Nursing Policies and Procedures for Long Term Care

Nursing Policies and Procedures for Long Term Care

2016 Third Edition Book and CD, 183 Pages

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

68 Comprehensive Nursing Policy and Procedure Forms on Easy to Edit Templates

Includes 23 Skilled Charting Guidelines

          Nursing Policy Long Term Care sample forms:

Table of Contents

Feeding Tube Nursing Policy and Procedure

Medication Errors Nursing Policy and Procedure

Skilled Charting Guidelines Cardiac Care

Skilled Charting Guideline for Tube Feeding



Advance Directives

Airborne Precautions


Blood Glucose Monitoring

Bowel Movement Protocol

Care Conferences

Contact Precautions

Dental Care

Dining Room – Meals

Director of Nursing – Job Description


Droplet Precautions


Falls, Post-Fall Protocol

Falls – Prevention and Risk Reduction

Falls – Quality Assurance

Falls – Risk Assessment and Identification

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

Medication Administration

Medication Errors

Medication Storage

Medications – Adverse Consequences

Medications – Antipsychotics

Medications – Anxiolytics

Medications – Narcotics

Medications – Pharmacy

Medications – Pharmacy Consultant

Medications, Self-administration

Needles and Sharps

Nursing Documentation


Pain Care

Pneumonia Vaccine

Pressure Ulcers

Quality Assurance Director – Job Description

Range of Motion

Restraints – Consent Restraints – Criteria

Restraints – Definitions

Restraints – Monitoring

Restraints – Program

Skin Assessment


Staff Development Director – Job Description

Standard Precautions


Toileting Programs

Tracheostomy Care

Transfers and Lifts

Tuberculosis Testing

Urinary Catheter Care

Urinary Catheter Insertion

Urinary Catheter Monitoring and Documentation


Weight Loss

The sixty-eight nursing policies and procedures in this manual reflect the main nursing care categories in a long term care skilled nursing facility. They are based on current standards of nursing practice and regulations and guidelines from the Center for Medicare and Medicaid Services, the Center for Disease Control, and the Occupational Health and Safety Administration.

The Director of Nursing should review and update the manual at least annually to ensure it is comprehensive and accurate. Some facilities have a policy and procedure committee that meets several times per year 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. The master copy of policies and procedures should be kept in the DON’s office, and copies can be placed at each nurses’ station so when policy or procedure is in doubt, staff members can refer to the manual for clarity.

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.

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.

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