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County of Elgin Homes and Seniors Services

Homes Policies and Procedures DRAFT

Nursing Policies and Procedures A-M DRAFT

Nursing Policies and Procedures N-T DRAFT

Homes Policies and Procedures DRAFT

Nursing Policies and Procedures A-M DRAFT

Nursing Policies and Procedures N-T DRAFT

Elgin Homes Policies and Procedures DRAFT for Review
Infection Control
2.8c Screening and Surveillance – Visitors	2.13 Equipment Cleaning Disinfection, Sterilization Protocol
2.28 Personal Humidifiers	4.10 Isolation – Resident Visitor Education
4.26 Legionella
Maintenance
2.3 Emergency Calls, Maintenance Department	2.8 Hot Water Monitoring
2.28 – Descaling and Monitoring Water Sources
Housekeeping and Laundry
4.6 Soiled Laundry
Administration
Admin 1.8 Overhead Paging Public Address System	Admin 1.35 Visitors and Absences During a Pandemic
Admin 3.6 Staff Duress System

Elgin Homes Nursing Policies and Procedures A-M DRAFT for Review
Nursing Section A
Abbreviations – Medical	Admission of a Resident
Alarms – Bed and Chair	Allergies
A.M. & H.S. care	Ambulance Services
Ambulation	Aphasia – Care of Resident
Aphasia – Care of Resident Apical Radial Pulse	Arm Sling
Artificial Eye – Care of	Auscultation
Nursing Section B
Bathing	Bed Bath
Bed Cradle	Bed Making & Cleaning
Bed Rails	Bed Safety – Prevention of Entrapment
Bladder and Bowel Management	Bladder Irrigation – Continuous
Bladder Irrigation	Bladder Irrigation – Continuous Bladder Irrigation – Intermittent
Breast Examination
Nursing Section C
Call Bell System – Pagers and Call Bell Phones	Cannabis – Medical
Cannabis – Medical Cannabis – Recreational	Care Plans & Conference
Cast – Care of	Catheter – Indwelling
Catheter – Intermittent	Catheter – Suprapubic
Catheter Care – Daily	Catheter Irrigation
Choking	Cleaning Procedures for Nursing Care Equipment
Cleaning Showers	Cleaning Whirlpool Bath Units & Bath Chairs
Clothing – Resident	Colostomy – Irrigation
Colostomy & Ileostomy Care	Commode
Compress – Cold Ice Pack	Compress – Hot
Compromised Communication	Condom Drainage
Consultation & Special Services	Contact Lenses – Care of
Continence Care – Bladder Function Assessment	Continence Care – Bowel Function Assessment
CPAP – Continuous Positive Airway Pressure	CPR – Plan of Treatment
CPR -Plan of Treatment Form
Nursing Section D
Death – Care of a Resident after Death	Death – Pronouncing of
Death of a Resident Appendix A Resident Death Registry	Death of a Resident
Dental Services	Diabetes Management – Treatment of Hypoglycemia
Diagnostic Tests	Diagnostic Tests Do Not Resuscitate Confirmation Form
Documentation	Dressing – Dry
Dressing – Sterile	Duragesic (fentanyl) Pain Patch
Nursing Section E
Ear Irrigation	Edmonton Symptom Assessment Scale – ESAS
Elimination	Enteral Feeding
Eye Cleansing
Nursing Section F
Falls Prevention and Management	Falls – Appendix A Overview of Process for Falls Prevention and Management
Falls – Appendix B Managing a Fall – Post Fall Assessment and Management Algorithm	Falls – Appendix C Post Fall Screen for Resident-Environmental Factors
Falls – Appendix D Footwear Guidelines	Falls – Appendix E Prevention and Management Brochure
Feeding Residents	Feeding Residents with Swallowing Problems
Footcare Services
Nursing Section G
Glasses	Glucometer
Nursing Section H
Hazardous Agents – Handling and Administration of	Health Record – Chart Order
Hearing Aid – Care of	Hearing Impairment – Care of Resident
Heat Related Illness Prevention and Management Plan	Height & Weight Management
Hydration Monitoring
Nursing Section I
Incontinent Product Usage	Inhalation Therapy
Injections – Intramuscular	Injections – Subcutaneous
Intake and Output	Intravenous Therapy – Care & Maintenance
Nursing Section M
Material Handling	Maxislide
Mechanical Lifts	Medical Directives – Influenza Vaccine
Medical Directives	Medication – Destruction of Narcotic & Controlled Drugs
Medication – Narcotic & Controlled Drugs	Medication – Self Administration by Resident
Medication Administration – Appendix A Decision Tree	Medication Administration
Medication Evaluation for Self – Administration of Medications – Appendix 1

Elgin Homes Nursing Policies and Procedures N-T DRAFT for Review
Nursing Section N
Nail Care	Assessment of the Non-Responsive Resident
Neurotoxin Treatment Clinics for Spasticity Management	Nurse – Physician Pharmacist Disagreement
Nurse Call System
Nursing Section O
Oral Hygiene	Oxygen Therapy
Nursing Section P
Don’t be Surprised When We Ask	Appendix A – End of Life Care Plan Checklist
Pain Assessment in Advanced Dementia (PAINAD) Scale	Pain Management
Palliative and End-of-Life Care	Palliative Performance Scale – PPS
Picc Line	Positioning
PPS, ESAS, Fast Scale Flow Sheet Record	Pressurized Wash System – Cart Wash
Nursing Section R
Re-Admission of Resident	Responsive Behaviours
Restorative Care	Restraints Minimizing Restraining of Residents
Appendix A-Decision Tree for Minimizing Restraining	Appendix B – Restraint Audit Tool
Appendix C- PASD Audit Tool	Appendix D – Wanderguard Audit Tool
Appendix E – Consent and Information Form for Use of Restraints-pasd’s	Appendix F- Restraint vs. Personal Assistance Device (PASD) (1)
Nursing Section S
Skin Care and Wound Management	Specimen Collection
Subcutaneous Infusion – Insertion of Subcutaneous Needle and Administration of Intermittent Medication	Suctioning
Nursing Section T
Transferring	Transfer or Discharge of Resident from Home
Tray Service	Tuberculosis Screening
Tuberculosis Skin Testing – TST	Appendix A – Active Tuberculosis Screening Tool
Appendix A – Active Tuberculosis Screening Tool Two Person Lifts and Transfers

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