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Sentara Nursing Procedural GuidelinesReviewed/Updated November 2021Purpose: To identify evidence based clinical nursing procedural references for patient care withinSentara. Nursing procedures are based on best practice references, clinical practice guidelines, andstandards from professional nursing associations and organizations. It is the practice of SentaraHealthcare Nursing that the following resources will guide nursing procedural care. Explicit policiesor physician orders for nursing within scope of practice or manufacturer guidelines on specificproducts may at times be appropriate to supersede these generic procedural references.Procedure: Patient care areas will have either electronic or hard copy access to the below listedreferences. The procedures in these listed references are accepted and approved for nursingpractice. To request changes or updates contact the appropriate Practice ForumRequired Action Steps1. Access Compliance 360Supplemental Guidance 2. Review the followinggeneral and specialty careguidelines for proceduralcare references.Employees should search Compliance 360 software platformfor system-wide Policies, Procedures, and Job Aids firstIf no information is found, then the following references areused.Standards may be accessed in three methods:1. Epic electronic medical record divisions search under LearningHome Dashboards2. WaveNet Learning Sentara Knowledge Online Resources(SKOR) Nursing Nursing Specialty (by category)3. For references not available electronically via the library,hardcopy editions are available- contact department fordetails/access. *(indicated by underlined text)Drug/Lab and Formulary Information (Located under the Pharmacy link in SKOR)IBM Micromedex Solutions (in SKOR)Lexicomp Online (in SKOR)Gahart, B. (2021). Gahart’s 2020 Intravenous Medications: A handbook for nurses and healthprofessionals, 37th edition. St. Louis, MO: Mosby. (In SKOR)Phelps, S., Hagemann, T., Lee, K. & Thompson, A. (2018). The Teddy Bear Book PediatricInjectable Drugs, 11th Ed. Bethesda, MD: American Society of Health-System Pharmacists. (InSKOR)
Sentara Nursing Procedural GuidelinesReviewed/Updated November 2021General NursingANA (2015) Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD: ANA (InSKOR – Under Nursing Scope & Standards of Practice)ANA (2021). Nursing: Scope and Standards of Practice 4th Edition. Silver Spring, MD: ANA (InSKOR – Under Nursing Scope & Standards of Practice)CE Direct/Relias (in SKOR)Elsevier Care Plan Guides available via “Clinical Key” button in EpicNursing Reference Center Plus (NRC) EBSCO Industries, Inc. (in SKOR)Society for Vascular Nursing (2014) Core Curriculum for Vascular Nursing 2 nd ed. (SKOR)Infusion TherapyInfusion Nursing Society (INS). INS Standards of Practice (8th ed., 2021). Acute Care (Formerly: Policies and Procedures) (6th ed., 2021). Policies and Procedures for Infusion Nursing Older Adult (4th ed., 2021). Neonate to Adolescent(3rd ed. , 2021). Ambulatory Infusion Centers Policies and Procedures (2nd ed., 2021) Home Infusion Policies and Procedures (2nd ed., 2021)Infusion Nursing. Author. (In SKOR)Specialty SettingsAmbulatory NursingAmerican Academy of Ambulatory Care Nursing- Core Curriculum for Ambulatory CareNursing, 4th Edition, 2019 (in SKOR)American Academy of Ambulatory Care Nursing -Care Coordination and TransitionManagement (CCTM) Core Curriculum, 2nd Edition, 2019 (in SKOR)Critical Care NursingAmerican Association of Critical-Care Nurses. (2015). AACN Scope and Standards for Acute andCritical Care Nursing Practice. Aliso Viego, CA: AACN (In SKOR)
Sentara Nursing Procedural GuidelinesReviewed/Updated November 2021Wiegand, D. L. (Ed.). (2017). AACN procedure manual for high-acuity, progressive, and criticalcare (7th ed.). St. Louis, MO: Elsevier (In SKOR)Emergency NursingEmergency Nurses Association (2017). Emergency Nursing: Scope and Standards of Practice.2nd ed. Emergency Nurses Association, Des Plaines, IL. (hard copy in units)ENA. (2009). Core Curriculum for Pediatric Emergency Nursing, 2 nd Ed. Des Plaines, IL: Author(hard copy in units)ENA. (2017.) Emergency Nursing Core Curriculum, 7th Edition, Des Plaines, IL. (hard copy inunits)Emergency Nurses Association. (2019). Sheehy’s Emergency Nursing: Principles and Practice,7thh Ed. Elsevier Health Sciences. (hard copy in units)Endoscopy NursingSociety of Gastroenterology Nurses and Associates, Inc. (SGNA). (2007-2017). Standards andPractice Guidelines. Retrieved from: uidelines (SKOR)Home Health/Hospice NursingMefford, Jeanette (2017). Clinical procedures: Home care and hospice. West Des Moines, IO:Briggs Healthcare. (In SKOR)Maternal Obstetric Neonatal NursingMaternalAssociation of Women's Health, Obstetric and Neonatal Nurses (AWHONN). (2015). FetalHeart Monitoring, Principles and Practice, 5th Ed. Dubuque, IA: Kendall/Hunt Publishing, Co.(hard copy in units)Lowdermilk, D., Perry, S., & Cashion, K. (Eds). (2014). Maternity Nursing, 8th Ed. MarylandHeights, MO: Mosby. (Hard copy in units)Troiano, N., Harvey, C., & Witcher, Patricia M. (Eds). (2019). High Risk & Critical CareObstetrics, 4th Ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.(Alternative title: AWHONN’s high-risk and critical care intrapartum nursing) (In SKOR)Newborn
Sentara Nursing Procedural GuidelinesReviewed/Updated November 2021American Academy of Pediatrics (AAP). (2012). The S.T.A.B.L.E. Program, Learner/ ProviderManual: Post-Resuscitation/ Pre-Transport Stabilization Care of Sick Infants- Guidelines forNeonatal Heal . / Post-Resuscitation Stabilization) 6th Ed. Chicago, IL: Author (hard copy inunits)AAP. (2021). Perinatal Continuing Education Program (PCEP) Specialized Newborn Care,Volumes I-IV. Chicago, IL: Author. (In SKOR)American Heart Association (AHA)/ American Academy of Pediatrics (AAP). (2021). Textbookof Neonatal Resuscitation Program, 8th Ed. Chicago, IL: Author. (IN SKOR – also available inSpanish - Reanimación neonatal )National Association of Neonatal Nurses (NANN). (2010- 2021). Position Statements.Retrieved from http://nann.org/about/position-statements. (In SKOR)American Academy of Pediatrics and American College of Obstetrics and Gynecology.Guidelines for Perinatal Care, 8th edition (2017) (in SKOR)LactationAcademy of Breastfeeding Medicine (2012-2021). Clinical Protocols. Retrieved fromwww.bfmed.org/Protocols . (In SKOR)Hale, T., & Rowe, H. (2021). Hale’s Medications and Mother’s Milk 19th Ed. New York, NY:Springer Publishing Company (In SKOR)Medical GroupNursing Reference Center Plus (NRC) (2016) EBSCO Industries, Inc. (in SKOR)American Academy of Ambulatory Care Nursing AAACN Position /position-statementsNurse Practice ActsNurse Practice ActsVirginia Board of NursingVirginia Board of NursingNorth Carolina Board of Nursing https://www.ncbon.com/Oncology Nursing
Sentara Nursing Procedural GuidelinesReviewed/Updated November 2021Kaplan, M. (2018). Understanding & Managing Oncologic Emergencies, A Resource for Nurses(3rd Ed.) Pittsburgh, PA: ONS (SKOR)Polovich, M. Ed. (2018). Safe Handling of Hazardous Drugs (3rd Ed.). Pittsburgh, PA: ONS (InSKOR)Olson, M. & Lefebvre, K. & Brassil (2019). Chemotherapy and Immunotherapy Guidelines andRecommendations for Practice. Pittsburgh, PA: ONS. (In SKOR)Wilkes, G. & Barton-Burke, M. 2020-2021 Oncology Nursing Drug Handbook. (23rd ed.) Sudbury:Jones & Bartlett Publishers, Inc. (In SKOR)Pediatric NursingANA/National Association of Pediatric Nurse Practitioners/Society of Pediatric Nurses.(2015). Pediatric Nursing: Scope and Standards of Practice, 2nd Ed. Silver Spring, MD: ANA. (InSKOR Found in Nursing Scope and Standards of Practice)Hockenberry, M., Wilson, D. & Rodgers (2018). Wong's Nursing Care of Infants and Children11th edition. St. Louis, MO: Elsevier (hard copy in units)Radiological NursingSociety of Interventional Radiology (2018). Clinical Practice Guidelines. Retrieved fromSociety of Interventional Radiology - Clinical practice (sirweb.org) (In SKOR)Surgical NursingAssociation of peri-Operative Registered Nurses (AORN). (2021). Guidelines for PerioperativePractice. Denver, CO: author (In SKOR)American Society of PeriAnesthesia Nurses (ASPAN). 2021-2022 PeriAnesthesia NursingStandards, Practice Recommendations and Interpretive Standards. Cherry Hill, N.J.: ASPAN. (InSKOR)Odom-Forren J. (2018). Drain’s PeriAnesthesia Nursing: A Critical Care Approach, 7th Edition. St.Louis, MO: Elsevier, Inc. (In SKOR)Telephone TriageBriggs, J. (2020) Telephone Triage protocols for nurses (6th Ed.) Philadelphia, PA: Lippincott,Williams & Wilkins. (In SKOR)
Sentara Nursing Procedural GuidelinesReviewed/Updated November 2021Wound/Ostomy NursingWOCN Practice Guideline series (Username is Sentara 1 to Sentara 12, PASSWORD is: welcome1 –each username has 2 concurrent users if you can’t get in using one username try another name) Guideline for Management of Wounds in Patients with Lower-Extremity Arterial Disease. Guideline for prevention and management of pressure ulcers (injuries). Guideline for management of wounds in patients with lower-extremity neuropathic disease. Guideline for management of wounds in patients with lower-extremity arterial disease.WOCN Nursing: Scope and Standards of Practice. (2018) (In SKOR)Haesler. E. (2019). Prevention and Treatment of Pressure Ulcers/Injuries (3rd Ed.) In SKORALL NURSINGNational Pressure Ulcer Advisory Panel (NPUAP). (2019). Prevention and Treatment of PressureUlcers Quick Reference Guide. Retrieved from Quick Reference Guide-10Mar2019.pdf(internationalguideline.com)KCI an Acelity Company. (2014). V.A.C. Therapy Clinical Guidelines. Retrieved from 2-b-128hvac-clinical-guidelines-web.pdf (acelity.com)
American Academy of Pediatrics and American College of Obstetrics and Gynecology. Guidelines for Perinatal Care, 8th edition (2017) (in SKOR) Lactation . Sentara Nursing Procedural Guidelines Reviewed/Updated November 2021 Wound/Ostomy Nursing WOCN Practice Guideline series (Username is Sentara 1 to Sentara 12, PASSWORD is: welcome1 - .
