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Nurses Protocols, Procedures and Tools

OTAC: Oregon Technical Assistance Corp.

DHS #: DHS forms

DATA: Data collection and tracking

REFER: Reference materials

OFFICE: Office forms/information

No./Type Title Rev. Date
TOOL Acuity Scoring Cover Sheet 2012/05
TOOL Post-Sedation Monitoring Sheet 2012/04
TOOL Post-Sedation Protocol 2012/04
4650E Eliot - Progress Notes: Hospitalizations/Surgeries 2012/02
TOOL Eliot – Nurse Care Plan / Assessment 2012/02
LINK Individual Support Plan (list/links of all supporting documents) 2009/09
OTAC Forms page 2011
1060 Work Schedule Request 2001/11
4570 Individual Narcotic Count Sheet   2007/01
4571 Psychotropic Drug Record 2010/06
4573 Med. Administration Record- Replaces SOCP 0002 2010/10
4576 Physician's Visit Orders (PVO) 2010/06
4581 Checklist in the Event of Death   2010/03
4585i In House Core Competencies (30/90 days) 2011/07
4585N Nurse Core Competency (30 days) 2011/07
4585T Transfer Core Competencies (30 days) 2011/07
4586 Core Competencies Client Specific Sheets 2011/07
4587 Daily Planner 2007/03
4590 Drug Disposal1 Sheet 2011/02
4596 Progress Notes (See DHS 4650 Prog .Notes Hospitalizations (2011) 2011/06
4596C Progress Note Continuous pages 2011/06
4603 Transfer of Medication Client Exiting SOCP 2011/09
4612 Maintenance Work Order Request 2010/09
4613 Health List 2007/04
4620 Performance Eval - ONA Represented Employee 2007/06
4621 Addendum to Physician Orders, Medication Administration Irregularities, Physician's Directions 2010/06
4623 Injury Tracking Form 2011/04
4626 Request for Investigation (HR, PM, RN, SM) 2007/06
4629 Daily Log 2010/07
4629E Daily Log/Shift Report - Eliot Nurses 2011/06
4631 Medical Home Support Service Assessment 2007/06
4633 Bloodbourne Pathogens Exposure Plan 2008/04
4644 Central Office / Office Max Order form    PDF    Word 2010/03
4645 Bowel Record 2008/05
4649 Weight Record 2012/02
4650 Progress Notes Hospitalization(s) and Surgery Record 2011/01
4651 Annual Menstruation Record     PDF     Word 2008/12
4652 $100 and Over Purchase Request Form PDFWord 2008/09
4663 Med. Admin. Accountability Sign-off Sheet 2009/09
4664 Telephone Orders 2009/08
4666 Nurse Training and Schedule documentation FAX 2011/04
4673 SOCP Nutritional Intake Record 2010/04
4674 SOCP Intake/Output Record 12/2010
4675 Acute Care Plan and Worksheet 05/2010
4676 Immunization Record 05/2010
4677 Capillary Glucose (CBG) Testing Log 2011/03
4678 Chemstrip-10 Results 2011/03
4679 Monthly Summary Review / Report 2011/03
4680 Approval for Overtime Shift 2011/04
4681 Daily Weight and Blood Pressure Record 2011/06
4682 Influenza Immunization Informed Consent 2011/04
4683 Generic (fillable) Protocol 2011/04
TOOL Delegation G-Tube meds, feed & documentation 2011/06
TOOL Delegation G-Tube Unlicensed 2011/06
TOOL Delegation Insulin Administration 2011/06
TOOL Nurse ISP Timelines Checklist 2011/10
TOOL Delegation of Nursing Task to Unlicensed Staff 2011/06
TOOL Delegation Transfer of Delegated Task 2011/06
TOOL Delegation Reassessment of Client for Delegated Task 2011/06
TOOL Delegation Rescinding of Delegated Task 2011/06
TOOL Delegation Supervisory Review of Delegated Task 2011/06
TOOL Delegation – Urinary Catheterization 2011/06
TOOL Approval Sheet_$100 and Over Purchases (4652) 2008/09
TOOL Asthma Inhaler Procedure and Rationale 2011/06
TOOL Asthma Inhaler_unlicensed 2008/05
TOOL Asthma Inhaler_unlicensed_combo 2011/07
TOOL Blood Glucose Monitoring 2011/06
TOOL Blood Glucose Montoring_Rationale 2011/07
TOOL Bloodborne Pathogens PPT Handout  
TOOL Bloodborne Pathogens PPT  
REF Blood Glucose Breeze2 Powerpoint  
REF Blood Glucose Breeze User Guide pdf  
TOOL CPAP.BIPAP Therapy Information 2011/06
TOOL Client Assessment Tool 2011/06
TOOL Client Assess Tool_N/C relationship Entry/Exit/Yearly 2011/07
TOOL Client Notes 2011/07
TOOL Constipation (Physician Order) 2011/06
TOOL Daily and Acute Care Plan and Worksheet (4675) 2010/04
TOOL Discontinue Nurse / Client Relationship 2010/09
TOOL EpiPen Rational and Procedure 2012/02
TOOL EpiPen – Post directions 2012/02
TOOL EpiPen PPT Handout 2012/02
TOOL FAX (Outreach Team / Nurse) 2011/07
TOOL Focused Nursing Care Plan 2011/06
TOOL Foley Catheter Care 2011/09
TOOL G-Tube Connect / Disconnect Protocol 2011/08
TOOL Generic Protocol (OTAC) or SOCP Generic Protocol 2011/03
TOOL Delegation Glucometer Check 2011/09
TOOL Glucagon Procedure 2011/06
TOOL Glucometer Check_Unlicensed 2011/07
TOOL Hypertension Protocol 2011/07
TOOL Delegation Insulin Administration Procedure 2011/06
TOOL Letter-of-Intent (Nurse/Client relationship) 2011/07
TOOL Limited Nursing Care Plan 2011/07
TOOL Multiple Sclerosis Info Sheet 2008/12
TOOL Nurse Care Plan(s) 2011/07
TOOL Letter - Discontinue Nurse/Client Relationship - Exit program 2011/09
TOOL Nurse/Client Relationship Checklist 2011/08
TOOL Nurse/Client Monthly Summary Report (4679) 2011/03
TOOL Nurse/Client Relationship – Entry/Exit/Yearly Assessment 2011/07
TOOL Nurse Training and Schedule Documentation (4666) 2009/08
TOOL Office Supply Order form_Boise/Office Max (4644) 2010/03
TOOL Orders – Nursing Orders 2011/07
TOOL Orders – Physician Orders 2011/07
TOOL Oxygen Concentrator Operational Instructions 2011/06
TOOL Payroll Deadlines 2011/07
TOOL Program Cover Sheet 2011/07
TOOL Program Data Sheet – Task Analysis 2011/07
TOOL Respiratory Therapy Consult 2011/07
TOOL Review Schedule (Every 60 days) 2011/07
TOOL Review Schedule (Every 120 days) 2011/07
TOOL Seizure Calendar 2011/07
TOOL Seizure Log 2011/07
TOOL Seizure Report 2011/07
TOOL Sign In Sheet – (Trainings) 2012/02
TOOL Suprapubic Flush procedure 2011/09
TOOL Task Assessment sheet_Healthcare 2011/07
TOOL Task Assessment_Self Admin Meds 2011/07
TOOL Timesheet (monthly) 2011/07
TOOL Work order_Maintenance (4612) 2010/09
TOOL Work schedule request 2011/07
REF MAT DHS DD Nursing Manual toc links  
REF MAT DHS/SPD/DD Nurse Manual pdf  
REF MAT DHS DD Nursing Manual Delegation (on-line)  
REF MAT DHS/OHA - Glucagon Training (30-pages)  
REF MAT Guidelines: Nurse Client Follow ups  
REF MAT In-House Training Duties and Responsibilities  
REF MAT Medication Administration Manual  
REF MAT Mental Health Registered Nurse Position Description  
REF MAT Oregon Nurse Association (ONA) Contact  
REF MAT SOCP Reference Notebook