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Nursing Treatment Protocols

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 2011.pdf

Abdominal Pain Level II 2011.pdf

Acne Level I 2011.pdf

Alcohol Withdrawal Syndrome Level II 2011 final draft.pdf

Allergic Rhinitis-Hay Fever Level I 2011 final.pdf

Anxiety Level II 2011 final.pdf

Blood Borne Pathogen Exposure Final 2012.pdf

Blood Borne Pathogen Exposure Revised Final 2012.pdf

Bloody Stool-Rectal Pain Level I 2011 final.pdf

Bloody Stool-Rectal Pain Level II Final 2011.pdf

Burns Level I 2011 final.pdf

Burns Level II 2011 final .pdf

Cardiac Rhythm Abnormalities Level II 2011 final.pdf

Cerumen-Impacted Ear Level II 2011 final.pdf

Chronic Disease Scheduling and Laboratory 2011 fina.pdf

Conjuntivitis 2011 final.pdf

Constipation Level I Revised final 2011.pdf

Constipation Level II Final 2011.pdf

Contraband Medical Observation 2011 final.pdf

Corns Calluses Warts Level II 2011.pdf

Dermatitis Chronic Level I 2011 final.pdf

Dermatitis, Contact (Acute) Level I 2011 final.pdf

Dermatitis, Contact (ACUTE) Level II 2011 final.pdf

Ectoparasite Infest 2011 final.pdf

Epistaxis (Nosebleed) Level I 2011 final.pdf

Epistaxis (Nosebleed) Level II 2011 final.pdf

Eye Pain Chemical Burn Foreign body.pdf

Fractures Level II Revised 2011.pdf

Head Trauma 2012 Final.pdf

Headaches Level I 2011 final.pdf

Headaches Level II 2011 final.pdf

Health Status Designations final.pdf

Hep A and B Inmate Vaccine Protocol 2013.pdf

Hep A and B Vaccine for InmatesTwinRix.pdf

Human Bites Level II 2011 Final.pdf

Hyperglycemia Level II 2011 final .pdf

Influenza Vaccine Final 2011-2012.pdf

Influenza Vaccine Final 2012-2013.pdf

Ingestion of Foreign Body 2013.pdf

Lacerations 2011 final.pdf

Monilial Vaginitis 2011 final.pdf

Nausea Vomiting Diarrhea Level II Revised 2011 final.pdf

Opiate Withdrawal Level II 2011.pdf

Otitis Externa Level II 2011 final.pdf

Otitis Media Level II 2011 final.pdf

Oxygen Delivery Options 2011 Final.pdf

Pepper Spray-Tear Gas Level I 2011 final.pdf

Pharyngitis Bacterial-Viral Level I 2011 final.pdf

Pharyngitis Bacterial-Viral Level II 2011 final.pdf

Respiratory Infection Level I 2011 final.pdf

Respiratory Infections Level II 2011 final.pdf

Seizure Activity Level II 2011 final.pdf

Sinusitis Level I 2011 final.pdf

Sinusitis Level II 2011 final.pdf

Skin Infections Bacterial Level I 2011 final.pdf

Skin Infections Bacterial Level II 2011 final.doc.pdf

Skin Infections Fungal Level I 2011 final.pdf

Skin Infections Fungal Level II 2011 final.pdf

Sprains-Back Neck Trunk Level I Revised 2011.pdf

Strains Sprains-Back Neck Trunk Level II Revised 2011.pdf

Strains Sprains-Extremity Level I Revised 2011.pdf

Strains Sprains-Extremity Level II Revised 2011.pdf

Temporary Extension of Necessary Medication Intake 2011.pdf

Temporary Extension of valid Necessary Medication 2011.pdf

Tetanus Prophylaxis Level I 2011 final.pdf

Urinary Tract Infection Level II 2011 final.pdf

Urticaria (Hives) Level I 2011 final.pdf

Urticaria (Hives) Level II 2011 final.pdf


Dental Protocols

Avulsed Tooth 2011 final.pdf

Dental Pain 2011 Final.pdf

Fractured Jaw 2011 Final.pdf

Fractured Tooth 2011 Final.pdf

Oral Infections 2011 Final.pdf

Oral Lacerations 2011 final.pdf

Emergency Protocols

Acute Agitated -Excited- Delirium 2011.pdf


Angina.2011 Revised.pdf

Asthma.2011 final.pdf

Cardiac Arrest.2011 final.pdf

Childbirth Level I 2011 final.pdf

CVA (Stroke).2011 final.pdf

Diabetic Ketoacidosis.2011 final.pdf

Foreign Body in Eye (Penetrating).2011 final.pdf

Hypoglycemia.2011 final.pdf

Looks Critically Ill.2011 final.pdf

Myocardial Infarction, Possible-Intractable Angina.2011 fina.pdf

Puncture Wound (Severe).2011 final.pdf

Shock.2011 final.pdf

Sucking Chest Wound.2011 final.pdf

Suicide Prevention and Intervention.2011.pdf

Overdose - Toxic Substance Exposure.2011 final.pdf​