Nursing Skills Procedure Manual

Every new Home Health Care Agency needs this! If you are a nurse in independent practice, or you employ nurses, you need to have policies and procedures in place for the nurses in your agency. This comprehensive 300 page manual covers all the essential nursing tasks.

This product is a DIGITAL DOWNLOAD, so there is no waiting! You will receive an email following your purchase with the link to download the Nursing Skills Policy and Procedure Manual. It is in MS Word document format so you have the freedom to edit and customize it with your logo, business details, and location. Your are entitled to use this for the business for which it is purchased, but this may not be reproduced or re-sold.

The content was created by a Registered Nurse based on the Perry & Potter Nursing textbooks and the Registered Nurses Association of Ontario best practice guidelines.  However, we make no claims that it is perfectly accurate! Evidence based practice is ever evolving and it is YOUR responsibility to read the content and ensure it is right for your agency. This 300 page manual is a valuable tool and resource for your business without having to spend months creating a manual from scratch. 

Nursing Skills Manual Table of Contents

Nursing Services

• Scope of Service
• Service and Staffing Availability
• Coordination of Services
• Guidelines for Charting and Documentation
• Guidelines for Notifying Physician
• Guidelines for Patient Education
• Guidelines for Physician Orders.
• Guidelines for Verbal Orders
• Credentialing of Nursing Personnel
• Competency Verification
• Employee Training & Orientation
• Supervision of Nursing Personnel

Infection Control

• Hand Washing & Hand Hygiene
• Handling of Medical Waste
• Handling and Disposal of Sharps
• Personal Protective Equipment
• General Use of Supplies and Equipment
• Disinfecting and Cleaning Equipment

Assessment & Plan of Care

• Initial Assessment/ Reassessment
• Plan of Care

Pain Management

• Pain Assessment/Reassessment
• Pain Medication & Documentation Guidelines

Medication Administration

• Medication Administration
• Destroying & Discarding Medications
• Discontinued Medications
• Adverse Consequences and Medication Related Problems
• Controlled Substances
• Metered Dose, Inhaler, Oral, Buccal, and Sublingual
• Topical, Subcutaneous, Intradermal
• Intramuscular
• Z-Track
• Rectal, Vaginal
• Eye & Ear Instillation
• IV Push
• Secondary Tubing
• Enteral Tube

Oxygen Administration

• Oxygen Administration & Safety
• Pulse Oximetry
• Oxygen Therapy via Nasal Cannula
• Oxygen Therapy via Mask
• Assessment of Ventilator Dependent Patients (Adult & Pediatric)
• Mechanical Ventilation Interventions
• Responding to Ventilator Warning Signs
• Tracheostomy Care
• Endotracheal, Nasal, and Oral Suctioning

Nutrition

• Nutrition Assessment
• Gastronomy/Jejunostomy Tube Care
• Checking Gastric Residual
• Confirming Placement of Feeding Tube
• Flushing & Venting Feeding Tube
• Policy Title:  Administration of Feeding
• Administration of Feeding (bolus, gravity, pump, intermittent)
• Nasogastric Tube
• Administration of TPN & Lipids

Skin & Wound Management... 151

• Wound Assessment & Patient Education Guidelines for Wound Management
• Pressure Ulcer Risk Assessment & Documentation Guidelines
• Skin Breakdown Protocol
• Clean Dressing, Sterile Dressing, Wet to Dry, Dry
• Foam Dressing, Calcium Alginate, Hydrogel, Hydrocolloid
• Wound Vac
• Wound Irrigation
• Una Boot
• Staple & Suture Removal

Glucose Management

• Glucose Management
• Hyperglycemia Protocol
• Hypoglycemia Protocol
• Glucose Monitoring
• Documentation Guidelines

Incontinence

• Catheter Care
• Bladder Training
• Condom Catheter
• Policy Title: Foley Catheter Insertion & Removal (Male & Female)
• Foley Catheter Insertion & Removal (Male & Female)
• Intermittent Catheterization
• Suprapubic Catheter Care
• Emptying Urinary Drainage Bag
• Ostomy Care (colostomy, urostomy)
• Stoma Care
• Bowel Training
• Fecal Impaction Removal
• Enema
• Incontinence Documentation Guidelines

Miscellaneous

• Blood Pressure (Hypertension & Hypotension Protocol and Parameters)
• Pulse (apical, radial)
• Temperature (oral, tympanic, axillary, rectal)
• Respirations
• Range of Motion (active, passive)
• Applying a Compress (warm, cold)
• Applying Anti-Emboli Stocking (TED hose)
• Applying Pneumatic Compression Device
• Nail Care
• Foot Care
• Hoyer Lift

Specimen Collection

• Specimen Collection Policy
• Transport Policy
• Documentation Guidelines for Specimen Collection
• Guidelines for Reporting Test Results to Physician
• Urine Specimen
• 24 Hour Urine Specimen
• Collecting Urine Specimen from Closed Drainage System
• Stool Specimen
• Sputum Specimen
• MRSA Culture Specimen
• Blood Specimen

Appendix (Forms)

• Nursing Care Plan (Example)
• Nursing Skills Checklist
• Nursing Competency Exam
• Fluid Intake and Output Flow Sheet
• Nutritional Care Plan
• Patient Education Handout- Wound Care Tips
• Test Result Significance and Urgency Decision-Making Tool
• Patient Handout: 24-Hour Urine Collection Instructions
• Incident Report
• PRN Medication Administration Log
• Progress Notes
• Vital Signs Record Sheet
• Medication Administration Record
• Blood Glucose Monitoring Record