Nursing Policies and Procedures for Long Term Care
75 Comprehensive Nursing Policy and Procedure Forms on Easy to Edit Templates
2023 Book and Flash Drive up to date with 2024 Minimum Staffing Requirements and MDS v1.19.1
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22 Skilled Charting Guidelines for Medicare Nursing Documentation
Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes
Cardiac Care Skilled Charting Guideline
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
Medications, Narcotics
Medications, Pharmacy Consultant
Medications, Psychotropics
Medications, 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 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.
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.
Core skill nursing competencies are assumed to be assessed and checked as satisfactory for newly hired employees and addressed with Staff Education evaluations and inservices, and are not included.
Policies are located in the book and on the Flash Drive in alphabetical order and each has its own numbering. This is to enable the facility to add and delete policies as it deems necessary.
Each of the policies and procedures in this book are also included on the Flash Drive so they may be easily edited on a word processor for desired updates and changes.
EBook also includes 22 Skilled Charting Guidelines
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