Oregon laws allow nurses to use Nursing Treatment Protocols. Oregon DOC Health Services has written Nursing Treatment Protocols consistent with the guidelines set by the Oregon Board of Nursing and the Oregon Board of Medical Examiners. Oregon DOC Health Services chooses to use this accepted practice to enhance inmate health care.
Oregon DOC Health Services wants to ensure that the use of Nursing Treatment Protocols enhances medical care directed by a physician and does not replace it. Implementation of the Nursing Protocols involves another application of the general concept of nursing triage practice. The protocols are designed to assist and educate nursing staff in this triage process.
Oregon DOC Health Services requires additional training in physical assessment and the use of treatment protocols for the nurses who use them. It is recognized that nursing staff are responsible to review the changes that have been implemented, and understand the proper use of the Nursing Protocols. Oregon DOC Health Services requires that all nurses that use the protocols are supervised for this privilege by the Health Services Manager and the Chief Medical Officer of the institution that the nurse works at.
Key concepts apply. If an individual is seen for the same problem twice without expected resolution or improvement, they are referred to a medical provider. All applications of Nursing Treatment Protocols that apply to the use of prescription medications are reviewed and signed off by the practitioner on the next working day (and within 72 hours).
There is more to the art of nursing than the use of medication. The majority of the Nursing Treatment Protocols actually result in using educational materials or self-care treatments. Sometimes over the counter or prescription medication will be suggested.
While some patients seen by the nurse will require an immediate referral to a practitioner, the inmate patient’s first access to health care is the initial encounter with the nursing staff during the sick call/triage process. This encounter is the first chance to intervene and often resolves the inmate patient’s health concern. Review has found that 80% of the inmate patient’s health concerns can be addressed during the sick call visit and resolved through the use of the nursing treatment protocols. It’s also clear that the Protocols are not intended as the cure for every ailment in every patient. The effectiveness of the health care team is enhanced by empowering nurses to apply their knowledge and skills through the use of the nursing treatment protocols.
Sometimes, no nursing protocol will or should apply to the patient that the nurse is evaluating. In this case the patient usually is referred for evaluation and treatment by a Provider. The Nursing Treatment Protocols have been in place for many years. The inception and subsequent reviews and revisions of the nursing treatment protocols have been the concerted effort of many staff within the health services program. Nursing staff are encouraged to work with and offer feedback to the current work group for the Nursing Protocols. Your input into the ongoing revision process is a valuable resource to the group in helping with continuous quality improvement of the protocols.
Assessment Protocols
Abdominal Pain Level I 2015.pdf
Abdominal Pain Level II 2015.pdf
Acne Level I 2015.pdf
Alcohol Withdrawal Syndrome 2015.pdf
Allergic Rhinitis-Hay Fever Level I 2015.pdf
Anxiety 2015.pdf
Bacterial Conjunctivitis 2015.pdf
Bites Level II 2016.pdf
Blood Borne Pathogen Exposure 2015.pdf
Bloody Stool-Rectal Pain Level I 2015.pdf
Bloody Stool-Rectal Pain Level II 2015.pdf
Burns Level I 2015.pdf
Burns Level II 2016.pdf
Cardiac Rhythm Abnormalities Level II 2015.pdf
Cerumen-Impacted Ear Level II 2015.pdf
Constipation Level I 2015.pdf
Constipation Level II 2015.pdf
Contraband Medical Observation 2015.pdf
Corns Calluses Warts 2015.pdf
Dermatitis Chronic Level I 2015.pdf
Dermatitis Contact Level I 2015.pdf
Dermatitis Contact Level II 2015.pdf
Ectoparasite Infest 2016.pdf
Epistaxis (Nosebleed) Level I 2015.pdf
Epistaxis Level II 2015.pdf
Eye Pain Chemical Burn Foreign Body 2016.pdf
Fractures Level II 2015.pdf
Head Trauma Level II 2015.pdf
Headaches Level I 2015.pdf
Headaches Level II 2015.pdf
Health Status Designations 2015.pdf
Hep A and B Inmate Vaccine Protocol 2015.pdf
Hep A and B Vaccine for InmatesTwinRix 2015.pdf
Hyperglycemia Level II 2015.pdf
Influenza Vaccine 2015 2016.pdf
Ingestion of Foreign Body 2015.pdf
Lacerations Level II 2016.pdf
LTBI Level II 2015.pdf
Monilial Vaginitis 2015.pdf
Nausea Vomiting Diarrhea Level II 2015.pdf
Opiate Withdrawal 2015.pdf
Otitis Externa Level II 2015.pdf
Otitis Media Level II 2015.pdf
Pepper Spray 2015.pdf
Pharyngitis Level I 2015.pdf
Pharyngitis Level II 2015.pdf
Respiratory Infection Level I 2015.pdf
Respiratory Infections Level II 2015.pdf
Seizure Activity 2015.pdf
Sinusitis Level I 2015.pdf
Sinusitis Level II 2015.pdf
Skin Infections Bacterial Level I 2016.pdf
Skin Infections Bacterial Level II 2016.pdf
Skin Infections Fungal Level I 2015.pdf
Skin Infections Fungal Level II 2015.pdf
Strains Sprains-Back Neck Trunk Level I 2015.pdf
Strains Sprains-Back Neck Trunk Level II 2015.pdf
Strains Sprains-Extremity Level I 2015.pdf
Strains Sprains-Extremity Level II 2015.pdf
Temporary Extension of Necessary Medication 2015.pdf
Temporary Extension of Necessary Medication Intake 2015.pdf
Tetanus Prophylaxis Level I 2016.pdf
Urinary Tract Infection Level II 2016.pdf
Urticaria (Hives) Level I 2015.pdf
Urticaria (Hives) Level II 2015.pdf
Dental Protocols
Avulsed Tooth Level II 2016.pdf
Dental Pain Level II 2015.pdf
Fractured Mandible 2015.pdf
Fractured Tooth Level II 2015.pdf
Oral Infections Level II 2016.pdf
Oral Lacerations Level II 2016.pdf
Emergency Protocols
Acute Agitated -Excited- Delirium 2015.pdf
Anaphylaxis 2015.pdf
Angina 2015.pdf
Asthma 2015.pdf
Cardiac Arrest 2015.pdf
Childbirth 2015.pdf
CVA (Stroke) 2015.pdf
Diabetic Ketoacidosis 2015.pdf
Foreign Body in Eye (Penetrating) 2015.pdf
Hypertensive Urgency Emergency 2015.pdf
Hypoglycemia 2015.pdf
Looks Critically Ill 2015.pdf
Myocardial Infarction, Possible-Intractable Angina.pdf
Poisoning-Overdose - Toxic Substance Exposure 2015.pdf
Puncture Wound (Severe) 2015.pdf
Shock 2015.pdf
Sucking Chest Wound 2015.pdf
Suicide Prevention and Intervention 2015.pdf
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