UNIVERSITY HOSPITAL AND CLINICAL PROGRAMS
PROFESSIONAL NURSING ORGANIZATION
POLICY STANDARDS

1. Patient remains in room with door open
2. Check patient’s safety and location every 15 minutes
3. Search patient’s belongings for potentially harmful objects
4. Stay with patient while meds are taken
5. Implement Patient at Risk for Harm of Self and Others

Protocol 133

Addendum G6

http://intranet.uams.edu/uh/policy/medical staff/ms507.htm

http://intranet.uams.edu/uh/policy/medical staff/ms407.htm

http://intranet.uams.edu/uh/policy/medical staff/ms417.htm

1. Observe for alteration in though process (visual, auditory, tactile, or hallucinations) every 4 hours or as necessary.
2. Monitor autonomic instability (increase in T, P, R, and B/P, and/or sweating) every 4 hours or as necessary.
3. Observe for tremulousness, irritability, and anxiety every 4 hours PRN.
4. Implement Alcohol Withdrawal protocol.

Protocol 26

http://intranet.uams.edu/uh/policy/medical staff/ms417.htm

1. Orient patient to physical surroundings as necessary.
2. Keep bed in low position, side rails up, call light in reach.
3. Keep environment well lighted and free of clutter.
4. Store patient belongings within reach.
5. Have patient wear properly fitting shoes when up.
6. Encourage family/friends to assist with observation/ambulation
7. Instruct patient to only get out of bed with assistance
8. Alert nursing staff on unit regarding potential for falls.
9. Place Fall Precaution signage on patient's door.
10. Implement Nursing Fall Protocol.

http://www.uams.edu/nursingmanual/Protocols/protocol-36.doc

http://www.uams.edu/nursingmanual/Guidelines/GuidelineLL.htm

1. Keep side rails up x 4 and bed in low position.
2. Have suction available at the bedside.
3. Alert nursing staff on unit regarding seizures potential.
4. Implement Nursing Seizure Protocol.

http://www.uams.edu/nursingmanual/Protocols/protocol-51.doc

1. Strict hand hygiene
2. No flowers or live plants
3. No fresh fruit or vegetables
4. No sick visitors or contact with small children
5. Implement Immunomyleosupression Nursing Protocol.

http://www.uams.edu/nursingmanual/Protocols/protocol-16.doc

1. Observe for bruising, bleeding or petechiae.
2. Apply prolonged pressure on insertion sites after invasive procedures.
3. Observe for hematuria and hematemesis; guaiac all stools.
4. Document and report signs and symptoms of headache and/or change in sensorium.

1. Elevate head of bed at least 30 degrees.
2. Observe closely during eating or feeding.
3. Give thick liquids only.
4. Keep suction at bedside.