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Nursing Treatment Protocols
Introduction


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 2018.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Abdominal Pain Level II 2017.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Acne Level I 2017.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Alcohol Withdrawal 2018.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Allergic Rhinitis-Hay Fever Level I 2017.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Anxiety 2017.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Bacterial Conjunctivitis Level II 2017.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Bites Level II 2017.pdf
  
9/7/2018 10:09 AMNo presence informationGreg Rieskamp
Blood Borne PEP.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Bloody Stool-Rectal Pain Level I 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Bloody Stool-Rectal Pain Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Burns Level I 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Burns Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Cardiac Rhythm Abnormalities Level II 2018.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Cerumen-Impacted Ear Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Constipation Level I 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Constipation Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Contraband Medical Observation 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Corns Calluses Warts 2017 .pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Dermatitis Chronic Level I 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Dermatitis Contact Level I  2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Dermatitis Contact Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Ectoparasite Infestation 2018.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Epistaxis (Nosebleed) Level I 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Epistaxis Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Eye Pain Chemical Burn Foreign Body 2018.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Fractures Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Head Injury Level II 2018.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Headaches Level I 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
Headaches Level II 2017.pdf
  
9/7/2018 10:10 AMNo presence informationGreg Rieskamp
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 Dental Protocols

 
  
  
  
  
Avulsed Tooth Level II 2018.pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
Dental Pain Level II 2018 .pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
Fractured Mandible 2018.pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
Fractured Tooth Level II 2018.pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
Oral Infections Level II 2018.pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
Oral Lacerations Level II 2018.pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
Table of Contents Dental 2018.pdf
  
9/7/2018 10:15 AMNo presence informationGreg Rieskamp
 

 Emergency Protocols

 
  
  
  
  
Acute Agitated -Excited- Delirium.9.2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Alcohol Withdrawal Syndrome Severe 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Anaphylaxis 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Angina 2017.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Asthma.2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Cardiac Arrest 2017v2.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Childbirth 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
CVA (Stroke) 2017.pdf
  
10/11/2018 12:28 PMNo presence informationGreg Rieskamp
Diabetic Ketoacidosis 2017.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Foreign Eye Body Penetrating 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Head Trauma Severe 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Hypertensive Urgency Emergency l 2017.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Hypoglycemia 2017.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Looks Critically Ill 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
MI, Possible-Intractable Angina 2017.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Poisoning-Overdose - Toxic Substance Exposure.2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Puncture Wound Severe 2017.doc.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Seizure Activity.9.2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Shock 2017.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Sucking Chest Wound 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp
Suicide Prevention and Intervention 2018.pdf
  
9/7/2018 10:16 AMNo presence informationGreg Rieskamp