New York Nursing Home Policies and Procedures

November 1, 2018

 

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
 

 

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