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Plan of Care |
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Manual: Outpatient Surgery and Ambulatory Services Policy and Procedure Manual (Ver 9) External Reference: "(TJC PC.4.10, AORN Standards)"
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual includes this customizable template, Plan of Care. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Plan of Care:
| | POLICY:
The plan for nursing care prescribes nursing actions to achieve the goals.
The plan for nursing care in the intraoperative setting reflects the preoperative assessment, priorities for nursing action and a logical sequence of nursing activity to attain stated goals, which are individualized to the patient's needs.
PROCEDURE:
Nursing actions in the intraoperative setting include the following:
Patient education
Patient identification
Surgical site identification
Informed consent verification
Verification of diagnostic test results in the patient's medical record
Outcome... |
| Second excerpt: |
| | ...the patient, including continued assessment of patient status
Obtain further diagnostic data related to changes in the patient's condition and/or reassessment analysis
Communication of intraoperative information to appropriate members of the healthcare team
Maintenance of safe environment
The plan of care is documented:
Preoperatively on the Surgical Checklist and Preoperative Nursing Record
Intraoperatively on the Intraoperative Nursing Record
Immediately postoperatively on the PACU... |
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