New York Nursing Home Policies and Procedures

What are nursing home policies and procedures? The purpose of healthcare policy and procedures is to communicate to employees the desired outcomes of the organization. ... The main purpose of having hospital policies and procedures is to establish a high degree of understanding, cooperation, efficiency, and unity among employees of your hospital or skilled nursing facility.

In New York State, pursuant to 10 NYCRR 415.30, defendant must provide plaintiff upon demand all nursing service policies and procedures as well as services policies and procedures. Specifically, 10 NYCRR 415.30, entitled "General records," provides that:

The nursing home shall maintain information necessary to permit the production of the following records immediately upon request and any other records required by the provisions of this Chapter:

(G) records for nursing service administration, including

(3) a nursing service policies and procedures manual.

Examples of policies and procedures in New York nursing home facilities include:

Ambulation Ambulance
 
 Identification of Residents felt to be a Risk for Aspiration Care and Treatment of Resident at Risk for Aspiration Remove Resident at Risk for Aspiration
 
 Choking/Aspiration Application of Ice Pack Audiology
 
 Authorization to use Photographs
 
 Resident Banking Baths
 
 Century Bathing System Bedpans at Bedside
 
 Method of Giving and Removing A Bedpan Disinfection Bedpans/ Urinals
 
 Bed Making, Linen Change Basic Bed Making (Closed Bed )
 
 Bed Preparation on the Evening Shift
 
 1Bed Positioning Body Mechanics
 
 Bed Entrapment Prevention Program
 
 Hospital Transfer/ Bed Hold Notice
 
 Bed Hold for Hospitalization Therapeutic Leave Bed Hold Reservations
 
 Bed Retention Policy Body Check
 
 Disposal of Infection and Biological Waste Bladder (Urinary) Installation
 
 Bladder Irrigation Blood Pressure
 
 BIPAP/CPAP MACHINE
 
 Breast Examination Buck's Traction Procedure Burial Assistance
 
 Behavior Management Plan
 
 Behavioral Management Care Plan
 
 Interdisciplinary Behavior Documentation
 
 CPR (Cardio-Pulmonary Resuscitation) BLS (Basic Life Support)
 
 Care of Critically ILL
 
 C.N.A Care Plan/ Assignment & Account Ability '>('CNA CARE PLAN
 
 Call Light
 
 Residents Chart ( Medical Records Filing Order)
 
 Charting
 
 Medicare Charting Outlines
 
 PIE (Problem, Intervention & Evaluation) Documentation Certification and Recertification
 
 Continuity of Medical Records Catheter Care Management
 
 Chest Physiotherapy OR Chest PT Century Bathing System
 
 Colostomy and ILEOSTOMY CARE Colostomy Irrigation
 
 Complaints/ Grievances
 
 Communication Cards Compress-Cold
 
 Compress-Hot
 
 Communication Device
 
 (Resident with Tracheostomy Tube)
 
 Communication Report
 
 CICP (Comprehensive Interdisciplinary Care Plan)
 
 Joint Compliance Plan (Northern Services Group) and Code of Conduct
 
 Comprehensive Nursing Assessment for Sub-Acute Care Unit, Long Term Care, and scheduled Short Term Care (Respite)
 
 Plan for Contact Precautions ')('Consultations
 
 Deaths
 
 Depression Diet Orders
 
 Dental Services
 
 Diabetic Management Diabetic Urine Testing
 
 DIATEK-600 Thermometer System Discharge of Resident
 
 Interdisciplinary Discharge Planning Checklist for Transfer/Discharge
 
 Dining Room Seating Arrangement and Tray Delivery Dinning Service
 
 Discharge of Temporary Residents
 
 AMA (Discharge Against Medical Advice) Notice of Transfer/Discharge
 
 Discharge Instructions
 
 Discharging a Resident to the Mortuary Discipline and Discharge
 
 Progressive Discipline Disinfection of Resident's Basins Disinfection Bedpans/Urinals
 
 Disposal of Infectious and Biological Waste
 
 Nursing Documentation
 
 Overview Documentation and Designated Responsibilities DNR POLICY (DO NOT RESUSCITATE)
 
 NO DNR ORDER
 
 Dressing Technique, Clean Dressings, Sterile
 
 Drug/Food Allergies
 
 Ear, Irrigation
 
 Elopement, Risk Prevention and The Management of Missing Resident
 
 Elopement Prevention Emergency Care of Residents Universal Emergency Codes Emergency Drug Kit
 
 Employer Responsibilities for Occupational Exposure Emergency Water Supply
 
 Enemas
 
 Eternal/Tube Feeding Policy and Procedure
 
 Escorting Residents to appointments outside the facility
 
 Ethics Committee
 
 Nursing Home Evacuation Plan Overview Eye Medication Administration
 
 Fall Prevention- Falling Star Program
 
 Fall Prevention Protocol
 
 Falling Star Program
 
 Falling Leaf Program
 
 Fire Emergency Procedures
 
 Flagging System in Medical Chart
 
 Gait Belt
 
 Care of Resident with Gastrostomy Feeding Tube Geri Chair
 
 Geriatric Leg Covering Geri Glove
 
 Glove Technique-Sterile Guardian Angel
 
 Handwashing Hearing Aid
 
 Heel Protectors Heimlich maneuver
 
 Hemodialysis Documentation Holiday Coverage
 
 Hoyer Lifter Human Resources
 
 Humidifier Disinfection
 
 Console Humidifier (BlONAIRE) Cool-Mist Humidifier
 
 Additional Hydration Hydration Chart
 
 Identification of Residents Immobilization Devices
 
 Influenza and Pneumoccal Immunization Influenza Outbreak Control
 
 Intake and Output 6 Day Intake Study
 
 Interim Physician's Order Form Peripheral IV Catheter Insertion Hickman Catheter
 
 Follow-up Lab Test Laboratory Reports Lab Panic Values Laboratory Services
 
 Medications and Laboratory Testing Collection of Laboratory Specimens
 
 Layback Chairs
 
 Licensed Review and Verifying License Renewals Laundry Procedures
 
 Handling Contaminated Linen and Personal Laundry Loss of Elevator Service
 
 Medication
 
 Administration Frequency of Medications
 
 Monthly Physicians Order Sheet
 
 Reconciliation of Medications on Admission/Re-Admission
 
 Adverse Consequences and Medication-Related Center Problems
 
 Omissions in Medication Administration Records and/or Treatment Administration Records
 
 Medication Regimen Review Morning Start Up
 
 Medication Issues of Particular Relevance
 
 Medication Administration VIA Nebulizer through Tracheostomy Tube Administration of Medication VIA Medi-Mist Nebulizer
 
 Medication Administration through a Gastrostomy Tube Administration of Narcotic Drugs
 
 Wasted Controlled Drug or Ampule Disposition of Unused Drugs Allergy Notification
 
 Reporting a Medication Incident Report Controlled Drug
 
 Controlled Substance
 
 Injections- Intramuscular and Z-Tract Medication, Subcutaneous Injection Self-Administration of Medication Medications, intradermal Injections
 
  Medications, Transdermal Return Medication to Pharmacy Suppositories-Rectal Suppositories-Vaginal
 
 Medical Equipment Distribution Misappropriation of Resident Property
 
 Medical Staff Coverage
 
 Mini Sharp Infectious Waste
 
 Neurological Checks
 
 Nail Management No Wander Nutrition Care
 
 Guidelines for Nursing Personnel
 
 Out on Pass Policy
 
 Orthotic Devices Administration of Oxygen
 
 Compressed Oxygen and Oxygen Concentrator VIA Tracheostomy Tube Procedure
 
 Occupational Therapy Ostomy Care One Stoma Procedure for Oral Screening Oral Hygiene
 
 Mouth Care for the Unconscious Patient Oral Evacuator Brush
 
 Ophthalmological Examination Colostomy and lleostomy Care
 
 Pacemaker Monitoring
 
 Pain Assessment and Management
 
 Pressure Sore/ Ulcer Prevention and Intervention Program Pressure Ulcer Treatment