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Intensive Care Unit Policy and Procedure Manual

Intensive Care Unit Policy and Procedure Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.

Table of Contents - TJC standards Copyright Disclaimer Introduction

SECTION I

Ethics, Rights and Responsibilities

Patient Rights Introduction Patient Rights and Responsibilities Ethical Issues Ethics Consult Pain Management Policy Statement Pain Management - Program Planning Sample Patient Rights and Responsibilities for Pain Management Patient Rights - Research Project Informed Consent Advance Directives Service Standards - Introduction Service Standards - Quality Service Service Standards - Environmental Service Standards - Telephone Service Standards - Individual Service Standards - ICU Patient Care Staff Withholding or Withdrawal of Life Support - Adult Care of the Dying Patient

Assessment

Assessment of the ICU Patient Pain Scale, Admission Pain History Pain Assessment on Admission Pain Assessment in Children Pain Scale Examples Patient Plan of Care - Introduction Patient Care Planning Urine Dipstick Testing Point-of-Care Testing (Waived)Abuse Reporting - General Guidelines Regarding Documentation, Evidence Collection, Confidentiality

Provision of Care, Treatment and Service

Assignment - ICU Charge Nurse Bed Assignment Emergency Response to Patient Crisis - Guidelines Transport of Adult Critical Care Patients Within Facility Arterial Line Intra-Arterial Catheterization and Pressure Monitoring Nurse Practice Guidelines - Introduction Nurse Practice Guidelines - Cardiovascular Nurse Practice Guidelines - Gastrointestinal Nurse Practice Guidelines - Genitourinary/Renal System Nurse Practice Guidelines - Integumentary Nurse Practice Guidelines - IVs/Tubing/Medications Nurse Practice Guidelines - Monitoring Nurse Practice Guidelines - Neurological Nurse Practice Guidelines - Pulmonary Standards Definitions Standards of Care - Abdominal Surgery Standards of Care - Fractures Standards of Care - Portocaval Shunt - Postoperative Standards of Care - Vascular Surgery Endotracheal Intubation - Adult - Maintenance of Endotracheal Tube Endotracheal Extubation Pain - Patient Controlled Analgesia (PCA)PCA (Patient Controlled Analgesia) Pump Swan-Ganz - Mixed Venous Blood Gas Sampling Post Anesthesia Care - Comparable Level of Care Post Anesthesia Care of Critical Care Patients Crash Cart - Medication Drawer Lidocaine - Policy and Protocol Cardiac Diet - ICU Restraints Trial (Early) Release of Restraints Restraint Order Sheet 24 Hour Restraint Record Cardiac Output Synchronized Countershock Conscious Sedation Admission/Transfer/Discharge Assessment for Conscious Sedation Blood Alcohol

Patient Education

Patient Education (Sample 1)Patient Education (Sample 2)Patient Education About Patient Responsibilities

Discharge/Transfer

Discharge Planning Transfers from ICU to Patient Care Units Transfer - Temporary to Another Facility

SECTION II

Improving Organization Performance

IOP - ICU Staff Role IOP - Ten Step Process for Monitoring and Evaluating

Leadership

Admission Criteria Admission Guidelines - Patients with Acute or R/O M.I.Nursing Philosophy Intensive Care Unit - Goals Intensive Care Unit - Objectives Organization Chart Description - ICU Scope of Service - Intensive Care Unit Administration and Organization of the ICU Police Custody Patients Police Custody Patient Checklist

Management of the Environment of Care

Safety Guidelines for Patient Care Services (Sample 1)Safety - Electrical and O2 (Sample 2)Equipment Availability Equipment Repair Guidelines Intensive Care Units Safety Fire Safety

Human Resource Planning

Job Descriptions - Introduction Job Description - ICU Nurse Manager Job Description - Registered Nurse Job Description - Environmental Care Partner, Introduction Job Description - Environmental Care Partner Job Description - Unit Secretary Staffing Guidelines - ICU Staffing - ICU Patient Assignment - (1:1) One Nurse to One Patient Acuity Guidelines Competency of ICU Nursing Staff - Introduction Competence - Basic Requirements upon Hiring Skills Inventory for Clinical Competency Competency Assessment Competency - Levels of Experience Competency Assessment Checklist Profile Form - Nursing Employee Profile Skills List - RN Skills List - Unit Secretary Skills Checklist for Orientation to ICU - Respiratory Care Practitioner Performance Evaluation Performance Evaluation Checklist Staff Requests Not to Participate in Care Staff Rights

Management of Information

Documentation - Introduction Documentation Verbal Orders

Surveillance, Prevention and Control of Infection

Infection Control - ICU Standard Precautions

SECTION III

Glossary of Terms Alphabetical Index