Policy Manual sample

MDT Home Health Care Agency, Inc. 7. Cover the top of the saucepan. 8. Put the saucepan on the stove, and boil the water for about 25 minutes. 9. Remove the saucepan from the stove and cool the solution. When the solution is cool, remove the jar and tighten the lid. 10. Write the type of solution and the date the solution was made on the outside of the jar. 11. Store the solution in a clean place away from direct sunlight. 12. Clean and replace the equipment. Discard disposable items according to Standard Precautions. 25% Acetic Acid PROCEDURE Original procedures copyright © 2000 by Mosby, Inc. 1. Follow steps 1 to 3 in the procedure for .9% Normal Saline. 2. Put 2 cups of tap water in a clean glass jar with a screw-on lid. 3. Loosely place the lid on the jar. 4. Place the jar in a saucepan of water (the water level in the saucepan should be three fourths of the height of the jar). 5. Cover the top of the saucepan. 6. Put the saucepan on the stove and boil the water for about 25 minutes. 7. Add 1½ tablespoons of white vinegar to the jar. 8. Remove the saucepan from the stove and cool the solution. When the solution is cool, add 3 tablespoons of white vinegar. 9. Cap the jar. 10. Store the solution in a clean place away from direct sunlight. 11. Follow steps 10 to 12 in the procedure for .9% Normal Saline. 25% Dakins’ PROCEDURE 1. Follow steps 1 to 6 in the procedure for 25% Acetic Acid. 2. Add 3 tablespoons of liquid bleach (such as Clorox); add ¼ teaspoon of baking soda. 3. Follow steps 9 to 11 in the procedure for 25% Acetic Acid. NURSING CONSIDERATIONS Make a fresh solution each day. Discard any solution that becomes discolored or cloudy. Use the same procedure as for .9% Normal Saline but delete salt to make sterile water. When using the solutions, handle only the outside of the jar and lid. Do not leave the lid off the jar for long periods. DOCUMENTATION GUIDELINES Document the following on the visit report: · The procedure · Any patient/caregiver instructions and response to teaching, including adherence to recommendations · Standard Precautions · Other pertinent findings Update the plan of care in coordination with Patient’s Physician as needed. Home Health Agency Nursing Care & Procedures K-228