OCTOBER 13,2005	POLICY AND PROCEDURE NURSING ADMINISTRATION
POLICY TITLE	POLICY NO.
SECTION I  ORGANIZATION FUNCTIONS
Nursing Administration
Budgeting: Calculating FTEs	Sec. I  6301A-1
Nursing Leadership	Sec. I  6301A-2
Organizational Chart	Sec. I  6301A-3
Patient Classification	Sec. I  6301A-4
Unit Patient Classification	Sec. I  6301A-5
24 hour ward reports	Sec. I  6301A-6
Standards of Nursing Practice
Nursing Practice and Patient Care Standards	Sec. I  6301B-1
Standard of Nursing Practice	Sec. I  6301B-2
Reporting of License to Practice Nursing	Sec. I  6301B-3
Performance Improvement(PI/QI) Plan	Sec. I  6301C
Management of Human Resources
Competency Requirements	Sec. I  6301D-1
Employee Dress and Personal Appearance	Sec. I  6301D-2
Floating Of Nursing Personnel	Sec. I  6301D-3
Nursing Absentee	Sec. I  6301D-4
Nursing Staff Rights	Sec. I  6301D-5
GMHA Volunteer Services in Nursing	Sec. I  6301D-6
Pay Differential Categories-Overtime/on-call/call-back pay	Sec. I  6301D-7
Job Sepcifications
Cardiac Monitor Technician	Sec. I  6301D-7a
Emergency Room Technician	Sec. I  6301D-7b
Hemodialysis Technician	Sec. I  6301D-7c
Hospital Licensed Practical Nurse I	Sec. I  6301D-7d
Hospital Licensed Practical Nurse II	Sec. I  6301D-7e
Hospital Nursing Supervisor I	Sec. I  6301D-7f
Hospital Nursing Supervisor II	Sec. I  6301D-7g
Medical Equipment Technician	Sec. I  6301D-7h
Nurse Aide I	Sec. I  6301D-7i
Nurse Aide II	Sec. I  6301D-7j
Nursing Services Administrator	Sec. I  6301D-7k
Nursing Services Assistant Administrator	Sec. I  6301D-7l
Obstetric Technician	Sec. I  6301D-7m
Operating Room Technician	Sec. I  6301D-7n
Patient Courier	Sec. I  6301D-7o
Staff Nurse I	Sec. I  6301D-7p
Staff Nurse II	Sec. I  6301D-7q
Ward Clerk	Sec. I  6301D-7r
Hospital Nursing Unit Supervisor	Sec. I  6301D-7s
POLICY TITLE	POLICY NO.
Management of Information/Documentation
Automated Documentation	Sec. I  6301E-1
Completion of Certification of Death	Sec. I  6301E-2
Discharge of Patient from unit	Sec. I  6301E-3
Maintaining Medical Record	Sec. I  6301E-4
Nursing Documentation in the Medical Record	Sec. I  6301E-5
Patient Activity	Sec. I  6301E-6
Patient Care Assignments	Sec. I  6301E-7
Patient Checklist:  Patient Admission	Sec. I  6301E-8
Patient Identification	Sec. I  6301E-9
Physician Orders & Written, Verbal, & Telephone Orders	Sec. I  6301E-10
Standard Care Plans	Sec. I  6301E-11
Transcribing Physician Orders	Sec. I  6301E-12
Nurses Notes	Sec. I  6301E-13
Daily Floor Census	Sec. I  6301E-14
Priciples of Charting	Sec. I  6301E-15
POMR Reduction Program	Sec. I  6301E-16
Procedure Checklist	Sec. I  6301E-17
Mangement of the Environment of Care
Basic Isolation Principles	Sec. I  6301F-1
Checking of Emergency Equipment & Supplies	Sec. I  6301F-2
Emergency Medicine Department Visitiation	Sec. I  6301F-4
Fall Prone Prevention	Sec. I  6301F-5
Food Policy	Sec. I  6301F-6
Handling of Spills of Antineoplastic Drugs	Sec. I  6301F-7
Jail Custody Patients	Sec. I  6301F-8
Safety for Patients Receiving Radioactive Materials	Sec. I  6301F-9
Safety Guidelines for Patient Care Census	Sec. I  6301F-10
Administration of IV	Sec. I  6301F-11
Universal Precautions	Sec. I  6301F-12
Visiting Policy	Sec. I  6301F-13
Maintenance of Cardiac Arrest carts	Sec. I  6301F-14
Isolation	Sec. I  6301F-15
POLICY TITLE	POLICY NO.
SECTION II  PATIENT CARE FUNCTIONS
Patient Rights & Organization Ethics
Advance Directives	Sec. II  6301A-1
Do Not Resuscitate (DNR)	Sec. II  6301A-2
Emotional & Spiritual	Sec. II  6301A-3
Ethical Issues/Dilemma Process	Sec. II  6301A-4
Incidence Report Summary	Sec. II  6301A-5
Infant Security	Sec. II  6301A-6
Informed Consent	Sec. II  6301A-7
Mangement of Emotionally/Mentally Il	Sec. II  6301A-8
Organ & Tissue Donation/Transplantation	Sec. II  6301A-9
Patient Care Rights	Sec. II  6301A-10
Patient Rights for Children/Adolescent	Sec. II  6301A-11
Patient Valuables	Sec. II  6301A-12
Patient/SNU Resident Abuse & Neglect	Sec. II  6301A-13
Release of Information	Sec. II  6301A-14
Patient Rights&Organization ethics	Sec. II  6301A-15
Confidentiality of Patient Info	Sec. II  6301A-16
Occurrence Summary Report	Sec. II  6301A-17
ASSESSMENT OF PATIENT
Admission Assessment	Sec. II  6301B-1
Assessment of Alcohol/Drug Dependencies	Sec. II  6301B-2
Assessment of Victims Possible Aduse or Neglect	Sec. II  6301B-3
Initial Assessment/Discharge Planning/Reassessment	Sec. II  6301B-4
Pre-Anesthesia Assessment	Sec. II  6301B-5
CARE OF PATIENT
Adverse Drug Interaction/Definition (Nursing & Pharmacy)	Sec. II  6301C-1
Automatac Stop Order	Sec. II  6301C-2
Bedside Medications	Sec. II  6301C-3
Code 72 Duties and Responsibilities	Sec. II  6301C-4
Disposition of Controlled substances	Sec. II  6301C-5
Drug & Food Interaction	Sec. II  6301C-6
IVTherapy Administration	Sec. II  6301C-7
Medication Administration	Sec. II  6301C-8
Medication Administration Times	Sec. II  6301C-9
Medication Ordered STAT	Sec. II  6301C-10
Multidisiplinary Team Conference	Sec. II  6301C-11
Pain Management	Sec. II  6301C-12
Planning of Patient Care	Sec. II  6301C-13
POM- Patient's Own Medication	Sec. II  6301C-14
Pressure Sore/Wound Care Management	Sec. II  6301C-15
Restraints	Sec. II  6301C-16
Unit Stock Medications	Sec. II  6301C-17
Unit Dose System	Sec. II  6301C-18
Dispensing Medications after Pharmacy hours	Sec. II  6301C-19
POLICY TITLE	POLICY NO.
PATIENT & FAMILY EDUCATION
Patient Education	Sec. II  6301D-1
CONTINUUM OF CARE
Admission of Patients from Admitting Office and Emergency Department	Sec. II  6301E-1
Alert Signs	Sec. II  6301E-2
Autopsy	Sec. II  6301E-3
Care of the Dying Patient	Sec. II  6301E-4
Pronouncement of Death	Sec. II  6301E-5
Chief Medical Examiner/Reportable deaths	Sec. II  6301E-6
Determination of Death	Sec. II  6301E-7
Direct Admission Policy	Sec. II  6301E-8
Patient Discharge Planning	Sec. II  6301E-9
Delivery of Flowers for a Patient	Sec. II  6301E-10
Home Health Care Services Referral	Sec. II  6301E-11
Stretcher Van Non-Emergency Transport Services	Sec. II  6301E-12
Referral for Homebound Tutoring	Sec. II  6301E-13
Admission of Newborns from Birthing center	Sec. II  6301E-14
Transfers of Patient Intra-Unit and/or from ER Department	Sec. II  6301E-15
Transfer of Patients to SNU	Sec. II  6301E-16
Transfers within Patient Care Units	Sec. II  6301E-17
Transfer of Patient to Isolation Room	Sec. II  6301E-18
Transporting of Body to Viewing Room	Sec. II  6301E-19
Care of Body After Death	Sec. II  6301E-20