Pediatric Unit Policy and Procedure Manual

MCN's Pediatric Unit Policy and Procedure Manual includes over 300 ready-to-customize policies, procedures and forms that promote patient safety. This manual includes screening tools, comprehensive initial assessment and reassessments, medication administration policies, infection control policies, job descriptions/competencies, performance improvement plan and so much more! Policies and procedures are specific to the pediatric population.

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Manual Has Been Entirely Revised and UpdatedTable of Contents - TJC Standards and CMS RegulationsTable of Contents - NIAHO Standards and CMS RegulationsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 01 - EMERGENCY MANAGEMENT
SECTION 03 - HUMAN RESOURCES
3001 - Position Description/Performance Evaluation - Pediatric Unit Nurse Manager3002 - Performance Evaluation - Population-Specific/Age-Related Competency - Pediatric Unit Nurse Manager3003 - Annual Competency Clinical Skills Assessment - Pediatric Unit Nurse Manager3004 - Position Description/Performance Evaluation - Pediatric Registered Nurse3005 - Performance Evaluation - Population-Specific/Age-Related Competency - Pediatric Registered Nurse3006 - Annual Competency Clinical Skills Assessment - Pediatric Registered Nurse3007 - Position Description/Performance Evaluation - Pediatric LPN/LVN3008 - Performance Evaluation - Population-Specific/Age-Related Competency - Pediatric LPN/LVN3009 - Annual Competency Clinical Skills Assessment - Pediatric LPN/LVN3010 - Position Description/Performance Evaluation - Pediatric Nursing Assistant3011 - Performance Evaluation - Population-Specific/Age-Related Competency - Pediatric Nursing Assistant3012 - Annual Competency Clinical Skills Assessment - Pediatric Nursing Assistant3013 - Position Description/Performance Evaluation - Pediatric Unit Secretary3014 - Performance Evaluation - Population-Specific/Age-Related Competency - Pediatric Unit Secretary3015 - Annual Competency Skills Assessment - Pediatric Unit Secretary3016 - Position Description/Performance Evaluation - Pediatric Nurse Practitioner3017 - Performance Evaluation - Population-Specific/Age-Related Competency - Pediatric Nurse Practitioner3018 - Annual Competency Clinical Skills Assessment - Pediatric Nurse Practitioner3019 - Annual Competency - Joint Commission National Patient Safety Goals and Universal Protocol3020 - BCLS/ACLS Resuscitation Certification3021 - Use of Restraint and Seclusion Application/Removal Competency Checklist - Restraint for Management of Violent or Self-Destructive Behavior3022 - Restraint Use Competency Checklist - Restraint for Management of Nonviolent, Non-Self Destructive Behavior3023 - Staff Qualifications and Competency3024 - New Employee Orientation3025 - Pediatric Orientation and Inservices
SECTION 06 - MEDICATION MANAGEMENT
6001 - Medication Patient Information and Reconciliation6002 - Medication Patient Information and Reconciliation Form6003 - Prescribing/Ordering - General Practices6004 - Telephone, Verbal and Written Orders for Medication6005 - Neonatal/Pediatric Dosing - General Guidelines6006 - Medication Dosage Chart - Patient Specific6007 - Automatic Stop Orders - Pediatric Unit6008 - Automatic Stop Orders for Surgery Patients and Transfer Patients6009 - Medication Ordered STAT and at Specified Time Intervals6010 - Range Orders for Medications6011 - Standing Orders6012 - Tapering of Medications6013 - Titrating Medications6014 - Emergency Crash Carts6015 - Contents of Emergency Pediatrics Crash Cart6016 - Contents of Emergency Adult Crash Cart6017 - Emergency Medications6018 - Pediatric Emergency Medications List6019 - Emergency Medications List6020 - Emergency Crash Cart Security and Accountability6021 - Defibrillator Check6022 - Sample Crash Cart and Defibrillator Checklist Signature Form6023 - Medication Administration6024 - Medication Administration - Pediatric Patients6025 - Medication and Solution Administration - Invasive Procedures6026 - Safe Medication Practices6027 - Concentrated Electrolyte Solutions and Other Drug Concentrations6028 - Controlled Drug Management6029 - Narcotics6030 - Controlled Drug Sheet Policy6031 - Controlled Drug Sheet Form6032 - Heparin Administration - Pediatrics6033 - Heparin - Independent Double Check6034 - Heparin IV Administration - Programmable Pumps6035 - Insulin Administration6036 - Insulin Pens6037 - Intramuscular (IM) Injection - Pediatric Patient6038 - Subcutaneous (SC) Injection - Pediatric Patient6039 - IV Therapy - Medication Administration6040 - IV Push Medications6041 - Oral Administration of Medications6042 - Multiple Dose Vials (MDVs) - Use6043 - Single-Use/Single-Dose Vials - Use6044 - Oral Contraceptives - Patient Package Insert6045 - Infusion Pumps - Equipment Inspection, Care and Maintenance6046 - Discharge Medication Education - Pediatric Unit6047 - Decreasing Medication Errors6048 - Medication Errors6049 - Medication Inadvertent Incident Report6050 - Medication Inadvertent Incident Report Form6051 - Medication Error Analysis Tool6052 - Performance Improvement Analysis - Medication Inadvertent Incident Form6053 - Adverse Drug Reaction Reporting6054 - Adverse Drug Reaction Reporting Form (Internal)6055 - Automated Dispensing Machines - Access to6056 - Automated Dispensing Machines - Removing Medications6057 - Automated Dispensing Machines - Controlled Substances6058 - Automated Dispensing Machines - Emergency/STAT Medication Orders
SECTION 08 - PROVISION OF CARE, TREATMENT AND SERVICES
Patient Care
8101 - Abdominal Girth - Measurement - Pediatric Unit8102 - Blood/Blood Components - Patient's Guide to Blood Transfusions8103 - Blood Bank Requisitions8104 - Sign-Out Protocol for Blood/Blood Components8105 - Blood Transfusion Record8106 - Blood/Blood Components - Transfusion8107 - Blood/Blood Components - Transfusion Reactions8108 - Blood Transfusion - Filtration Protocol8109 - Blood/Blood Components - Transfusion: Factor VIII8110 - Buck's Traction - Care of8111 - Central Venous Lines and PICC Lines Bundle - Insertion of8112 - Central Venous Catheter and PICC Line Time Out Checklist8113 - Percutaneous Central Venous Catheter (PICC) Insertion - Assisting8114 - Peripherally Inserted Central Catheter (PICC) - Removal8115 - Heparin Lock Flush for PICC, Midclavicular and Midline Catheters8116 - Central Venous Catheter - Troubleshooting8117 - Central Lines - Dressing Change8118 - Central Venous Catheter - Removal8119 - Central Lines - Flushing and Heparinization8120 - Vascular Access Devices - Care of8121 - Central Venous Pressure Insertion and Monitoring8122 - Code Blue Evaluation Form8123 - Cardiopulmonary Resuscitation Protocol8124 - Cardiopulmonary Arrest Record Form8125 - Chest Tube Drainage System8126 - Circumcision8127 - Clinical Alarms - Maintenance and Use of8128 - Clinical Laboratory Specimens - Collection and Care8129 - Critical Results of Tests and Diagnostic Procedures - Reporting of8130 - Cytotoxic Agents - Administration of8131 - Denver Shunt - Routine Care8132 - Dressing Change - Surgical8133 - Dressing Change - Wet to Dry8134 - The Dying Patient - Care of8135 - Enemas8136 - Enteral Feeding via Nasogastric or Gastrostomy Tube8137 - Fall Prevention8138 - Food-Drug Interaction Notification and Counseling8139 - Gastrostomy Tube - Care of8140 - "Hand-Off" Communication8141 - Head Circumference - Measurement8142 - Heelstick8143 - Indwelling Urinary Catheter Insertion and Maintenance - Female Patient8144 - Indwelling Urinary Catheter Insertion and Maintenance - Male Patient8145 - Incentive Spirometry8146 - 24-Hour Incentive Spirometer Form8147 - Intake and Output8148 - Invasive Procedure Site Identification (Outside of the OR)8149 - Invasive/Surgical Procedure Verification/Time Out Checklist8150 - IV Therapy - Pediatrics8151 - IV Therapy - Starting Peripheral IV - Pediatric Unit8152 - IV Therapy - Monitoring8153 - IV Therapy - Changing Bag, Tubing and IV Site Dressing8154 - IV Therapy - Removal of Peripheral IV8155 - IV Therapy - Complications8156 - IV Therapy - Saline Lock Flush8157 - IV Therapy - Extravasation Management8158 - Chemotherapy Extravasation - Treatment of8159 - IV Therapy - Removal of Air from Tubing8160 - IV Therapy - Use of Volume Control Sets8161 - IV Therapy - Blood Sampling for Tunneled Catheter and Implantable Vascular Access Devices8162 - Lead Poisoning Evaluation Questionnaire Form8163 - Length - Measurement8164 - Lumbar Puncture - Assisting with8165 - Nasogastric Tube - Insertion of8166 - Nasopharynx Culture8167 - Organ/Tissue/Eye Donation - Nursing Staff Responsibilities8168 - Ostomy Care - Changing the Pouching System8169 - Oxygen Administration per Simple Mask - Pediatric Unit8170 - Oxygen Administration per Nasal Cannula8171 - Pediatric Oxygen Tent8172 - Parasitic Skin Diseases8173 - Pediculosis - Treatment8174 - Parenteral Nutrition Protocol - Pediatric Unit8175 - Intralipids - 10% Solution8176 - Patient Identification for Clinical Care and Treatment8177 - Pediatric Patient in the OR (Parent Present During Induction)8178 - Physician Notification of Change in Patient Condition8179 - Physician Order Review - RN Verification8180 - Pressure Ulcer Prevention Program8181 - Photographing Pressure Ulcers/Suspected Physical Abuse8182 - Pressure Ulcer Assessment Form - Sample8183 - Postmortem Care - Pediatric Unit8184 - Postoperative Care - Patient Care Units8185 - Pulse Oximetry - Pediatric Unit8186 - Radiology - Patient Preparation - Pediatric Unit8187 - Restraint or Seclusion Use8188 - Seizures - Nursing Management8189 - Sitters8190 - Sputum Specimen Collection8191 - Suctioning Infant - Bulb Syringe8192 - Suctioning - Nasotracheal8193 - Telemetry8194 - Telemetry - Application of8195 - Telemetry Monitoring Station8196 - Telemetry Monitoring Remotely8197 - Telemetry Monitoring When the Patient is Off the Unit8198 - Telemetry Monitoring - Troubleshooting8199 - Telemetry Unit 24-Hour Flow Sheet8200 - Telemetry Unit 24-Hour Flow Sheet Form8201 - Throat Culture Collection8202 - Tracheostomy Care8203 - Tracheostomy - Suctioning8204 - Transfer to the PICU8205 - Transportation of Patients by Stretcher/Crib8206 - Transportation of Patients by Wheelchair8207 - Tubing/Catheter Misconnections - Prevention of8208 - Urine Specimen for Culture - Midstream8209 - Urine Specimen from an Indwelling Urinary Catheter8210 - Weight - Measurement