help reverse the vasoconstriction sometimes caused by LMX 4. ix. Do not use topical anesthetics for finger or heel sticks as it may cause vasoconstriction and make obtaining blood for the sample more difficult. 1. Report any of the following conditions: a. LMX 4: itching, erythema, rash, edema, urticaria. 1. b. Lidocaine toxicity can cause tremors, convulsions, confusion, bronchospasm or arrhythmias. 2. Patient and Family Instructions: 1. Discuss the use and variety of pharmacologic and non-pharmacologic pain management options for painful needle procedures. 2. Remind patients and families that each case is considered individually. 3. Documentation:
4 4 of 6 a. Enter nursing order per protocol into CareVision as a nursing med order. b. Document and sign off LMX 4 order on medication record. c. Document procedure and interventions, including results from interventions, in pediatric assessment/reassessment flowsheet. d. Document any education provided to patient and family. REFERENCE(S): REVIEWING AUTHORS: All Children s Hospital. (2006). Protocol: Pain management for needle procedures. St. Pete, FL: Division of Patient Care Services. Chen, BK & Cunningham, BB. (2004). Topical anesthetics in children: Agents and techniques that equally comfort patients, parents, and clinicians. Current Opinion in Pediatrics, 13, Duff, AJA. (2003). Incorporating psychological approaches into routine paediatric venepuncture. Archives of Diseases in Childhood, 88(10), Retrieved on September 1, 2005 from Hockenberry, M. (2004). Wong s Clinical Manual of Pediatric Nursing (6 th Ed.). St. Louis, MO: Mosby. Stevens, B, Yamada, J. & Ohlsson, A. (2004). Sucrose for analgesia in newborn infants undergoing painful procedures (review). Cochrane Collaboration, (2). Retrieved on June 22, 2006 from ticles/cd001069/frame.html Taketomo, CK, Hodding, JH, & Kraus, DM. (2003). Lexi-Comp s Pediatric Dosage Handbook (10 th Ed.). Hudson, OH: Lexi- Comp. Texas Children s Hospital. (2006). Procedural Pain Protocol. Houston, TX. Tina Hayes, RN Pediatrics Sara Seng, PharmD, Pharmaceutical Care Services ATTACHMENT(S): Table 1. Pain Management Algorithm for Needle Procedures (based on age/weight) Table 2. LMX 4 Recommended Dose and Application Area for Infants and Child Based on Application to Intact Skin
5 5 of 6 APPROVALS: Signatures indicate approval of the new or reviewed/revised policy Date Pam Beitlich, Director, Women s and Children s Services Committee/Sections (if applicable): Nursing Standards and Practice 1/8/09 Vice President/Administrative Director (if applicable): Jan Mauck, Vice President, Chief Nursing Officer
6 6 of 6 Appendix Table 1. Pain Management Algorithm for Needle Procedures in Children. Procedure Age Recommended Analgesia Onset PIV insertion 6 mos Sucrose 2 min 6 mos Sucrose AND topical anesthetic 30 min (lidocaine) for procedures expected to last several minutes > 6 mos Topical anesthetic (lidocaine) 30 min Venipuncture 6 mos Sucrose 2 min > 6 mos Topical anesthetic (lidocaine) 30 min Port-a-cath Access All ages Topical anesthetic (lidocaine) 30 min IM Injections 6 mos Sucrose 2 min 6 mos Multiple Injections: Sucrose AND 30 min topical anesthetic (lidocaine) > 6 mos Topical anesthetic (lidocaine) 30 min Table 2. LMX 4 Recommended Dose and Application Area for Infants and Child Based on Application to Intact Skin. Body Weight Requirement Dose Per Procedure Max Application Area Max Application Time Less than 10 kg 2.5 gm 100 sq cm 2 hours Greater than or equal to 10 kg 2.5 gm 200 sq cm 2 hours Note: Apply to site until skin is not visualized under cream, not exceeding the recommended dose per procedure
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS)
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS) STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 04/91 5/05, 3/08 DEPARTMENTAL
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE GENERAL MEDICAL SURGICAL UNIT STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: (Gen med-surg) 1/98 10/08 DEPARTMENTAL INTERDEPARTMENTAL
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC FALL PREVENTION EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Job Title of Reviewer: Director, Women & Children s Department (pediatrics)
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE NEONATAL TRANSPORT TEAM
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE NEONATAL TRANSPORT TEAM STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 11/93 3/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NURSING AND PHARMACY GUIDELINES FOR THE ADMINISTRATION OF IV TREPROSTINIL (REMODULIN ) Job Title of Reviewer: Director, Pharmacy POLICY
Riley Hospital for Children
Implementation of the Riley Comfort Bundle for Needlestick Procedures Marti Michel, PCNS-BC, CPNP 9/16/2015 1 Riley Hospital for Children Available beds: 314 Total admissions: 10,00 Total ambulatory visits:
SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of
SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: OXYGEN ADMINISTRATION (INCLUDING Job Title of Reviewer: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Director, Respiratory Care Services (Resp)
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NURSING AND PHARMACY GUIDELINES FOR THE ADMINISTRATION OF IV EPOPROSTENOL (FLOLAN, VELETRI ) POLICY #: EFFECTIVE DATE: REVISED DATE: POLICY
Institutional Handbook of Operating Procedures Policy
Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC FALL PREVENTION EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Job Title of Reviewer: Director, Women & Children s Department (pediatrics)
On the Front Lines: Lessons Learned in Implementing Multidisciplinary Peripheral Venous Access Pain-Management Programs in Pediatric Hospitals
SUPPLEMENT ARTICLE On the Front Lines: Lessons Learned in Implementing Multidisciplinary Peripheral Venous Access Pain-Management Programs in Pediatric Hospitals Sarah Leahy, BA, RN, RSCN a, Robert M.
STANDARDIZED PROCEDURE BONE MARROW ASPIRATION (Adult,Peds)
I. Definition: This protocol covers the task of bone marrow aspiration by an Advanced Health Practitioner. The purpose of this standardized procedure is to allow the Advanced Health Practitioner to safely
U: Medication Administration
U: Medication Administration Alberta Licensed Practical Nurses Competency Profile 199 Competency: U-1 Pharmacology and Principles of Administration of Medications U-1-1 U-1-2 U-1-3 U-1-4 Demonstrate knowledge
SAMPLE Perioperative Self-Assessment Questionnaire
SAMPLE Perioperative Self-Assessment Questionnaire Hospital Name: Person Completing the Assessment: Date: I. Executive Leadership Yes No 1. Do executive leaders have a defined mode of regular communication
Evaluating the Use of a Topical Vapocoolant to Reduce Pain during Intravenous Insertions: The Patients' and Nurses' Perspectives
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE CARDIAC ACUTE CARE AND CARDIAC PROGRESSIVE UNITS
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE CARDIAC ACUTE CARE AND CARDIAC PROGRESSIVE EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 1/88 4/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS
DISTRICT NURSING and INTERMEDIATE CARE
CLINICAL GUIDELINES DISTRICT NURSING and INTERMEDIATE CARE Schedule of guidelines attached: DNICT03 Community Procedure for the Administration of Intravenous Drugs via Bolus The guidelines scheduled above
College of Licensed Practical Nurses of Alberta. INTRADERMAL MEDICATION MODULE For Licensed Practical Nurses
College of Licensed Practical Nurses of Alberta INTRADERMAL MEDICATION MODULE For Licensed Practical Nurses August 2006 2002-2002 Edmonton, AB. Canada Printed April 2003 - revised for website August 2006
Decreasing Pain and Anxiety with Needlesticks and Procedures: An Evidence Based Practice Change
Decreasing Pain and Anxiety with Needlesticks and Procedures: An Evidence Based Practice Change Sandra I Merkel, MS RN-BC: Clinical Nurse Specialist Adjunct Instructor- University of Michigan SON Julie
Best Evidence Statement (BESt)
Best Evidence Statement (BESt) Date: December 22, 2011 Title: Child Life Support During Medical Procedures Clinical Question: P (population) I (intervention) C (comparison) O (outcome) T (time) Among pediatric
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PRESSURE INJURY PREVENTION POLICY EFFECTIVE DATE: REVISED DATE: 126.251(Patient care) 4/18 Job Title of Responsible Owner: Director, Education
Peripherally Inserted Central Catheter
UW MEDICINE PATIENT EDUCATION Peripherally Inserted Central Catheter Understanding your PICC procedure and consent form Please read this handout before reading and signing the form Special Consent for
PEDIATRIC COURSE SYLLABUS 1
PEDIATRIC COURSE SYLLABUS 1 Course Title: Nursing Care of Children and Families Course Number: NURS 2600 Course Credit: This course is a 4 semester hour course based on a fifteen week semester in the Fall.
Patient Self Administration of Intravenous (IV) Antibiotics at Home
Trust Policy Document Ref. No: PP(16)319 Patient Self Administration of Intravenous (IV) Antibiotics at Home For use in: For use by: For use for: Document owner: Status: Clinical Areas Clinical Staff Patient
Chapter 21. List two ways in which the nurse can lessen the stress of hospitalization for the child s parents.
Chapter 21 The Child s Experience of Hospitalization Objectives Identify various health care delivery settings. Describe three phases of separation anxiety. List two ways in which the nurse can lessen
Pediatric Primary Care A Handbook For Nurse Practitioners 4th Edition
Pediatric Primary Care A Handbook For Nurse Practitioners 4th Edition Practice Guidelines for Family Nurse Practitioners, 4th Edition on current assessment and management protocols for primary care patients
Admission Record IVF/Gynae
Admission Record IVF/Gynae Surgeon: Operation : of Admission: Please state your full name and date of birth - correct Nurse Checklist Yes No Please tell me your full address - correct Consent form signed,
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NEWBORN INFANT/PEDIATRIC SECURITY POLICY #: EFFECTIVE DATE: REVISED DATE: (Neonatal) (Maternal) (Pediatric) (Security) 11/95 2/09, 11/09
MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER
KINGSTON GENERAL HOSPITAL MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER LEARNING GUIDE FOR REGISTERED NURSES AND REGISTERED PRACTICAL NURSES Prepared by: Nursing Education Date: 2001 November Revised:
MEDICAL DIRECTIVE Advanced Life Support (ALS): Intraosseous (IO) Cannulation and Infusion
Authorizing physician(s) LHO - Code Blue, Emergency Department & Critical Care Physicians LHB - Emergency Department and Critical Care Physicians LHPP - Emergency Department Physicians Authorized to who
Care of Patients Receiving Analgesia by Catheter Techniques Position Statement and Policy Considerations
Care of Patients Receiving Analgesia by Catheter Techniques Position Statement and Policy Considerations Position Statement Registered nurses (RNs) are valuable members of the patient care team who are
Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure
Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date
Institutional Handbook of Operating Procedures Policy
Section: Clinical Policies Subject: General Procedures Institutional Handbook of Operating Procedures Policy 09.13.09 Responsible Vice President: EVP and CEO Health System Responsible Entity: UTMB Health
Pediatric Neonatology Sub I
Course Goals Goals 1. Provide patient care that is compassionate, appropriate and effective for the treatment of health problems. 2. Recommend and interpret common diagnostic tests and vital signs. 3.
APPROVAL DATE May 2015
APPROVAL DATE May 2015 MANUAL: Standardized Procedure SECTION: Pediatric CHET TRACKING # SP 3-02 TITLE: EMERGENCY MEDICATION ADMINISTRATION GUIDELINE POLICY PROCEDURE STANDARD OF CARE STANDARDIZED PROCEDURE
Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery
CLINICAL GUIDELINE Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CG10214-2 For use in (clinical areas): For use by (staff groups):
PATIENT GROUP DIRECTION (PGD) FOR THE
PGD 1 PATIENT GROUP DIRECTION (PGD) FOR THE ADMINISTRATION OF DARBEPOETIN ALFA BY RENAL NURSES TO PATIENTS ATTENDING THE RENAL UNIT, MONKLANDS HOSPITAL, FOR HAEMODIALYSIS /HAEMODIAFILTRATION This document
PN Pharmacology and Intravenous (IV) Therapy Skills
TRI COUNTY TECHNOLOGY CENTER Bartlesville, Oklahoma COURSE SYLLABUS for PN 1407 Pharmacology and Intravenous (IV) Therapy Skills Pharmacology and Intravenous Therapy Skills Course Title: PN 1407-- Pharmacology
Wyoming STATE BOARD OF NURSING
David D. Freudenthal Governor Wyoming STATE BOARD OF NURSING Mary Kay Goetter, PhD, RNC, NEA-BC Executive Director 1810 Pioneer Avenue Cheyenne, Wyoming 82002 Phone: 307-777-7601 FAX: 307-777-3519 http://nursing.state.wy.us
STANDARDIZED PROCEDURE SKIN BIOPSY (Adult, Peds)
I. Definition Skin biopsy is the removal of a small piece of tissue, under local anesthetic, from a lesion suspected of malignancy, other dermatitis, or for clinical research purposes. The technique to
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: ACUTE AND POST OPERATIVE EPIDURAL/INTRATHECAL PAIN Job Title of Responsible Owner: Acute Pain Coordinator EFFECTIVE DATE: REVISED DATE:
Anthem Blue Cross and Blue Shield Professional Reimbursement Policy
Subject: Anesthesia CT Policy: 0020 Effective: 08/01/2014 01/31/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria listed
POLICY AND PROCEDURE RESTRAINT/SECLUSION, MEDICAL CENTER PATIENT CARE Effective Date: March 2010
Number: MS 08:03:05 Submitted by: BEHAVIORAL HEALTH CLINICAL PRACTICE TEAM Issuing Department: PATIENT CARE SERVICES Approved By: Reviewed by: Date: Patient Care Practice & 12/09 Outcomes David W. Cress,
Regions 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
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM EFFECTIVE DATE: REVISED DATE: STANDARD TYPE:, 4/95 1/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING NURSING
If viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Entity: Fairview Pharmacy Services Department:
References and Bibliography
References and Bibliography References and Bibliography ANTT Theoretical Framework for Clinical Practice V4.0 2015. Association for Safe Aseptic Practice (ASAP) www.antt.org. BNF (2015) British National
CRAIG HOSPITAL POLICY/PROCEDURE
CRAIG HOSPITAL POLICY/PROCEDURE Approved: P&T, MEC, NPC, P&P 03/09 Effective Date: 02/95 P&T, MEC, P&P 08/09; P&P 08/10; P&T, MEC 10/10, P&T, P&P 12/10 ; MEC 01/11; P&T, MEC 02/11, 04/11 ; P&T, P&P 12/11
Consulted With Post/Committee/Group Date
NEONATAL HEEL PRICK BLOOD SAMPLING CLINICAL GUIDELINES Register No: 13009 Status: Public Developed in response to: Intrapartum NICE Guidelines RCOG guideline Contributes to CQC Standards No 12 Consulted
Principal Investigator: Danielle Hoffman BSN, RN, TNS, EMT-P, SANE-A
Evaluation of Registered Nurse Knowledge/Education Related to Distraction as a Nursing Intervention for Pediatric Procedural Pain Management in the Emergency Department Principal Investigator: Danielle
NOTE: This syllabus is subject to change during the semester. Please check this syllabus on a regular basis for any updates.
Course Syllabus NOTE: This syllabus is subject to change during the semester. Please check this syllabus on a regular basis for any updates. Department Course Title Section Name : Emergency Services :
STANDARDIZED PROCEDURE ARTERIAL CATHETER INSERTION (Adult)
I. Definition: This protocol covers the task of arterial line insertion by an Advanced Health Practitioner. The purpose of this standardized procedure is to allow the Advanced Health Practitioner to safely
HLT07 Health Training Package Learner resource Version 2 Training and Education Support Industry Skills Unit Meadowbank Product Code: 5571
HLT07 Health Training Package HLTEN512B Implement and monitor nursing care for clients with acute health problems Learner resource Version 2 Training and Education Support Industry Skills Unit Meadowbank
Medication Administration Through Existing Vascular Access
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Medication Administration Through Existing Vascular Access After a study of evidentiary documentation
Sharpening Your Skills for Decreasing Needlestick and Procedural Pain and Anxiety: Best Words and Comfort Positions
Sharpening Your Skills for Decreasing Needlestick and Procedural Pain and Anxiety: Best Words and Comfort Positions Poke Program Co-leads Julie Piazza CCLS, MS, Child Life Specialist/Project Manager Sandra
CHILDREN SUPPORTED BY MEDICAL TECHNOLOGY IN SCHOOLS: CARE AND MAINTENANCE OF CENTRAL VENOUS LINES
CHILDREN SUPPORTED BY MEDICAL TECHNOLOGY IN SCHOOLS: CARE AND MAINTENANCE OF CENTRAL VENOUS LINES Lauren E.B. Stone, MSN, RN, VA-BC Nurse Manager IV Team and Blood Donor Center Boston Children's Hospital
Scope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice
Scope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice March 2017 2 nd edition The Royal Children's Hospital (RCH) Scope of Practice for Student Nurses. This scope of practice
Placing a Contrast Order in PowerChart. 1 From the Online Worklist, highlight the appropriate patient, and click the PowerChart button.
Radiology: RadTech Contrast Processes Placing a Contrast Order in PowerChart... 1 BCMA Process... 6 Documenting Contrast Administration on the MAR... 7 Chart a Medication as Not Done... 9 Voiding a Contrast
Registered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework
Registered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework Name: Location: Date commenced: Contents Competency: Page No: Page 1. Core: Introduction Demonstrate knowledge that
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established
STANDARDIZED PROCEDURE FEMORAL VENOUS BLOOD DRAW (Adult, Peds)
I. Definition The Femoral venous blood draw (FVBD) is the procedure of performing a needle stick into the femoral vein for the purpose of drawing blood work that will assist in lab monitoring. II. Background
201 KAR 20:490. Licensed practical nurse intravenous therapy scope of practice.
201 KAR 20:490. Licensed practical nurse intravenous therapy scope of practice. RELATES TO: KRS 314.011(10)(a), (c) STATUTORY AUTHORITY: KRS 314.011(10)(c), 314.131(1), 314.011(10)(c) NECESSITY, FUNCTION,
2016 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST
2016 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
Your Child is having an Operation
Department of Paediatrics Your Child is having an Operation Patient Information Leaflet This information leaflet explains what to expect when your child comes into hospital to have an operation or investigation
SARASOTA MEMORIAL HOSPITAL POLICY
PS1013 TITLE: SARASOTA MEMORIAL HOSPITAL POLICY EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: 11/18/05 04/20/18 Clinical Non-Clinical 1 of 6 Job Title of Responsible Owner: Director, Cardiac and
POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM CERTIFIED REGISTERED NURSE ANESTHETIST
POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM JOB TITLE CERTIFIED REGISTERED NURSE ANESTHETIST JOB CODE 0265 DEPARTMENT FLSA (Exempt/Non-Exempt) ANESTHESIA Non-Exempt DEPARTMENT DIRECTOR SIGNATURE
Love delivered daily.
Love delivered daily. Love delivered daily. NEW PARENT Handbook Baylor Scott & White Medical Center Grapevine welcomes you to the Cecilia Cunningham Box Women s Center. At Baylor Scott & White Grapevine,
CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS COURSE MODIFICATION PROPOSAL
CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS COURSE MODIFICATION PROPOSAL Courses must be submitted by October 15, 2015, and finalized by the end of the fall semester to make the next catalog (2016-17)
University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES
University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES Goals: The overall goal of the rotation is to provide an introduction and understanding of the
Site: Lovelace Health System Title: PATIENT CARE - Restraints Approved Date: 08/28/2015 Effective Date: TBD
Approved Date: 08/28/2015 Effective Date: TBD 08/01/2018 Document Number P-NS-1063.6 Document Type: Policy Page 1 of 11 1. Policy: All patients have the right to be free from physical or mental abuse,
Goals and Objectives. Assessment Methods/Tools
CA-2 PEDIATRIC ANESTHESIA ROTATION Minneapolis Children s Hospital and Clinics (MCHC) Rotation Site Director: Dr. Chris Altman Rotation Duration: 6 weeks Introduction: In the CA-2 year residents have the
NURSING GUIDELINES TO PROCEDURAL SEDATION Finalized 1/18/2012 Procedural Sedation Task Force
Intention (responsiveness) Responds normally to commands Responds purposefully to verbal commands/or light touch DEEP Responds to pain Reflex withdrawal No response Anticipated Outcomes (Airway, Cardiovascular)
Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package
Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package Prepared by Cheryl Owen, CPL Medicine, Rose Owen CPL NICU/SCN; Jan. 2008 Revised by Rose Owen CPL NICU/SCN;
Empire BlueCross BlueShield Professional Reimbursement Policy
Subject: Anesthesia Services NY Policy: 0020 Effective: 01/01/2015 11/30/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
393 PICC INSERTION USING ULTRASONOGRAPHY AND MICRO INTRODUCER TECHNIQUE 06/10/03 1
393 ULTRASONOGRAPHY AND MICRO INTRODUCER TECHNIQUE 06/10/03 1 POLICY: General Information: 1. RN s validated to insert PICCs with the additional training in the use of ultrasonography (U/S) and microintroduction
MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY
POLICY MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY A policy sets forth the guiding principles for a specified targeted
SARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: ISSUED FOR: NURSING PROCEDURE Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN I, LPN II Per Job Description 03/93 2/18 1 of 6 PURPOSE: KNOWLEDGE BASE: To provide
SURGICAL RESIDENT CURRICULUM FOR THE DIVISION OF GENERAL and PEDIATRIC SURGERY
SURGICAL RESIDENT CURRICULUM FOR THE DIVISION OF GENERAL and PEDIATRIC SURGERY I. The Clinical Mission of the Division of Pediatric Surgery The clinical mission of the Division of Pediatric Surgery at
Register No: Status: Public
ADMINISTRATION OF VITAMIN K FOR NEONATES CLINICAL GUIDELINES Register No: 08095 Status: Public Developed in response to: Contributes to CQC Outcome 11,12 Intrapartum NICE Guidelines CNST Requirement Consulted
Anaphylactic Reaction Emergency Treatment Reference Number:
This is an official Northern Trust policy and should not be edited in any way Anaphylactic Reaction Emergency Treatment Reference Number: NHSCT/12/551 Target audience: Nursing Staff Groups included are:
National Emergency Medicine Programme. Protocol for the administration of Paracetamol (Acetaminophen) at Triage in the Emergency Department
National Emergency Medicine Programme Protocol for the administration of Paracetamol (Acetaminophen) at Triage in the Emergency Date: November 2016 Table of Contents 1.0 Critical Elements... 3 2.0 Clinical
Medication Administration Through Existing Vascular Access
Medication Administration Through Existing Vascular Access After a study of evidentiary documentation such as current literature, curricula, position statements, scopes of practice, laws, federal and state
GEORGIA STATE UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF NURSING. N7550 (Online CRN: 50763) SUMMER 2005
GEORGIA STATE UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF NURSING N7550 (Online CRN: 50763) SUMMER 2005 Course Title: Advanced Pharmacology Credit Hours: 3 Semester Hours Pre-requisites: Completion
AMPH-PGN-10 (Part of NTW(C)29 Trust Standard for Physical Assessment and Examination Policy
AMPH-PGN-10 Practice Guidance Note Intramuscular Injection (IMI) V01 Date Issued Planned Review PGN No: Issue 1 Sep 2017 Sep 2020 AMPH-PGN-10 (Part of NTW(C)29 Trust Standard for Physical Assessment and
Anesthesia Elective Curriculum Outline
Department of Internal Medicine Texas Tech University Health Sciences Center Odessa, Texas Anesthesia Elective Curriculum Outline Revision Date: July 10, 2006 Approved by Curriculum Meeting September 19,
Nclex Practice Questions For Drug Calculations
Nclex For Free PDF ebook Download: Nclex For Download or Read Online ebook nclex practice questions for drug calculations in PDF Format From The Best User Guide Database Refresher Sheet Dosage (concentrations):.
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: (crc15-nursing) (crc.02-respiratory) Nursing Respiratory Care Services DATE: REVIEWED: PAGES: 02/93 9/17 1 of 8 RESPONSIBILITY: RN, LPN II
Adopting Best Practice for Infusion Teams
Adopting Best Practice for Infusion Teams Lori Mayer, DNP, MSN, RN Shirley O Leary, APN-BC Elida Grienel, APN-BC Infusion Therapies Nursing professionals have increasing responsibility in managing multiple
RNSG Pre-Class Activities REQUIRED Ticket to Lab*
Week 1 January 19-24 Online course ientation in Blackboard (Bb) course site (No Lab until next week) Week 2 January 25 January 28 1: Infection Control Medical & Surgical Asepsis 28 Module 2 Basic Skills/Basic
No Pain, More Gain: CoolSense pain numbing applicator
No Pain, More Gain: CoolSense pain numbing applicator Written Improvement Project Submission Canterbury DHB Quality Improvement and Innovation Awards 2016 Rachel Wilson: Clinical Nurse Specialist Children
New York State Department of Health Bureau of Emergency Medical Services
No. 17-03 New York State Department of Health Bureau of Emergency Medical Services POLICY STATEMENT Supersedes/Updates: 10-04 Date: March 13, 2017 Re: Ketamine for Prehospital EMS Services Page 1 of 2
STANDARDIZED PROCEDURE CENTRAL LINE PLACEMENT and TEMPORARY NONTUNNELLED CENTRAL VENOUS DIALYSIS CATHETER INSERTION (Adult, Peds)
I. Definition: This protocol covers the task of central (venous) catheter placement and temporary nontunnelled central venous dialysis catheters by the Advanced Health Practitioner. The purpose of this
UniCare Professional Reimbursement Policy
UniCare Professional Reimbursement Policy Subject: Anesthesia Services Policy #: UniCare 0020 Adopted: 02/03/2009 Effective: 02/07/2017 Coverage is subject to the terms, conditions, and limitations of
JEFFERSON COLLEGE COURSE SYLLABUS VAT250 VETERINARY HOSPITAL TECHNOLOGY I. 5 Credit Hours. Prepared by: Robin Duntze, DVM
JEFFERSON COLLEGE COURSE SYLLABUS VAT250 VETERINARY HOSPITAL TECHNOLOGY I 5 Credit Hours Prepared by: Robin Duntze, DVM Minor Revision or Update by: Dana Nevois, MBA, BS, RVT Date: August 16, 2018 Chris
COURSE SYLLABUS RNSG 1301: Pharmacology
COURSE SYLLABUS RNSG 1301: Pharmacology RNSG 1301 Introduction in the science of pharmacology with emphasis on the actions, interactions, adverse effects, and nursing implications of each drug classification.
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
+PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: INTRAVENOUS PATIENT CONTROLLED ANALGESIA AND NARCOTIC INFUSIONS Job Title of Reviewer: Acute Pain Coordinator EFFECTIVE DATE: REVISED
RAD 230 RADIOGRAPHIC PHARMACOLOGY
RAD 230 RADIOGRAPHIC PHARMACOLOGY APPROVED 12/02/2011 EFFECTIVE FALL 2012-13 Prefix & Number RAD 230 Course Title Radiographic Pharmacology Purpose of this submission: New Change/Updated Retire If this
PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY
CLINICAL PRACTICE POLICY PAGE: 1 OF 6 PURPOSE: These policies will allow clinicians to provide their patients with the benefits of procedural sedation and analgesia while minimizing the associated risks.
PROCESS FOR HANDLING ELASTOMERIC PAIN RELIEF BALLS (ON-Q PAINBUSTER AND OTHERS)
PROCESS FOR HANDLING ELASTOMERIC PAIN RELIEF BALLS (ON-Q PAINBUSTER AND OTHERS) REQUIRES SAFETY IMPROVEMENTS From the July 16, 2009 issue Problem: In our May 21, 2009, newsletter we noted an association