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, 184 Pages

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22 Skilled Charting Guidelines for Medicare Nursing Documentation

 Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes

Table of Contents

Feeding Tubes Policy

Cardiac Care Skilled Charting Guideline


Activities of Daily Living ADLs


Advance Directives

Airborne Precautions


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


Droplet Precautions

Fall Prevention Program          

Falls, Post-Fall Protocol

Feeding Residents

Feeding Tubes


Hearing Aids


Incident Reports

Incontinence Care

Infection Control Nurse Job Description

Influenza Immunization

Informed Consent

Intravenous Therapy

Laboratory Services 


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


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


Staff Development Director Job Description

Standard Precautions


Therapeutic Environment

Toileting Programs

Tracheostomy Care

Transfers and Lifts

Tuberculosis Testing

Turning and Positioning

Urinary Catheter Care   

Urinary Catheter Insertion


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.

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