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NURSING PROTOCOLS - Department of Juvenile Justice

NURSING PROTOCOLS May 1, 2005 Michelle Staples-Horne, , Medical Director NURSING PROTOCOLS T A B L E OF C O N T E N T S I. Physician Acknowledgement of NURSING PROTOCOLS II. NURSING PROTOCOLS Signature Sheet III. Guidelines for Use of NURSING PROTOCOLS IV. NURSING PROTOCOLS protocol # Subject Page # 1 Abdominal Pain 9 2 Abrasions / Lacerations 13 3 Acne 17 4 Amenorrhea 20 5 Anaphylaxis 24 6 Anemia 27 7 Anorexia Nervosa, Suspected 30 8 Asthma 33 9 Back Pain (Injury or Chronic) 37 10 Blisters 42 11 Boils / Furuncle 45 12 Breast Mass 48 13

GUIDELINES FOR USE OF NURSING PROTOCOLS Nursing Protocols are guidelines approved by the Medical Director to assist nursing personnel in the assessment of common health conditions and the implementation of health care.

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Transcription of NURSING PROTOCOLS - Department of Juvenile Justice

1 NURSING PROTOCOLS May 1, 2005 Michelle Staples-Horne, , Medical Director NURSING PROTOCOLS T A B L E OF C O N T E N T S I. Physician Acknowledgement of NURSING PROTOCOLS II. NURSING PROTOCOLS Signature Sheet III. Guidelines for Use of NURSING PROTOCOLS IV. NURSING PROTOCOLS protocol # Subject Page # 1 Abdominal Pain 9 2 Abrasions / Lacerations 13 3 Acne 17 4 Amenorrhea 20 5 Anaphylaxis 24 6 Anemia 27 7 Anorexia Nervosa, Suspected 30 8 Asthma 33 9 Back Pain (Injury or Chronic)

2 37 10 Blisters 42 11 Boils / Furuncle 45 12 Breast Mass 48 13 Bronchitis 50 14 Bulimia, Suspected 53 15 Burns 56 16 Callus 60 17 Chancroid 63 18 Cheilitis 65 19 Chest Pain 67 20 Chickenpox (Varicella) 73 21 Contusions 76 22 Conjunctivitis 79 23 Constipation 82 24 Cough 86 25 Cryptorchidism (Undescended Testes) 89 26 Cystitis, Females 92 27 Dermatitis, Atopic (Eczema)

3 95 28 Dermatitis, Contact 98 29 Dermatitis, Seborrheic 101 30 Diarrhea 104 31 Diabetes Mellitus, Juvenile 108 32 Dysmenorrhea 114 33 Ear Wax, Excess (cerumen) 117 34 Earache 120 35 Enuresis 124 36 Epistaxis 127 37 Eye, Foreign Body 130 38 Fatigue 133 39 Fracture / Dislocation 137 40 Gastroenteretis, Acute 141 41 Gonorrhea 145 42 Granuloma Inguinale (Donovanosis)

4 148 43 Gynecomastia 151 44 Hay fever / Allergic Rhinitis 154 45 Headaches 157 46 Head Injury / Trauma 161 47 Heart Murmur 166 48 Heat Exhaustion 170 49 Heat Stroke 173 50 Hemorrhoids 176 51 Hepatitis 179 52 Herpes, Genital 183 53 Hypertension 186 54 Impetigo 190 55 Influenza 193 56 Indigestion 196 57 Infectious Mononucleosis 199 58 Insomnia 202 59 Lymphogranuloma Venereum (LGV) 205 60 Mucopurulent Cervicitis (probable chlamydia)

5 208 61 Muscle Strain / Overuse 211 62 Nausea and/or Vomiting 214 63 Nongonococcal Urethritis 217 64 Otitis Media, Acute 220 65 Otitis Externa 223 66 Pediculosis Capitis / Pubis 226 67 Pelvic Inflammatory Disease 230 68 Pharyngitis 233 69 Pinworm 236 70 Pityriasis Rosea 239 71 Pregnancy 242 72 Premenstrual Syndrome (PMS)

6 245 73 Scabies 248 74 Scrotal Swelling / Mass 252 75 Seizure 256 76 Sinusitis 261 77 Sprain, Ankle 264 78 Sty (Hordeolum) 267 79 Syncope 270 80 Syphilis 274 81 Tinea Capitus (Ringworm of Scalp) 277 82 Tinea Corporis 280 83 Tinea Cruris (Jock Itch) 283 84 Tinea Pedia (Athlete s Foot) 286 85 Tinea Versicolor 289 86 Trichomonas Vaginals (Trichomoniasis) 292 87 Upper Respiratory Infection 295 88 Urinary Tract Infection 298 89 Urticaria (Hives) 301 90 Vaginal Yeast Infection (Monilia, Candidiasis) 304 91 Venereal Warts (Condyloma Acuminata)

7 307 92 Dental Screening 310 93 Dental NURSING PROTOCOLS 312 94 Youth Admission protocol 315 95 Antidepressant Agents Laboratory Monitoring 316 96 Antipsychotic Agents Laboratory Monitoring 317 97 Tegretol (Carbamazepine) Laboratory Monitoring 318 98 Lithium Laboratory Monitoring 319 99 Depakote (Valproate) Laboratory Monitoring 320 IV. Bibliography Physician Acknowledgement of NURSING PROTOCOLS The following NURSING PROTOCOLS have been approved for use by NURSING staff at all Department of Juvenile Justice YDCs and RYDCs as of May 1, 2005.

8 Michelle Staples-Horne, MD, MPH As the local facility responsible physician, I have read and approved the Georgia Department of Juvenile Justice NURSING PROTOCOLS for use by NURSING staff at the C OR RYDC NAME) Medical Director (YDFacility Responsible Physician Name _____ __ Date _____ Signature_____ Additional Facility Physicians Name _____ Date _____ Name _____ Signature _____ Date _____ Signature _____ NURSING protocol REVIEW Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____

9 Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ Physician _____ Date _____ NURSING PROTOCOLS SIGNATURE SHEET My affixed signature indicates I have read and understand the scope of the NURSING PROTOCOLS contained in this manual. I have the necessary skills, knowledge and understanding to use these PROTOCOLS . I further acknowledge any variance from the approved procedures is not acceptable. I understand that the PROTOCOLS are by no means exhaustive and I am expected to know my limitations and to seek assistance from other health care professionals as needed.

10 Utilization of the NURSING PROTOCOLS shall be documented in the inmate Medical Record and signed, using my signature and title. PRINTED NAME OF NURSE SIGNATURE AND TITLE OF NURSE LICENSE # GUIDELINES FOR USE OF NURSING PROTOCOLS NURSING PROTOCOLS are guidelines approved by the Medical Director to assist NURSING personnel in the assessment of common health conditions and the implementation of health care. The treatment may be education of the youth in self-care, the initiation of approved over-the-counter medications and the initiation of emergency first aid care.


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