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