NURSING POLICIES

Policy and Procedure Guidelines Online

Click on any letter to go to the section beginning with that letter.

A

Abdominal CT Scan Oral Contrast

Abuse - Child

Abuse - Reporting Adult

Abusive Patient or Visitor

Actions in Response to Positive Reports from the National Practitioner Data Bank (10/4/2000)

Administration of Blood Products to Jehovah's Witnesses (7/15/1997)

Administration Of Sedation (9/19/2000)

Administrative Support Statement

Admission Bed Slip

Admission of a Patient to Nursing Unit

Admission Orders

Advance Directives (9/26/2000)

Aggressive and Violent Behavior

Aggressive Behavior, Nursing Prevention and Management of(12/01)

Alcohol - Management of Acute Intoxication

Alias - Procedure for Creating

Alternative Therapy Policy

Ambulance Bypass (also see "Bypass and Diversion") - UMDNJ

Amphotericin, Care of the Patient Receiving (04/02)

Amputated Parts

ANA's Position Statement on RN's Administering Sedation

Analgesic Therapy, Care of the Patient Receiving (8/00)

Anesthesia Drug Policy

Angiography - Guidelines

Angiography Monitoring

Animal Bites

Anticoagulants, Care of the Patient Receiving Intravenous (9/00)

Antithymocyte Globulin (ATG), Care of the Patient Receiving (4/02)

Aortic Aneurysm - Consult

Appointment of Staff Clinicians and Staff Scientists (Clinical) at the NIH (11/15/1999)

Approved Symbols And Abbreviations (10/4/2000)

Arrest - Emergency Department Management

Arterial Line (Radial and Brachial), Care of the Patient with (8/01)

Authorized Patient Care Areas (9/2/1997)

Autotransfusion Guidelines

B

Blood Alcohol Collection

Blood Alcohol Collection - Police Required Consent

Blood Alcohol Collection - Police Required Protocol

Blood Alcohol Consent Form

Blood Alcohol Testing

Blood and Blood Product Administration

Blood Cultures - Guidelines

Blood - Emergency Request

Blood - Guidelines for Use

Blood - Transfusions

Blood - Use of Blood Products

Bomb Threat Plan

Bronchoscopy, Care of the Patient Undergoing (4/02)

Bypass and Diversion - UMDNJ

C

Cab Passes

Cardiac Catheterization, Care of the Patient Pre- and Post- (8/01)

Cardiopulmonary Resuscitation Training (5/2/2001)

Central Venous Catheter Blood Draws

Central Venous Catheter Care Guidelines

Central Venous Catheter Complications

Central Venous Catheter Flushing & Cap Changes

Central Venous Catheter Implanted Port Accessing

Central Venous Catheter Occlusion

Central Venous Catheter Site Care

Central Venous Line Manual

Cerebral and Spinal Angiography, Care of the Patient Pre and Post (9/01)

Cervical Spine Evaluation

Charge Nurse - Application

Charge Nurse - Description

Charge Tech - Description

Chest Tubes, Care of the Patient with (6/00)

Children Visiting The Clinical Center (10/18/2000)

Civil Disturbance or Riot

Civil Involuntary Detention (96 Hour  Hold) Protocol

Clinical Alarm List (National Patient Safety Goal #6)

Clinical Center Medical Staff Bylaws (10/6/2000)

Clinical Center Policy On Antimicrobial Restrictions (10/29/1999)

Clinical Privileges For Trainees (8/23/2000)

CN II Promotional Criteria

Code of Ethics - UMDNJ

Collection of Blood Samples from a Skin Tunneled Central Venous Catheter

Compliant Resolution Policy

Complaints - Management

Complaints - Patient Relations

Conscious Sedation Policy - Example 1

Conscious Sedation Policy - Example 2

Consent for Treatment

Consent for Treatment - Minor

Consent Form Employee BAC

Consent Process In Research Involving Impaired Subjects (9/26/2000)

Contingent Guide - Clerical

Contingent Guide - Nursing

Contingent Guide - Tech

Contingency Plan For Handling A Shortage Of Intensive Care Beds In A Clinical Center Intensive Care Unit (9/9/1997)

Continuing Education - Approval & Funding

Continuing Education - Request Form

Contracted Services Policy

Courtesy Care

Credentialing Health Professionals At The Clinical Center (5/2/2001)

Credentialing Physician Assistants at the Clinical Center (3/8/2002)

Cricothyrotomy

Critical Care Medicine Department Pediatric Admission Policy (7/18/2000)

Critical Incident Plan

Cytotoxic or Biologic Agents, Care of the Patient Receiving Intravenous (4/02)

D

Death in the ED - Autopsy

Dental Complaints Triage Guidelines (Adobe Acrobat PDF)

Dialysis, Acute Peritoneal-See Kozier & Erb; AACN Manuals

Direct Intravenous Injection of Therapeutic and Diagnostic Agents (IV Push) (10/4/2000)

Direct Service Evaluation

Discharge Guidelines

Discharge Instructions - Adult

Discharge Instructions - Pediatric

Disclosure Of Patient Information To Third Parties (9/2/1997)

Do Not Resuscitate (DNR) Orders and Limited Treatment Orders (6/5/1998)

Documentation: Inpatient and Outpatient Care (10/00)

Documentation - Nursing Standards

Domestic Violence Protocol

Drains, Care of the Patient with (10/00)

Dress Code - Emergency Department

Dress Code - Nursing, Tech, Clerical

Dress Code Policy - Emergency Department

E

Earthquake Plan

ED Airway-Defibrillator Cart

ED Patient Follow Up

Elopement Policy

Emergency Department Visitor Control

Emergency Department Visitor Log

Emergency Management Standards - The Emergency Management Plan. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Emergency Medical Services (10/18/2000)

Emergency Medicine Policies and Procedures Manual - University of North Carolina Emergency Department [PDF  pp.149  1.78MB]

Emergency Nurses Association Position Statement on Conscious Sedation

Emergency Preparedness Plan

Emergency Transfers In - UMDNJ

Emergency/Trauma Services Medical Record Documentation - UMDNJ

EMS Equipment Tracking

EMTALA (General) - UMDNJ

Endoscopic Procedures, Care of the Patients Undergoing (04/02)

Enteral Nutrition, Care of Patient Receiving (4/02)

Epiglottitis - Patient Consult

Equipment Failure - Back Up

Equipment Safety Evaluation

Evidence - Chain of Evidence

F

Facsimile Transmission of Individually-Identifiable, Confidential Medical Record Information Maintained Under the Privacy Act (4/27/1998)

Fan Out Procedures

Fax Report Form

Fax Report Procedure

First Responder Policy - UMDNJ

Fluid Warmer

Follow-Up Guidelines

G

Guide Dogs (1/21/2000)

Guidelines For Blood Drawn For Research Purposes In The Clinical Center (10/1/1995)

Guidelines for Documenting Performance Improvement Activities

Guidelines For Preparation And Administration Of Aerosolized Ribavirin (10/4/2000)

Guidelines For The Dispensing Of Drugs To Outpatients And Discharged Patients (7/18/2000)

Guidelines For Writing Research Protocols (2/14/1997)

Gyn Evaluation

H

Hazard Communication Program

Hazardous Materials and  Wastes Management Plan

Head Circumference

Hemodynamic Monitoring, Care of the Patient Requiring Continuous (10/99)

HIV - ED Policy and Resources

HIV Testing (7/15/1997)

Home Care Services - Guidelines

Hospital Treatment Guidelines - Staff roles in response to trauma and other emergencies in the emergency room. (Nortex Regional Advisory Council)

Housing Of Pediatric Patients In The Clinical Center (7/18/2000)

I

Identification of ED Patients

Infection Prevention and Control Manual - University of Kansas Medical Center [PDF]

Influenza - Emergency Department Plan for Influenza/Viral Screening, Treatment & Prophylaxis

Influenza - Plan for Influenza/Viral Screening, Treatment & Prophylaxis

Information Management Plan

Informed Consent (5/30/2001)

Infusion Pumps - ED Quota

Ingestion of Corrosive Materials

Injury - Guide for Management

Inpatient Pass Policy (12/1/1993)

Insulin Infusion, Administration of Continuous (11/01)

Interdisciplinary Patient/Family Education Policy

Interim and Temporary Privileges (8/23/2000)

Internal Medicine Late Admissions Policy

Internet Policy

Intraaortic Balloon Pump (IABP) Therapy, Care of the Patient Undergoing (2/02)

Intracranial Infusion, Care of the Patient Receiving Continuous (2/02)

Intracranial Pressure (ICP) Monitoring Device, Care of the Patient with an (11/99)

Intracranial Pressure (ICP) Monitoring Devices-  Fiberoptic and Hydraulic

Intramural Consultative Services (1/20/1998)

Intravenous Gamma Globulin (IVIG), Care of the Patient Receiving (04/02)

Intravenous Potassium Chloride Infusions (7/18/2000)

Intubation - Guide for Use

Isolation - Guidelines

IV Drug Administration via Skin Tunneled Central Venous Catheter

IV Fluids - Protocol

IV Opthalmic Angiography (04/02)

L

Lab Testing - Procedure

Lab Testing - Protocol

Latex Allergy Policy - Sample #1

Latex Allergy Policy _ Sample #2

LBE Guidelines

Licensure Of The Medical Staff (5/2/2001)

Life Safety Management Plan

Life Sustaining Treatment Policy

Lumbar Subarachnoid Drainage System, Care of Patients with (9/01)

M

Maxillofacial Trauma

Measles Immunization (10/4/2000)

Medical Emergency Response

Medical Equipment Management Plan

Medical Record - Guidelines

Medical Record - Processing

Medical Record - Request

Medical Records Policy - Includes issues related to electronic signatures

Medication Self-Administration (10/4/2000)

MEDPATH Transitional Care

Med Refrigerator Checklist

Methotrexate for Ectopic Pregnancy

Methotrexate Order Form - Ectopic Pregnancy

Methylprednisolone - Guide

Microscope maintenance

Mission Statement

Monkey Bite - Guidelines

MRI - Guidelines

MWorks Triage and Treatment Guidelines

Myelography Using Water-Soluble Contrast Media, Care of the Patient Undergoing (9/01)

N

Nephrostomy Tubes, Percutaneous (PNT) Section I and Nephro-Uretero Stent (NUS) (with External Exit Site and Collection Bag) Section II, Care of the Patient with (4/00)

Neuromuscular Blockade, Care of the Patient Requiring (3/01)

Neuromuscular Blockers - Guide

Neuroradiologic Examinations (9/2/1997)

Neutropenic (ANC less than 500) Patient In the Hospital, Care of the Severely (11/01)

Neutropenic Fever - Adult Guidelines for the treatment of (Adobe Acrobat PDF)

Neutropenic Fever Pathway - Adult (Adobe Acrobat PDF)

Newborns dropped in ER see Safe Haven

Next of Kin - Guidelines

Nitroglycerin - Standing Order

No Code/Do Not Resuscitate (DNR) Order Policy

Non-Stat Lab Follow Up

Nursing Coverage for Over Appointment Hours - Voluntary

Nursing Documentation Responsibilities - UMDNJ

Nursing Documentation Responsibilities: Policy and Procedure (University of Medicine and Dentistry of New Jersey)

O

Occurrence Reports (10/18/2000)

Ommaya Reservoir, Care of the Patient with an (3/01)

Ophthalmic Angiography (7/00)

OR Observers Policy

Oral Care for the "AT RISK" Research Patient(11/99)

Ordering And Administering Medications In The Clinical Center (10/20/2000)

Organ And Tissue Donations (6/16/1999)

Orthostatic Blood Pressure Measurement

Outpatient Medical Record Documentation (10/21/1997)

P

Pacemaker, Care of the Patient With a Temporary Non-invasive (2/98)

Pacemaker, Care of the Patient with a Temporary Transvenous (8/01)

Pacemaker, Permanent (1/01)

Pain Assessment and Management Policy

Pain Management Policy #1

Pain Management Policy #2

Pain Management Policy #3

Participation of Clinical Research Volunteers in NIH Clinical Center Biomedical Research Protocols (2/26/1999)

Patient Acuity Policy

Patient Allergy Identification And Labeling (2/13/2001)

Patient & Family Communication - UMDNJ

Patient and Family Education (8/23/2000)

Patient Food Refrigerator

Patient Identification and Allergy Bands

Patient Responsibilities

Patient Room Searches (9/2/1997)

Patient Transportation To And From The NIH Clinical Center (9/2/1997)

Patient Transportation Within The NIH Clinical Center (9/2/1997)

Patient Valuables and Clothing

PCP Notification of ED visit

Peer Review; Identification And Management Of Impaired Practitioners; Reporting Adverse Actions On Clinical Privileges; And Reporting Payments on Malpractice Claims (10/4/2000)

Pelvic Exam - Guidelines

"Per Protocol" Orders In The Clinical Center (10/18/2000)

Performance Improvement Case Review Worksheet

Performance Improvement Mortality Case Review Worksheet

Performance Improvement/Quality Assessment Plan Sentinel Events Policy

Pericardial Pigtail Catheter, Care of the Patient with (9/01)

Peripheral Venous Access

Phlebotomy In NIH Intramural Laboratory (10/4/2000)

Photography Consent Form

Photography Consent - Guide

Plan for the Provision of Care

Policy and Procedure for Patient Medications Brought Into the Clinical Center Upon Admission (7/18/2000)

Policy for the Use of Multiple Dose and Single Dose Vials for Injection (7/18/2000)

Policy on Reporting Vulnerable Adult Abuse, Neglect, Self-Neglect or Exploitation (10/21/1997)

Policy on Use of Investigational Drugs (FDA-approved IND) Brought into the Clinical Center by Patients for Therapeutic Use (10/29/1999)

Policy On Voluntary Sterilization Of Clinical Center Patients (10/7/1997)

Position Description - Administrative Assistant I

Position Description - Administrative Assistant II

Position Description - Advance Triage Nurse

Position Description - Charge Nurse

Position Description - Clinical Nurse Specialist

Position Description - Clinical Nurse I/II

Position Description - Director of Operations

Position Description - Education Coordinator

Position Description - ED Tech

Position Description - Lead Clerk

Position Description - Office Assistant III

Position Description - Patient Care Coordinator CES

Position Description - Patient Care Coordinator ED

Position Description - Patient Care Coordinator MEDPATH

Position Description - Supervisor, Clinical Nursing Services

Position Description - Tech Supervisor

Position Description - Transfer Center and Patient Follow-up

Position Description - Transporter

Position Description - Unit Host

Position Description - Support Service Volunteer

Pre- And Post-Operative Orders (10/18/2000)

Preparation Of Cadavers For Postmortem Examinations (9/9/1997)

Private/Personal Physician: Notification Of

Privately-owned Animals in the Clinical Center (12/21/2001)

Process for the Review and Approval of New Surgical Procedures, Techniques, and Equipment (9/28/1999)

Procurement and Use of Human Biological Materials for Research (11/2/2001)

Protocol Cost And Performance (2/14/1997)

Provision Of Care At The Clinical Center (4/21/1998)

Provision of On-Call Coverage for Emergencies - UMDNJ

R

Radiology Film Sign-Out Policy (2/14/1997)

Rape Kit Documentation

Reciprocal Credentialing Of Consultants From Other Institutions (10/4/2000)

Release of Information - Media

Release of Information To The Media (10/7/1997)

Remicade infusion procedure

Renal Biopsy Post Renal Transplant, Care of the Adult Patient Receiving a (3/01)

Renal Biopsy, Care of the Patient Pre & Post (9/01)

Renal Replacement, Care of the Patient Requiring Continuous(1/00)

Reportable Conditions

Reporting Child Abuse/Neglect In The Clinical Center (6/15/1999)

Reporting of Abnormal Laboratory Results on Outpatients (7/15/1997)

Research Involving Children and Children's Assent to Research (9/26/2000)

Research Involving Human Subjects At The Clinical Center: Structure And Process (9/1/1993)

Resources - Food, Lodging

Restraint and Seclusion (9/26/2000)

Restraint and Seclusion Policy

Restraint Interventions/Alternatives Pathway

Restraint Protocol for Patients at Risk for Fall

Restraint Protocol for Patients Interfering with Treatment

Restraint, Papoose (for Behavioral Health Children), Management of Patient in (12/01)

Restraint/Seclusion Log Policy

Restraints and Seclusion Policy

Restraints, Management of the Patient in (12/01)

Return Visit to the ER - Guidelines

S

SAFE Haven

Safety - Guide to Assure Patients

SARS-Emergency Dept. Treatment Algorithm

SART Satisfaction Survey

Safety Management Plan

Safety Mission

Safety Performance Measures

Safety Report

Sample Patient Transportation Policy

Sample PI Measures Sorted by Key Function

Schedule and Duration of Orders for Diagnostic & Therapeutic Services (3/24/2000)

Scheduling Guidelines FY '03

Scheduling Profile

Scope of Practice - Emergency Department

Seclusion, Locked, Care of the Patient in (12/01)

Security Management Plan

Self-Harm/Suicide, Care of the Patient with Potential for (12/01)

Sentinel Event Policy (1/7/2000)

Sequential Compression Device (SCD), Care of the Patient with a (7/00)

Sexual Assault - SANE Guidelines

Short-Term Credentialing Of Non-NIH Residents And Fellows (5/2/2001)

Smoking In The Clinical Center (10/21/1997)

Snake Bites - Patient Management

Staffing Model Template

Starter Dose Formulary

Starter Dose P&P

Subpoenas - Guide for Payment

Suction Curettage - Guide

Suicide/Homicide Precautions Protocol and Risk Flow Chart from Emergency Department

Supplies - Refer for Procurement

Surgical Suite Infection Control (10/4/2000)

Survival Flight - ED Attending

Suspected Adverse Drug Reaction Reporting (10/29/1999)

Suspected Missing Patient (10/20/2000)

Symptom Specific Pathways

T

Tech II Promotional Criteria

Telephone Calls - Management

Termination of Resuscitation in the Field

The Use Of Foreign Drugs (Unlicensed In The U.S.A.) Brought Into The Clinical Center By Patients For Therapeutic And Not Research Use (10/29/1999)

The Use Of Investigational Drugs In Patient Care (10/29/1999)

Thrombolytics for Acute Myocardial Infarction, Care of the Patient Receiving Intravenous (7/00)

Tools for Use of Sitters as an Alternative to Restraint Use

Total Parenteral Nutrition (TPN), Care of the Patient Receiving (6/99)

Tracheostomy, Care of the Patient with (1/02)

Transfer a Patient to the OR (9/01)

Transcription Of Medical/Verbal Orders In The Clinical Center (9/28/1999)

Transfer Center Documentation

Transfers Guide for Transfer

Transfers Guidelines for Emergency Department

Transfers Out - [UMDNJ]

Trauma Burn Center

Trauma Classification Guidelines

Triage - [UMDNJ]

Triage - Management and Documentation of Walk-in Patient (s) (unscheduled patients) Information. [UMDNJ]

Triage - Prioritization

Triage Flow Chart October 2001

Triage Guide - Obstetrical Patients in the ED

Triage Guide - Obstetrical Patients in the Women's Hospital Birth Center

Triage Guidelines - MECA

Triage Process in Emergency Department

U

Unannounced Surveyor (JCAHO or other regulatory agency)

Use of autotransfusion in conjunction with tube thoracostomy

Use of Disposable Particulate Respirator Masks to Reduce Airborne Transmission of Infectious Organisms in the Clinical Center (10/4/2000)

Use of Patient's Own Dietary Supplements and Alternative Consumable Products Brought Into the Clinical Center (6/1/2001)

Utility Systems Management Plan

V

Vasoactive Medications, Care of the Patient Receiving Continuous Intravenous (11/99)

Venous Access Device (VAD), Care of the Patient with Central & Peripheral (12/01)

Ventilatory Assistance, Care of the Patient Requiring (7/99)

Ventilatory Support (NIVS), Care of the Patient Requiring Noninvasive (Without Endotracheal or Tracheostomy Tube) Intermittent (12/01

Violence Management Policy

W

Walkouts, Against Medical Advice - UMDNJ

Whistle-Blower Protection - UMDNJ

Withholding and Withdrawing Life-Sustaining Treatment Policy

Work-Related Injury or Illness