IDAHO STATE VETERANS – POCATELLO NURSING PROCEDURE MANUAL 1 Table of Contents 2 ACTIVITIES............................................................................................................................................. I-1 3 ACTIVITY PLANS ....................................................................................................................................... I-1 4 Protocol for dress code for specialty days during calendar year. ........................................................... I-2 5 Protocol for one-on-one time with debilitated/disabled residents. ...................................................... I-2 6 PROTOCOL FOR PET THERAPY ................................................................................................................ I-3 7 ADMINISTRATIVE .............................................................................................................................. II-1 8 ALERT CHARTING ................................................................................................................................... II-1 9 CREDENTIALING AND PRIVILEGING ....................................................................................................... II-2 10 Procedures For Doctors Visits, Dental Visits, Or Other Medical Appointments .................................... II-5 11 PROCEDURE FOR HANDLING EXCESSIVE USE OR SUSPECTED ABUSE OF SICK TIME ............................. II-6 12 TARDY ATTENDANCE .............................................................................................................................. II-6 13 CALL-IN PROCEDURE .............................................................................................................................. II-7 14 EMPLOYEE I-Time sheets and Staff worksheet assignment .................................................................. II-8 15 LABORATORY TEST RESULTS NOTIFICATION .......................................................................................... II-9 16 LIGHT DUTY-NURSING STAFF ................................................................................................................. II-9 17 LIGHT DUTY JOB DESCRIPTION ............................................................................................................ II-11 18 BED/CHAIR ALARMS ............................................................................................................................. II-12 19 NURSING CLOTHING AND UNIFORM PROCEDURE .............................................................................. II-13 20 OVERTIME ............................................................................................................................................ II-14 21 QUALITY ASSURANCE PROGRAM ......................................................................................................... II-15 22 WANDERING (ELOPEMENT) PROTOCOL ................................................................................... II-19 23 SECURING FACILITY AFTER HOURS .......................................................................................... II-23 24 LOCKDOWN PROCEDURE.............................................................................................................. II-24 25 VISITING HOURS FOR THE NURSING WING ......................................................................................... II-26 26 RESIDENT TRUST PETTY CASH - NURSING STATION ............................................................................ II-26 27 NURSING DAILY STAFF POSTING .......................................................................................................... II-27 28 DAILY STAFF POSTING .......................................................................................................................... II-29 29 DINING ROOM PROCEDURE ................................................................................................................. II-30 30 RESIDENT PERSONAL FURNITURE / REFRIGERATOR PROCEDURES ..................................................... II-31 i IDAHO STATE VETERANS – POCATELLO NURSING PROCEDURE MANUAL 31 SMOKING AND BREAK REGULATIONS .................................................................................................. II-34 32 PERSONAL GIFTS OR GRATUITIES ........................................................................................................ II-35 33 MOTORIZED MOBILITY DEVICE PROTOCOL ......................................................................................... II-35 34 ACRONYMS USED AT THE IDAHO STATE VETERANS HOME-Pocatello ................................................ II-39 35 ADMISSION/DISCHARGE/TRANSFER ........................................................................................... III-1 36 ADMISSIONS PROCEDURE ..................................................................................................................... III-1 37 NEW ADMISSION DOCUMENTATION GUIDELINES ............................................................................... III-2 38 TRANSFER AND DISCHARGE (INCLUDING AMA) POLICY ....................................................................... III-3 39 RESIDENT PROPERTY DISBURSEMENT POLICY ...................................................................................... III-7 40 SPECIFICATIONS OF CARE LEVEL ........................................................................................................... III-9 41 CENSUS PROCEDURE ........................................................................................................................... III-10 42 24-HOUR REPORT................................................................................................................................ III-11 43 IN-SERVICE EDUCATION ........................................................................................................................ III-1 44 IN-SERVICE HOURS ................................................................................................................................ III-2 45 VA SENTINEL EVENT REPORTING .......................................................................................................... III-3 46 RESIDENT TRANSPORTATION/TRANSFER ............................................................................................. III-4 47 HEALTH CARE FACILITY TRANSFER POLICY ........................................................................................... III-5 48 TRANSFER OF ISVH RESIDENTS TO/FROM ISVH FACILITIES .................................................................. III-6 49 RESIDENT CARE PLANNING ................................................................................................................... III-8 50 NOTIFICATION OF CHANGES ................................................................................................................. III-9 51 ASSESSMENTS ............................................................................................................................... IV-12 52 BLADDER ASSESSMENT AND RETRANING .......................................................................................... IV-12 53 BLADDER INCONTINENCE EVALUATION ............................................................................................ IV-13 54 DOCUMENTATION /ASSESSMENT RECOMMENDATIONS FOR RESIDENTS EXPERIENCING CHANGE IN 55 CONDITION OR ACUTE ILLNESS .......................................................................................................... IV-16 56 DENTAL SERVICES ASSESSMENT ........................................................................................................ IV-18 57 DIALYSIS PROCEDURE........................................................................................................................ IV-18 58 FALL ASSESSMENT .............................................................................................................................. IV-19 59 NEUROLOGICAL ASSESSMENTS ......................................................................................................... IV-20 60 HEARING SERVICE .............................................................................................................................. IV-22 61 MDS RESIDENT ASSESSMENT INSTRUMENT (RAI) ............................................................................. IV-22 62 PAIN ASSESSMENT/MANAGEMENT ................................................................................................... IV-24 ii IDAHO STATE VETERANS – POCATELLO NURSING PROCEDURE MANUAL 63 SKIN ASSESSMENT PROGRAM ........................................................................................................... IV-26 64 SKIN CONDITION PROCEDURE ........................................................................................................... IV-27 65 SKIN CHECK AND BATH PROCEDURE ................................................................................................. IV-30 66 VISION SERVICES/ASSESSMENT ......................................................................................................... IV-33 67 MINI MENTAL STATUS (MMS) FOLSTEIN ........................................................................................... IV-33 68 BOWEL MANAGEMENT PROTOCOL ................................................................................................... IV-34 69 RDN ORDER WRITING PRIVILEGES AND THERAPEUTIC DIET ORDERS ..............................................