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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 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