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Nursing Procedures
   
Procedure Name
Alpha Key
Key Words

Abdominal Paracentesis, Assisting with

spe 01
.

Ankle-Brachial Indices (ABIs)

spe 08
.
Aquapheresis using the Aquadex Flexflow
car 12
.
Beds:
.
.
equ 09
.

Specialty Beds and Surfaces

skc 15
.
Bladder:
.
.

Bladder Instillation of Medication

cat 13
.

Bladderscan - Adult Patient

cat 14
.
Blood Components, Administration of :
.
.

Ordering, Obtaining, Identification, and Administration of Blood Products
(RBC, Platelets, Fresh Frozen Plasma, Cryoprecipitate) - Blood Reactions -
Adults and Pediatrics

blo 03
RBC    Platelets
Plasma
Cryoprecipitate
FFP

Using a Warmer for Warming Blood / IV Fluids

blo 05
.

Albumin

blo 08
.

Coagulation Factors - Factor VIII, Factor IX and Prothrombin Complex Concentrate

blo 09
.
poc 07
.
spe 19
.
spe 20
.

Blood Collection Venipuncture in the NICU

nur 48
.
spe 02
.
equ 04
.
car 14
.
Catheters, Urinary
.
.

Application and Removal of Male External Catheter

cat 02
.

Continuous Bladder Irrigation

cat 03
.

Suprapubic Catheter Change

cat 04
.

Catheterization - Straight and Retention / Care and Management /
Removal of Catheter - Adult

cat 05
foley
CAUTI

Urinary Catheter Irrigation

cat 06
.

Coude Catheter Insertion

cat 07
.

Intermittent Self-catheterization

cat 08
.

Urine Specimen Collection

cat 09
.
cat 10
 

Centralized Telemetry Monitoring of Patients (CTM)

ctm 01

Troponin

Chest Tubes-Adults

tub 01
.

Chest Tubes-Discontinuation

tub 09
.

Critical Care:

.
.
car 16
.

Autotransfusion System for Use with Cardiac Surgical Patients

crc 06
.

Storage of Blood / Blood Components in the Cardiovascular Intensive Care Unit

crc 07
 

Care of Patient with Mediastinal Chest Tubes in the Cardiovascular Intensive Care Unit

crc 08
.

Intracranial Pressure Monitoring and Drainage of Cerebrospinal Fluid
via Ventricular Catheter

crc 10

ICP
ventriculostomy

Return unused Blood / Blood Components
to Suncoast Communities Blood Bank from CVICU

crc 11
.

Assisting with Emergent Open Sternotomy and Internal Defibrillation

crc 12
.

Care of Intra-Aortic Balloon Pumps (IABP)

crc 13
.

Care of Pulmonary Artery Catheters

crc 14

SWAN

Care of Radial Arterial Lines

crc 15
.

Prone Positioning of the Mechanically Ventilated Patient

crc 17
.

Measurement of Intra-Abdominal Pressure via a Urinary Catheter

crc 19
.

Therapeutically Induced Hypothermia for Cardiac Arrest or
Acute Ischemic Stroke Patients

crc 20
.
crc 21
.
crc 22
.
crc 23
.
crc 24
.
Diabetic Procedures:
.
.

Diabetes Patient Education

dia 02
.
poc 01
.
Insulin Administration:
.
.

7WT, Meckler Express Unit, and Critical Care-DKA/HHSN Patients
Requiring IV Insulin Drips - Adults

dia 11
.

Subcutaneous Single and Mixed Dose Insulin

dia 12
.

Management of Patient's Own Insulin Pump /
Continuous Subcutaneous Insulin Pump Infusion

dia 13
.

Insulin Reaction / Hypoglycemia Protocol for the Adult Patient

dia 14
glucose
dia15
.

Diabetes Foot Care

dia 18
.
Dialysis Procedures - Hemodialysis:
.
.

Operational Guidelines for Hollow Fiber Dialyzer Preparation

dhd 01
.

AV Graft and/or Fistula Venipuncture

dhd 02
.

Fistula Points to Remember

dhd 03
.
dhd 05
.

Maintenance / Care and Testing of Reverse Osmosis System /
Hemodialysis Machines and Portable R/O's

dhd 06
.

Operational Guidelines for Discarding the Prime

dhd 08
.

Blood Leak Guidelines

dhd 09
.

Operational Procedures for Recirculation

dhd 10
.

Presence of Chlorine in R/O Water

dhd 12
.

Termination of Dialysis Using a Fistula Access

dhd 15
.

Care of the Dialysis Patient on the Inpatient Nursing Unit

dhd 16
.

Termination of Dialysis Using a Dual Lumen Catheter
(sites: subclavian, femoral, internal jugular)

dhd 18
.
dhd 20
.

Dialysis Temporary Catheter
(Insertion, Dressing Change, Removal, etc)

dhd 21
.

Guidelines for the Care of the Patient in the Hemodialysis unit

dhd 22
.

Measurement of Recirculation in the Vascular Access

dhd 37
.

Alarm System for Reverse Osmosis (R/O) Water System for Hemodialysis

dhd 41
.

Operational Procedure for Using the Crit Line

dhd 42
.
dhd 45
.

Pericidin Disinfectant Procedure

dhd 46
.
 

Presence of Chlorine in Portable R/O Machine

dhd 47
.
 

Use of the Dialysis Catheter on Day Treatment Center (Dressing and Connector Change; Removal; Medication and Blood Draws; TEGO Cap Use)

dhd 48
.
Dialysis Procedures - Peritoneal Dialysis
.
CAPD

CAPD Exchange Procedure

dpd 02
.

De-Clotting Tenckhoff CAPD Catheter using Alteplase (t-PA)

dpd 07
.

CAPD Transfer Set Change

dpd 12
.

Titanium Adapter Insertion-CAPD

dpd 13
.

Collecting and Preparing Peritoneal Effluent for Laboratory Testing

dpd 16
.
dpd 17
.
Documentation
.
.

Nursing Collaborative Care Plan - Computerized

doc 07
care plan

Pediatric Admission History

doc 12
.

Computerized Pediatric Nursing Assessment / Reassessment Flowsheet

doc 13
.
Ear Irrigation     
spe 11
.
Electric Hot Water Bottle (K-Pad), Application of
equ 05
K-pad  kpad
Endoscopy
.
.

Endoscopic Procedures - Colonoscopy

end 01
.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

end 02
.

Gastroscopy (Panendoscopy, Upper Endoscopy )

end 03
.
Enemas - Irrigating and Retention       
spe 17
.
Enterostomal Therapy Procedures
.
.

Colostomy/Ileostomy, Changing and Care of the 1-piece Ostomy Pouch

ent 01
.

Colostomy Irrigation

ent 03
.

Loop Ostomy, Care and Pouching

ent 04
.

Urostomy and Ileal Conduit: Care and Management

ent 08
.

Obtaining Urine Specimen from Ileal Conduit/Urostomy (Culture & Sensitivity)

ent 09
.

Ileostomy Lavage

ent 10
.
Epicardial Pacing Wires
.
.

Epicardial Pacing Wires -Grounding

pac 01
.

Epicardial Pacing Wires - Dressing Change

pac 02
.

Epicardial Pacing Wires-Discontinuation

pac 06
.
Eye, Care of the Prosthesis
spe 13
.
Fecal Impaction, Removal of
spe 09
.
Femoral Sheaths
.
.

Care of Femoral Arterial Sheaths

car 04
.

Discontinuation of a Femoral Venous / Arterial Sheath
and Groin Management

car 11
.

Gastrostomy Tubes (G-Tubes, PEG Tubes, Jejunostomy Tubes), Care and Maintenance

tub 02
.
Hemoccult Slide / Fecal Occult Blood Screening
poc 05
.
Hyper / Hypothermia Blanket      
equ 06
cooling
warming
Incentive Spirometry
equ 02
.
Injections
.

Injections: Preparation and Administration of
Subcutaneous and Intramuscular

inj 01
.

Injections: Z-Track Intramuscular

inj 02
.
Intermittent Pneumatic Compression Devices (IPCD) and TED Stockings
equ 08
.

Intravenous (IV) Procedures:

.
.

Summarized Protocol for the Management of Intravenous Therapy for Adult Patient

inv 01
.

Peripheral IV Therapy: Initiation and Care for the Adult Patient

inv 02
.
inv 08
.
pic 00
.

Central Line Catheter Care and Maintenance

cen 01
.
cen 05
declotting, infiltration phlebitis, TPA extravasation, Regitine
cen 06
.

Parenteral Nutrition and Intravenous Fat Emulsion
(Adult and Pediatrics)

inv 11
TPN
Hyperal
hic 01
.
Kidney Biopsy, Assisting with
spe 03
.
Lifevest, Care of the Patient Wearing
car 15
life vest
Liver Biopsy, Assisting with
spe 04
.
Lumbar Puncure, Assisting with
spe 05
.
Medications, Administration of
.
.

Administering Medications - Adults and Pediatrics

med 01
EMAR
med 05
.
med 06
.
med 07

IVIG
gama
gamma
ivig

med 08
 
med 09
.
med 14
fentanyl
med 16
.
Nasal Specimen Collection Protocol for MRSA DNA Testing
spe 18
.
Nasogastric Tubes
.
.
nas 01
ng
nas 04
keofeed
nas 05
.

Nephrostomy Tube Irrigation and Dressing Change

tub 03
.
Neurological Procedures
.
.
neu 02
.
neu 03
.
neu 04
NIH
Nursery Procedures
.
.
nur 01
.
nur 02
.
nur 03
.
nur 06
.
nur 11
.
nur 12
.
nur 13
.
nur 14
.
nur 15
.
nur 16
.
nur 17
.
nur 18
.
nur 19
.
nur 20
.
nur 21
.

Safety in the Use of Cutting or Sharp Instruments in the NICU

nur 23
.
nur 24
.
nur 26
.
nur 27
.
nur 28
NAS
nur 29
.
nur 30
.
nur 31
.
nur 32
.
nur 34
.
nur 35
.
nur 36
.
nur 40
.
nur 41
spoon cup

Administering Medications - Neonatal ICU patients, Newborn Nursery Infants

nur 42
.
nur 43
.
nur 44
.

Glucose Monitoring-Neonatal

nur 45
.

Apnea of Prematurity & Bradycardia (Cardiorespiratory Events)
Management, Monitoring and Documentation

nur 47
.

Venipuncture Blood Collection for Neonatal Labs and Blood cultures in the NICU

nur 48
.
nur 49
.
nur 51
.
nur 52
.
nur 53
.
Obstetrics Procedures
.
.
obs 01
.
obs 03
.
obs 04
.
obs 05
.
obs 08
.
obs 09
.
obs 11
.
obs 19
.
obs 23
.
obs 25
.
obs 27
.
obs 28
.
obs 31
.
obs 32
.
obs 33
.
obs 34
.
obs 35
.
 
obs 37
.
obs 38
.
obs 39
.
gyn 01
.
Oncology Procedures
.
.
onc 01
.
onc 02
.
onc 05
.
onc 07
.
onc 08
.
onc 09
.
onc 10
.
onc 16
.
onc 18
.
onc 19
.
onc 20
.
onc 21
.
onc 23
.
onc 24
.
onc 26
.
onc 27
.
onc 28
.
Orthopedic Procedures
.
.
ort 02
.
ort 03
.
ort 05
.
ort 06
.
ort 07
.
ort 11
.
ort 12
.
ort 13
.
ort 14
.
ort 17
.
ort 20
.
ort 23
constavac
ort 24
.
ort 25
CPM
Pacemaker
.
.
pac 03
.
pac 07
.
Patient Transfer (Unit to Unit)
trn 02
.
trn 05
.
Pediatrics Procedures
.
.
ped 01
.
ped 05
.
ped 06
.
ped 07
.
ped 08
port,  VAD
ped 09
.
ped 15
.
ped 16
.
ped 17
.
ped 18
.
Pleurodesis (Instillation of Medicine), Assisting with
spe 06
.
PleurX Catheter and Drainage System     tub10
.
Preoperative Care -- Preparation of the Patient for Surgical Operation
pso 01
surgery
pre-op
Pulse Oximetry Utilization
equ 03
.
RAD - Care of the patient following Diagnostic or Interventional Catheterization via the Radial Arterial approach with RadStat Compression System or TRB compression device
car 13
.
Rectal Tube (Flatus)
tub 04
.
Rectal Tube (Flexiseal)
tub 08
.
Restraints
.
.
res 01
.

Applying Soft Restraints

res 02
.

Posey Bed Enclosure (Ordering and Use)

res 05
.
Roller Board / Slider Board
trn 03
.
Seizure Precautions - Adults
neu 05
.
SCM (CareVISION) flags; Hold and conditional orders
scm 01
.
Skin Care
.
.
skc 01
.
skc 02
.
skc 03
.
skc 04
.
skc 05
.
skc 06
.
skc 08
.
skc 09
.
skc 10
.
skc 11
.
skc 13
.
Specialty Beds and Surfaces - SEE: Beds (above)
skc 15
.
skc 16
.
skc 17
.
Speculum Exam - Preparing Patient for Papanicolaou Test (Pap Smear)
gyn 03
.

Stool Specimen Collection and Transport, Procedure for

poc 06
.
Suction
.
.
suc 01
.
suc 02
.
suc 03
.
suc 04
.
Suture Removal
spe 14
.
Suture - Skin Staple or Clip Removal
spe 15
.
Thoracentesis, Assisting with
spe 07
.
Tracheostomy Care
tub 07
.
Transfer Belt / Gait Belts
trn 01
.
T-Tubes
tub 06
.
Tube Feedings
.
.
tuf 04
.
tuf 05
.
Implanted VAD (Implanted Port) Care and Maintenance
vad 01

mediport
infusaport
lifeport

Wound Care
.
.
wou 02
JP, J-P
wou 03
.
wou 04
.
wou 05
JP, J-P
wou 06
.
wou 07
.
wou 08
VAC
wou 09
.
wou 10
.

Wound and Ostomy Care (WON / ET)

wou 11
.
wou 12
.
 
.
.
NURSING POLICIES
.
Administrative Department Policies
.
.

Clinical Practice/Standards of Care References

126.001

.

Accountability for Nursing Care at SMH

126.003

.

Nurse Residency Program

126.007

.

Clinical Coach Program / Clinical Preceptors / Orientees

126.008

.

Assignment and Performance of Nursing Students

126.021

.

Nursing Competency Validation Program

126.033

.

Nursing Education and Travel

126.041

.

Privately Hired Caregivers (Nurses / Sitters)

126.044

.

Private Duty Sitters

126.046

.

Nurse Staffing

126.048

.

Ultimate Schedule for Nursing

126.050

.

Patient Care Delivery Model/Assignment of Nursing Care

126.054

.
Continuing Nursing Education Activity Process
126.067
.

Education Programs for Nursing Personnel

126.068

.

Orientation for Nursing Personnel

126.074

.

Vacation Guidelines for Patient Care Services

126.075

.

Nursing Department Policies and Procedures: Initiation, Review and Distribution

126.080

.

Maintenance of Required Records and Reports

126.082

.

Standards of Nursing Care

126.225

.
Patient Care Department Policies
.
.

Medication Administration Times

126.151

Pharm 129.002

Controlled Substances: Not Dispensed from Pyxis Medstations

126.152

Pharm 129.721

Administration and Nursing Care of Adult Patients on Specific Intravenous Medications (including Cardiovascular, Vasoactive, Thrombolytics, Neuromuscular Blockade and Electrolytes)

126.155

vasopressor
cardiac meds

Titrations of Selected Pharmaceuticals for Critical Care Areas, Hemodialysis, PACU, Emergency Care Center, Cardiac Care Areas, Neuro Progressive Care, and the Meckler
126.156
Pharm 129.061

Dilutions of Selected Pharmaceuticals (Standard and Maximum Concentration)

126.157

Pharm 129.167

Nursing Guidelines for the Initiation and Administration of Dofetilide (Tikosyn)
126.158
.
Fertility Preservation for Young Adult Oncology Patients
126.159
.

Discharge of a Patient from SMH to Bayside Center for Behavioral Health

126.164
.

Oxygen Administration (Including Emergency)

126.167

RT 135.012

DVT/VTE Nursing Protocol Prevention

126.168
.

Acute and Post-Operative Epidural / Intrathecal Pain Control

126.169
.

Criteria for the Performance of Cardiovascular Diagnostics at the Bedside

126.171

CVD 103.012

Care of the Outpatient / Procedural Outpatient on Home Ventilation Support
126.175
.
Breast - Related Lymphedema
126.176
 

Admission of Post-Partum Mother and Baby Following Initial Discharge From Hospital

126.179

.

Radiation Monitoring and Care of Permanent Implant Patients

126.182

CVD 125.508

Non-invasive Positive Pressure (NPPV) Ventilation (CPAP / BIPAP
126.184
RT 135.118

Maintenance of Emergency Equipment

126.185

RT 135.029

Protocol for Passy-Muir Tracheostomy Speaking Valve

126.186

RT 135.008

Intravenous Patient Controlled Analgesia (PCA) and Narcotic Infusions

126.187

IV PCA
Pharm 129.199
Hazardous Drug Handling - Reduction of Exposure Risk to Employee
126.201
Pharm 129.197

Self Administration of Medications by Patients

126.202

Pharm 129.062

Medication Storage and Compliance Monitoring

126.203

Pharm 129.007
home
home meds
home medications

Medication Order Processing and Distribution

126.204

Pharm 129.105

Management of Patient's Own Medication

126.205

Pharm 129.063

Medication-Limited Prescription Dispensing

126.206

Pharm 129.065

Nursing and Pharmacy Guidelines for the Administration of IV Epoprostenol (Flolan and Veletri)

126.207

Pharm 129.060

Pyxis Medstation Operational Procedures

126.209

Pharm 129.110

Pyxis Medstation System-Override of Medications

126.212

Pharm 129.113

Intake and Outputs/Patient Weights - Adult

126.213

.

Pyxis Connect System or Equipment Failure Procedures (Scanning of Pharmacy Orders)

126.215

Pharm 129.120

Pyxis Medstation System or Equipment Failure Procedures (Troubleshooting)

126.216

.

Care of the Suicidal Patient in the Acute Care Setting

126.219

suicide

Pyxis Medstation User Authorization and Verification

126.221

.
Potassium Chloride Replacement - ADULT
126.222
Pharm 129.059
Constant Observation Camera Program
126.223
 

Nursing and Pharmacy Guidelines for the Administration of IV Remodulin (Treprostinil)

126.226

.

SMART Pump Infusion Device
126.244
Pharm 129.200
Cancer Care Services - Research Department
.
.
Satellite Site Management Plan
256.000
.
Standard Operating Procedure for Investigational Drug Accountability, Storage, Transport, Dispensing and Return
256.001
.
Standard Operating Procedure for Responsibilities of the Research Team
256.002
.
Standard Operating Procedure for Monitor/Auditor Visits
256.003
.
Standard Operating Procedure for Data Collection / Submission
256.004
.
Standard Operating Procedure for Collection and Storage of Tissue Obtained from TCC Subjects in Surgery
256.005
.
Standard Operating Procedure for Collection and Storage of Biopsied Tissue from TCC Subjects in Surgery
256.006
.
Standard Operating Procedure for Collection and Storage of Biopsied Tissue from TCC Subjects in Radiology
256.007
.
Standard Operating Procedure for Collection and Storage of Biopsied Tissue from TCC Subjects in Endoscopy
256.008
.
Standard Operating Procedure for Collection and Storage of FNA Tissue in Endoscopy
256.009
.
Standard Operating Procedure for Collection and Storage of FNA Tissue from TCC Subjects in Radiology
256.010
.
MNC Collection, Identity Verification and Shipping - Specific Procedures for CAN-004 Ovarian Cancer Vaccine Study
256.011
.
Standard Operating Procedure for Screening and Enrolling Subjects
256.012
.
Transporting Specimen
256.013
.

Cardiac Policies

.
.

Standards of Care/Standards of Practice: Cardiac Acute and Cardiac Progressive Units

126.235

.

Admission/Discharge Criteria: Cardiac Acute (CAC)

126.325

.

Admission/Transfer Criteria: Cardiac Progressive Units

126.327

.

Admission/Discharge Criteria: Cardiovascular Thoracic Step-down Unit

126.329

.
Non-elective (Urgent) Cardioversions
126.330
.
Triaging Patients during Monitor Failure
126.331
.
Center for Wound Healing
.
.

Center for Wound Healing (CWH) Outpatients

200.000
.
Standards of Care: Center for Wound Healing (CWH)
126.288
 

Day Treatment Center Policies

.
.

Standards of Care - Day Treatment Center

126.256

.
Day Treatment Center Admission Criteria
126.926
.

Day Treatment Center Discharge Criteria

126.927

.

Day Treatment Center Scheduling System

126.929

.

Day Treatment Center - Medical Record and Documentation

126.945

.

Discharge Services Policy

.
.

Patient Criteria for Discharge Services

126.285

.

General Medical Surgical Unit

.
.
Standards of Care: Medical Surgical Division
126.276
.
Admission/Transfer Criteria: General Medical/Surgical Unit
126.286
.

General Surgical Policies

.
.

Standards of Care: Medical Surgical Division

126.276

.

Admission/Transfer Criteria: General Surgical Unit

126.281

.

Hemodialysis Policies

.
.

Standards of Care: Hemodialysis

126.231

.

Guidelines for Hemodialysis Treatments

126.503

.

SMD Dialysis and Outpatient Chronic Center Continuity of Care

126.531

.
Maternal Services Policies
.
.

Standards of Care: Mother-Baby Unit

126.239

.

Standards of Care: Maternity Care Services

126.240

.

Admission / Discharge / Transfer Criteria: Women's Services

126.700

.

Neonatal/Maternal Transport Team: Accident Procedure

126.702

RT 135.023

Electronic Fetal Monitoring (EFM) Doppler Device Use during AnteAntepartum/Intrapartum for Fetal Assessment

126.703

.

Oxytocin Induction or Augmentation of Labor

126.706

.

Mode of Response for Maternal and Neonatal Transport Vehicles

126.707

.

Maternal/Neonatal Transport Teams: Disaster or Breach in Homeland Security

126.708

.

Maternal/Neonatal Transport Team: Mobilization Time

126.709

.

Rapid HIV Testing and STD Testing of Mothers in the Labor, Delivery and Post-partum Settings

126.710

.

Cesarean Delivery Classification

126.712

.

Labor and Delivery Scheduling Process

126.714

.

Placement and Care of Neonates of Questionable Viability and/or Non-Viability

126.715

.

Guideline for the Newborn Delivery Team

126.718

RT 135.024

Assignment for Medical Care for Obstetrical Walk-in Patients

126.720

.

Video Camera and Still Photography Use in LDR and Satellite OB/OR

126.721

.

Management of the Pregnant Patient with Epidural Anesthesia

126.722

.
Vaginal Birth after Cesarean Section (VBAC)
126.724
.

Anesthesia Care and Intraoperative Monitoring

126.726

Surg 139.0501

Unintended Intraoperative Awareness During General Anesthesia

126.732

Surg 139.0502

Safety Basic Standards for Perioperative Services and Women's Services OR

126.733

Surg 139.0307

Proper Identification and Warming of IV Fluids and Irrigation Solutions - surgery, PACU, & OB

126.734

Surg 139.0105

Chain of Command for Resolution of Interpretative Differences in Obstetrics

126.735

.

Cord Blood Collection and Labeling for Labor & Delivery

126.737

.

Quantification of Amniotic Fluid Index (AFI) by RN Staff

126.741

.

Collaborative Care of the High Risk Obstetrical Patient

126.742

RT 135.022

Prostin / Misoprostol Utilization for Cervical Ripening / Dilation in IUFD and Medically Indicated TOP

126.745

.

Concentrated Oxytocin Infusion for Labor Induction (for up to 27 completed weeks of gestation)

126.746

.

Standards of Care: Maternal Transport Team

126.748

RT 135.035

Transportation of Maternal Patients Off Campus (Outside of Hospital)

126.749

RT 135.034

Collaborative Care of the Surgical Pregnant Patient
(24 Weeks or Greater)

126.750

RT 135.036
Surg 139.0230

Hydrotherapy for Women in Labor
126.753
.

Care of the Pregnant Patient Cared for by a Community Licensed Midwife

126.755

.

Parental Refusal to Comply with Florida Statutes Regarding Routine Treatment and Screening of Newborns

126.761

.
Infection Control Policy for Perioperative Services and Women's Services - Satellite OR
126.762
.
Traffic Patterns for Perioperative Services and Women's Services - Satellite OR
126.763
.

Adoptions

126.774

.

Discharge Criteria, Mother/Baby Unit

126.776

MBU

Visitation within OB ECC, LDR, and the High Risk Antepartum

126.777

.

Visitation on the Mother Baby Unit

126.778

.
Admission of Post-Partum Mother and Baby Following Initial Discharge from Hospital
126.779
.

Admission Criteria: Mother/Baby Unit

126.781

MBU
Tetanus, Diphtheria, Pertussis (TDAP) Vaccination Post-partum
126.783
.

Temporary Release and Return of Infant's Body From the Morgue

126.785

.

Admission/Discharge Criteria: Post Anesthesia Care Units

126.802

Surg 139.1603

Malignant Hyperthermia

126.805

Surg 139.0225

Meckler Express Admission Center MAC)

.
.
Meckler Express Admission Center: Patient Placement Criteria
126.950
 

Standards of Care: Meckler Express Admission Center

126.246

.
Medical 1 Department Policies
.
.

Standards of Care: Medical Surgical Division

126.276

.

Admission/Transfer Criteria: Medical One/Medical Services/Respiratory/NurseResidencyUnit

126.275

.
Medical Short Stay
.
.
Medical Short Stay Patient Placement Criteria
126.287
.

Medical/Wound Care/Renal/Diabetic Policies

.
.

Standards of Care: Medical Surgical Division

126.276

.

Admission/Transfer Criteria: Medical/Wound Care/Renal/Diabetic

126.283

.

Neonatal Services Policies

.
.

Standards of Care: NICU

126.242

.

Standards of Care: Neonatal Transport Team

126.245

.

Admission of Infants Born Outside of SMH

126.602

.

Placement and Care of Neonates of Questionable and/or Non-Viability

126.603

.

Admission Criteria: Mother/Baby Unit

126.604

MBU

Discharge Criteria: Mother/Baby Unit

126.605

MBU

Family Care Time and Visitors in the NICU

126.609

.

Neonatal ICU Intravenous (IV) Therapy

126.610

.

Neonatal Outpatient Eye Clinic-Medical Record and Documentation

126.611

.
Infection Control Department Policy for NICU
126.612
.

Visiting on the Obstetrical, Neonatal, and MBU Units

126.631

MBU

Adoptions

126.632

.

Neonatal Intensive Care Unit: Discharge Criteria and Planning

126.651

.
Guidelines for Newborn Assignment to Appropriate Level of Care
126.652
.

Guideline for the Newborn Delivery Team

126.655

.

NICU: Admission, Care and Transfer Procedure
and Acuity Criteria

126.660

.

Parental Refusal to Comply with Florida Statutes Regarding Routine Treatment and Screening of Newborns

126.661

.

Neonatal/Maternal Transport Team Accident Procedure

126.662

.

Mode of Response for Maternal and Neonatal Transport Vehicles

126.663

.

Maternal/Neonatal Transport Teams: Disaster or Breach in Homeland Security

126.664

.

Car Seat Protocol Essentials for NICU Patients

126.665

.

Maternal/Neonatal Transport Team: Mobilization Time

126.666

.

Car Seat Challenge Essentials for MBU Infants

126.667

.

Vaccine/Immunization Administration in the NICU and Nursery

126.682

.

High Patient Volume: NICU

126.683

.

Oxygen Saturation Guide Premature Infants <33 Weeks on Supplemental Oxygen

126.684

.

Neuro Progressive Unit

   
Admission / Transfer Criteria: Neuro Progressive Care Unit
126.490
.
Standards of Care: Neuro Progressive Unit
126.491
.

Neuro/Uro Comprehensive (S2) Unit Policies

.
.

Standards of Care: Neuro-Uro

126.236

.

Admission/Transfer/Discharge Criteria: Neuro-Uro

126.279

.

Oncology Department Policies

.
.

Standards of Care - Oncology Unit

126.227

.

Admission/Transfer Criteria: Oncology Unit

126.821

.

Orthopedics Unit Policy

.
.

Standards of Care: Medical Surgical Division

126.276

.

Admission/Transfer Criteria: Orthopedics Unit

126.840

.
PACU Nursing Policies
.
.
Medical Supervision of the PACU
139.1601
.
Admission / Discharge Criteria for Post Anesthesia Care Units
139.1603
.
Documentation of Nursing Care - PACU
139.1606
.
Emergency Pediatric Orders - PACU
139.1611
.
Emergency Adult Orders - PACU
139.1612
.
Initiating PCA on Patients in the PACU
139.1615
.
Admission / Discharge Criteria for PACU-Phase II
139.1630
.
PACU Nursing Procedures for Electroconvulsive Therapy
139.1632
ECT

Pediatrics Nursing Policies

.
.

Standards of Care: Pediatrics

126.243

.

Admission Criteria for Pediatrics

126.850

.

Pediatric Fall Prevention Program

126.853

.

Pediatric Pain Management for Needle Sticks

126.855

ped pain

Visitors on the Pediatric Unit

126.858

.
Continuity of Educational Services for the Hospital/Homebound Patient
126.865
.

Pediatric Intravenous (IV) Therapy

126.868

.

Special Care Policies

.
.

Standard of Care: Critical Care Units (ICU & CVICU)

126.248

.

Admission/Discharge Criteria: Medical/Surgical and Cardiovascular Intensive Care Units

126.401

.

Collaborative Care of the High Risk Obstetrical Patient

126.437

.

Guidelines for Intra-Hospital Transporting of Adult Special Care Patients

126.442

.

Propofol Infusion Sedation

126.443

.

Mechanical Ventilation Weaning and Extubation of the Post Open Heart Surgical Patient

126.480

.
 
.
.
SMH Patient Care Policies
.
.
Chain of Command
01 adm 00
chain command
Visitors
01 pat 01
.
People with Special Needs (PSN) Operations During a Disaster
01 pat 02
.
Code Blue Management and Responsibilities
01 pat 03
.
Breast Milk Exposure
01 pat 04
.
Antiplatelet Medication Management for Cardiac Stent Patients Undergoing Invasive Procedures
01 pat 05
.
Release of Patient Condition / Status
01 pat 07
.
Transfer of Patients to and from Sarasota Memorial Hospital
01 pat 08
.
Patient Identification - Inpatient / Outpatient
01 pat 09
.
Organ and Tissue Donation
01 pat 14
.
Patient Expiration Including Fetal Death, Pronouncing of Patient, Autopsy Requests, Post-Mortem Care & Medical Examiner Cases
01 pat 16
morgue
Food Stored on Nursing Units
01 pat 17
.
Correct Patient, Procedure and Site Verification
01 pat 18
.
Prevention of Retained Surgical Items: Soft Goods, Sharps and Instrument Counts
01 pat 19
.

Safe Patient "Smart Assist, Smart Lift"

01 pat 21
maxi slides
maxi move
lifts
Transportation and Monitoring of Patients
01 pat 23
.
Specimen Preperation and Handling for Operative and Other Invasive Procedures
01 pat 24
.
Handoff Communication Guidelines
01 pat 25
.
Discharge Planning
01 pat 27
.
Photographing / Videotaping / Audio Recording of Patients
01 pat 28
pictures photos
Termination of Pregnancy, First and Second Trimester
01 pat 30
.
Influenza Vaccinations Adults and Pediatrics
01 pat 31
.
Stroke Alert Management and Responsibilities
01 pat 40
.
Nursing Administrator On-Call
01 pat 42
.
Code Blue Cart Management and Replacement
01 pat 46
Admission, Discharge and Transfer Process
01 pat 52
.
Sarasota Memorial Hospital (SMH) Patient Flow and Over Capacity Alert Plan
01 pat 53
.
Fall Safety Program
01 pat 60
falls
Restraint and Seclusion
01 pat 64
.
Using Abbreviations, Acronyms and Symbols in Health Record Documentation
01 pat 66
.
Blood Bank Identification Bands
01 pat 67
.
Infant Screening Program
01 pat 78
.
Pneumococcal Vaccination (PPSV23) Adults and Pediatric (PCV13 & PPSV23)
01 pat 80
pneumonia vaccine
Medication Reconcilliation
01 pat 81
.
Disruptive Patient Behavior
01 pat 82
.
Rapid Response Team
01 pat 83
.
Corporate Financial Policy
.
.
Patient Valuables and Belongings
00 FIN 02
.
Corporate Infection Control Policy
.
.
Special Precautions:  Isolation of patients using contact, droplet, AND/OR Airborne Precautions
00 IFC 22
.
Corporate Patient Care Policies
.
.
Administration of Blood and Blood Components
00 pat 00
.
Code Blue Classification and Do Not Resusicitate (DNR) Orders
00 pat 02
.
Education for Patients, Families, and Support Persons
00 pat 05
.
Care of the Prisoner (Fornesic) Patient
00 pat 08
forensic
Reporting of Critical Results
00 pat 12
.
Administration of Medications
00 pat 13
.
Safe Haven for Newborns
00 pat 16
.
Identification, Treatment and Reporting of Suspected Abuse (Children, Elderly and Disabled)
00 pat 21
.

Telephone / Verbal Orders - Receiving and Documenting

00 pat 32
.
Interpreter Services - Hearing Impaired / Foreign Language
00 pat 34
.
Moderate Sedation
00 pat 38
.
Pain Management
00 pat 44
.
Exclusion from Patient Care
00 pat 54
.
Patient Assessment / Reassessment
00 pat 66
post op
vital signs
VS
Latex Allergy
00 pat 68
.
Ambulatory Summary List
00 pat 76
.
Computerized Order Management
00 pat 82
.
Patient Identification Label Management
00 pat 84
.