20 Standard Protocols for All Nursing Interventions

Vocabulary flashcards covering the pre-procedure, intra-procedure, and post-procedure standard safety and care protocols for all nursing interventions.

Before the Skill 1:

Verify physician orders if skill is a dependent of collaborative nursing intervention

Before the skill 2:

Identifying client allergies:(medication or other) and what the reaction is.

Before the Skill 3:

Gather equipment/supplies and complete necessary charges according to agenda policy

Before the Skill 4:

Perform hand hygiene for at least 10-15 seconds before each client contact

Before the Skill 5:

Identify client by checking ID bracelet and have them state their name and date of birth

Before the Skill 6:

Introduce yourself to client and family including your name title and role

Before the Skill 7:

Explain what you plan to do in lay terms no medical jargon

Before the Skill 8:

Identify teaching needed and describe what the client can expect in simple terms

Before the Skill 9:

Assess client to determine if the intervention is still appropriate

Before the Skill 10:

Adjust the bed to appropriate height, lower side rail nearest you, and ensure bed is locked.

Before the Skill 11:

Provide adequate lighting

Before the Skill 12:

Provide privacy for client, position and drape as needed

During the Skill 13:

Promote client independence and involvement if possible

During the Skill 14:

Assess client tolerance; be alert for signs of discomfort and fatigue

Completion/After the Skill: #15

Assist client to a position of comfort, and organize needed personal items within reach

Completion/After the Skill: #16

Be certain the client has a way to call (call light) for help and knows how to use it

Completion/After the Skill: #17

Raise side rails, lower the bed to the lowest position, and ensure bed is locked

Completion/After the Skill: #18

Dispose of used supplies and equipment properly

Completion/After the Skill: #19

Remove and dispose of gloves if used and perform hand hygiene for at least 10-15 seconds

Completion/After the Skill: #20

Document and report client’s response and expected or unexpected outcomes