Nursing Procedures

Nursing Procedures for Home Care Agencies

Chapter 1 Infection Control Procedures
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Chapter 2 Physical and Psychosocial Assessment Procedures
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Chapter 3 Therapeutic Nursing Procedures
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Chapter 4 Cardiopulmonary Procedures
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Chapter 5 Dermatologic and Wound Care
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Chapter 6 Gastroenterologic and Ostomy Care
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Chapter 7 Head, Eyes, Ears, Nose, Throat (HEENT) Care
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Chapter 8 Intravenous Therapy Procedures
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Chapter 9 Infusions
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Chapter 10 Medications
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Chapter 11 Rehabilitative Care and Palliative Care Procedures
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Chapter 12 Specimen Collection and Transport
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Chapter 13 Urologic and Renal Care
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Chapter 14 Nutrition Procedures
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Chapter 15 Emergency Procedures
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Chapter 16 The Home Milieu
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Chapter 1 – Infection Control Procedures
Bag TechniqueBlood and Body SpillCar Supplies

Equipment Cleaning

Exposure Incident

General Guidelines

Hand washing

Patient Education Guidelines

Soiled Linen

Solutions for Irrigation

Sterile Solution for Irrigation

TB Control and Respiratory Program

Chapter 2 – Physical and Psychosocial Assessment Procedures
Blood PressureEdemaHead to Toe Assessment

Intake and Output

Mental Health Assessment

Pain Assessment

Pulse

Respirations

Temperature

Weight

Well Baby

Wound Assessment and Documentation

Chapter 3 – Therapeutic Nursing Procedures
AmbulationBack RubBathing and Grooming

Bed Making

Feeding the Dependent Elderly Patient

Foot Care

Hair and Scalp Care

Moving and Lifting Patients Body Mechanics

Nail Care

Oral Care

Positioning and Seating the Immobilized Patient

Shampoo in Bed

Shaving Patients

Transfer or Gait Belt

Chapter 4 – Cardiopulmonary Procedures
 Administration of Oxygen TherapyAerosol TherapyBiPAP Support Ventilator Management

Breathing Exercises

Care of the Patient with an Automatic Implantable Cardioverter Defibrillator

Chest Physiotherapy

Chest Tube Management

Controlled Cough Exercise

Coronary Precautions in the Home

Home Dysrhythmia Monitoring

Home Ventilator Management

Incentive Spirometer

Inhalation (Steam) Therapy

Manual Ventilation with a Hand-Held Resuscitator or Ambu-Bag

Metered Dose Inhaler Use

Pulse Oximetry

Suctioning

Tips for Energy Conservation in the Home

Tracheostomy Button or Plug Changing, Cleaning, and Care

Tracheostomy Care Inner Cannula Change and Non-disposable Cannula Care

Tracheostomy Care Outer Cannula Tube Change for the Ventilator- Dependent Patient

Chapter 5 – Dermatologic and Wound Care
Butterfly or Steri-StripsDressing Changes BiobraneDressing Changes Calcium Alginate

Dressing Changes Dry to Dry

Dressing Changes Foam Dressing

Dressing Changes Hydrocolloid Dressings and Transparent Adhesive Films

Dressing Changes Hydrogel

Dressing Changes Sterile Technique

Dressing Changes Unna Boot

Dressing Changes Wet-to-Dry

LICE Pediculosis

Moist Compress

Montgomery Straps

Scabies

Skin Care

Skin Suture and Staple Removal

Wound Care Management

Wound Care Scoring of Eschar Wound Irrigation and Debridement Wound  Management Wound Packing

Chapter 6 – Gastroenterologic and Ostomy Care
 Bowel TrainingColostomy IrrigationFecal Impaction Manual Removal

Gastrostomy Tube Care General Guidelines

Gastrostomy Tube Feedings

Gastrostomy Tube Replacement

Nasogastric Tube Feeding

Nasogastric Tube Insertion

Ostomy Care

Ostomy Pouch Change

Rectal Tube Insertion

Stoma Management in the Home

Chapter 7 – Head, Eyes, Ears, Nose, Throat (HEEN) Care
Care of the Patient with a Hearing AidCare of the Patient with an Artificial EyeCare of the Patient with Cataract or Retinal Surgery

Care of the Patient with Contact Lenses

Care of the Patient with Depressed Corneal Reflex

Care of the Patient with Visual Impairment

Chapter 8 – Intravenous Therapy Procedures
Administration of Intravenous Therapy General GuidelinesCentral Venous Catheter ManagementChanging Intravenous Solutions

Changing Intravenous Tubing

Declotting an Implantable Vascular Access Device

Discontinuation and Removal of Peripheral Intravenous Fluids

Groshong Catheter Management

Home IV Therapy

Implantable Vascular Access Device Management

Multiple-Lumen Nontunneled Catheter Management

Peripheral Inserted Central Catheter Insertion Guidelines

Peripheral Inserted Central Catheter Removal of the Catheter

Peripheral Intravenous Management

Troubleshooting IV Therapy

Chapter 9 – Infusions
Antibiotic Therapy Intermittent InfusionChemotherapyLasix Intravenous Push

Total Parenteral Nutrition and Intralipid Administration

Chapter 10 – Medications
Administration of Medications General GuidelinesBladder Instillation and IrrigationCoumadin Administration Bleeding Precautions

Ear Instillation and Irrigation

Enema Administration

Eye Compresse

Eye Instillation and Irrigation

Gold Injection

Injections Z-TRACK

Nose Drops

Patient Caregiver Self-Medication Errors at Home

Prefilling Insulin Syringes

Suppositories

Topical Medications

Tuberculin (TB) Skin Test

Chapter 11 – Reabilitative Care and Palliative Care Procedures
Aphasia CareArm SlingCane

Cast Care

Elastic Bandage

Hoyer Lift

Pain Management

Range of Motion Exercises Passive

Stump Wrapping

Support Devices Care of Immobilized Patients

Thromboembolitic (TED) Hose

Transcutaneous Electrical Nerve Stimulation (TENS) Unit

Walker

Wheelchair

Chapter 12 – Speciment Collection and Transport
 Blood Glucose MonitoringBlood Sampling Venous & ArterialCulture Collection Throat Ova Sputum Stool Wound

Fecal Occult Blood

Glucose and Ketone Urine Testing Reagent Strip

Specimen Labeling and Transport

Urine Collection Midstream, Routine, Steril from Foley, Steril from Urostomy

Chapter 13 – Urologic and Renal Care
Arteriovenous Fistula and Shunt CareBladder TrainingCaring for the Urinary Catheter at Home

Closed Urinary Draining Management

Condom Catheter Care

Coudé Catheter Insertion

Indwelling Foley Catheter Insertion and Care

Intermittent Straight Catherization Female

Intermittent Straight Catherization Male

Nephrostomy Catheter Care

Suprapubic Catheter

Urinary Pouch for Females

Chapter 14 -Nutrition Procedures
Medical Nutrition Therapy Assessment of Patient’s Nutrient RequirementsMedical Nutrition Therapy Chronic Obstructive Pulmonary Disease(COPD)Medical Nutrition Therapy Congestive Heart Failure

Medical Nutrition Therapy Coronary Heart Disease

Medical Nutrition Therapy Diabetes Mellitusch

Medical Nutrition Therapy Enteral Nutrition Support

Medical Nutrition Therapy Failure to Thrive

Medical Nutrition Therapy Hypertension

Medical Nutrition Therapy Pressure Ulcers

Medical Nutrition Therapy Weight Management

Chapter 15 – Emergency Procedures
Accidently Severed Central Venous CatheterAir EmbolismAirway Obstruction

Animal, Insect, Snake, Spider, and Tick Bites

Bleeding Soft Tissue Injury

Burns

Cardiopulmonary Resuscitation

Falls and Fractures

Heat-Related Illness

Hyperglycemia

Hypoglycemia

Hypothermia Poisoning and Substance Abuse and Misuse Seizure

Shock

Suicidal Thoughts or Harmful Psychotic Ideation

Transfusions or Anaphylactic Reaction

Chapter 16 – The Home Milieu
Child or Dependent Elder Abuse or NeglectClinical Documentation Guidelines for Medicare ReimbursementClinical Indicators for a Home Health Aide Referral

Clinical Indicators for a Hospice Referral

Clinical Indicators for a Psychiatric Home Health Nurse Referral

Clinical Indicators for a Rehabilitation Referral

Clinical Indicators for a Social Service Referral

Do Not Resuscitate Status

Domestic Violence / Fire Safety Assessment

Home Environmental (Potential Toxins) Assessment

Home Improvisation of Equipment

On-Call Guidelines

Patient Caregiver Guidelines to Promote a Toxin-Free Home Environment

Post Mortem Care

Safety in the Community

Safety in the Home Chapter

Socio-environmental Assessment

Telephone Visit