PPG GDCH NUR 38 Outpatient Nursing Assessment

GULF DIAGNOSTIC CENTER HOSPITAL
NURSING POLICY

Policy No: MED-NUR-P0038/12 Issue Date : August 2012 Revision No.: Original Revision Date : Next Revision : August 2014 Page 1 of 4
TITLE: OUT-PATIENT NURSING ASSESSMENT

Department Section Distribution : Nursing : Nursing Care : Hospital Wide
OUT-PATIENT NURSING ASSESSMENT

APPROVAL SHEET Prepared by: Name Ms. Gela Mocanu Acting Head of Nursing Department Reviewed by: Name Dr Emad Yassin Al Rahmani Medical Director Mr. Zuher Arawi Quality Manager Approved by: Name Mrs. Jamal Kaddoura Hospital Director and Co-Founder
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NURSING POLICY


DOCUMENT AMENDMENT RECORD SHEET Date Description of Change Page Effected Revision Number
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NURSING POLICY


1. Purpose 1.1. To provide guidelines to enable a systematic nursing assessment for all patients who attend Specialist Clinics in Gulf Diagnostic Center Hospital. 1.2. To provide guidelines to ensure the standardized completion of nursing assessment for patients attending Specialist Clinics. 2. Policy Statement 2.1. The Registered Nurse is responsible to perform this procedure and can be delegated to the Practical Nurse/HCA following successful completion of nursing competency assessment 2.2. Nursing assessment will be performed for all out-patients 2.3. Vital signs, weight and height are to be monitored for all. 2.4. Health Care Attendants must use electronic measuring devices to monitor vital signs. 2.5. Respiratory rate and Oxygen saturation will be monitored for patients who present with respiratory problems 2.6. Patients with a pain score of more than 4 will be referred to the physician immediately by giving priority. 2.7. A diabetic assessment on diabetic patients will be performed by the Registered Nurse who can delegate to Practical Nurse/HCA following successful completion of a competency assessment. 2.8. Body mass index will be checked annually for diabetic patients 2.9. If blood glucose is checked in the lab on the day of patients visit, there is no need to repeat it by the nurse unless requested by the physician. 2.10. All patients will be identified by their complete name, DOB, and health card number 2.11. All abnormal findings will be referred to the concerned physician. 3. Definitions 3.1. Delegation: the conferring of authority to perform specific functions or tasks in a specific situation, to a person whose role and training allows such functions to perform them. 3.2. HbA1C test: A quantitative assay for measuring the percent concentration of HbA1c in the blood 3.3. Micro albumin: A quantitative method of measuring low concentrations of albumin, creatinine and the albumin / creatinine ratio in urine. 3.4. Body mass index: A measure used to evaluate body weight relative to a person height.
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NURSING POLICY


4. Procedure 4.1. Identify patient using two patient identifiers (Name & DOB) and call the patient from waiting area 4.2. Check the patient's name by asking to state name and verify against signed general consent for treatment form/patient medical record. 4.3. Provide appropriate seating arrangements. 4.4. Explain procedure/s to the patient. 4.5. All sections of assessment form must be completed for all patients. 4.6. If the patient is diabetic monitor and document the following: 4.6.1. HbA1c 4.6.2. Micro- albumin 4.6.3. Blood glucose 4.6.4. Body mass index 4.7. Inform physician immediately if the patients pain score is greater than 4 and give priority. 4.8. Instruct the patient to have a seat in respective waiting area until their name is being called. 4.9. Administer and document medications if prescribed. 4.10. Document additional observations / interventions in the case record. 5. Tools/Attachments Forms 5.1. Outpatient Department Assessment Form
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Appendix: Yes [ ]
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PPG GDCH NUR 38 Outpatient Nursing Assessment

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PPG GDCH NUR 38 Outpatient Nursing Assessment

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GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: OUT-PATIENT NURSING ASSESSMENT

OUT-PATIENT NURSING ASSESSMENT

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: OUT-PATIENT NURSING ASSESSMENT

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: OUT-PATIENT NURSING ASSESSMENT

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: OUT-PATIENT NURSING ASSESSMENT

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