Long Term Care Pocket Guide To Nursing Documentation

Author : LTCS Books
Publisher : LTCS Books
ISBN 13 :
Total Pages : 184 pages
Book Rating : 4.9/5 (868 download)

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Download or read book Nursing Policies and Procedures for Long Term Care written by LTCS Books and published by LTCS Books. This book was released on 2023-01-02 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2023 Fourth Edition Book and CD, 184 Pages, 75 Comprehensive Nursing Policy and Procedure Forms on Easy to Edit Templates. The policies are operational, organized by department and outline step by step how a task should be completed and by which staff member. Major steps and staff members are bolded for easier location of information. Includes 22 Skilled Charting Guidelines for Medicare Nursing Documentation, Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes, Abuse, Activities of Daily Living, ADLs, Admissions, Advance Directives, Airborne Precautions, Ambulation, Blood Glucose Monitoring, Bowel Movement Protocol, Care Area Assessments, Care Plan Completion, Care Plan Conferences, Contact Precautions, Covid-19 Virus Prevention, Dental Care, Director of Nursing Job Description, Discharges, Droplet Precautions, Fall Prevention Program, Falls, Post-Fall Protocol, Feeding Residents, Feeding Tubes, Glasses, Hearing Aids, Hydration, Incident Reports, Incontinence Care, Infection Control Nurse Job Description, Influenza Immunization, Informed Consent, Intravenous Therapy, Laboratory Services, Linens, MDS Coordinator Job Description, Meals and Dining Room, Medication Administration, Medication Errors, Medication Orders, Medication Storage and Handling, Medications: Adverse Consequences, Narcotics, Pharmacy Consultant, Psychotropics, Self-administration. Needles and Sharps, Nursing Documentation, Nursing Reports, Nursing Staff, Oxygen, Pain Care, Physician Services and Medical Director, Pneumonia Vaccine, Pressure Ulcers, Professional Communication and Sexual Harassment, Quality Assurance Director Job Description, Range of Motion, Resident Assessments, Resident Rights, Restorative Nurse Job Description, Restraints Program, Skin Care, Smoking, Staff Development Director Job Description, Standard Precautions, Suctioning, Therapeutic Environment, Toileting Programs, Tracheostomy Care, Transfers and Lifts, Tuberculosis Testing, Turning and Positioning, Urinary Catheter Care, Urinary Catheter Insertion, Wandering, Weight Loss, Workplace Violence. The seventy-five nursing policies and procedures in this manual are based on current standards of nursing practice and federal regulations and guidelines from the Centers for Medicare and Medicaid Services, the Center for Disease Control, and the Occupational Health and Safety Administration. The Director of Nursing can review and update the manual annually. Some facilities have a policy and procedure committee that meets to review and consider changes to policies. The form at the top of each policy and procedure has spaces for the date the policy and procedure was approved by the DON and the date of any addendums or changes. Updates can be made when applicable due to changes in regulations or nursing standards of practice. Other appropriate additions to the manual would be manufacturer guidelines and instructions for new equipment and devices. Some facilities include with the policy and procedure manual master copies of forms, and this can help to ensure uniform documentation throughout the facility. Each of the policies and procedures in this book are also included on the CD so they may be easily edited on a word processor for desired updates and changes.