MONONGALIA GENERAL HOSPITAL
1200 J.D. ANDERSON DRIVE
MORGANTOWN, WV 26505
EMERGENCY DEPARTMENT
NURSING INTERVENTION SHEET
Nursing Interventions
Triage Includes Initial VS and WTs
(on peds)
1. Adult
2. Peds
3. Pulse Oximetry
4. Pulse oximeter continuous
5. Cardiac Monitors
6. Visual Acuity
1. Reassess pt
2. Retake vital signs
3. Discharge Instruction- a. Simple
b. Discharge Instruction- Complex
Oxygen Admin per hr x___
1. Nasal Cannula
2. Simple Mask
3. Non re-breathing –venti- mask
Pts
25
30
30
40
30
40
45
35
30
45
40
30
35
Wound Care:
1. Irrigation <15 min
2. Irrigation >15 min <30 min
3. Irrigation >30 min
30
70
100
1.
2.
3.
4.
30
45
75
35
Dressing-simple
Dressing- wet/dry
Dressing- complex
Suture Removal
1. Splint application- wrist
2. Splint application- ankle
3. Splint application- knee
4. Dislocations
50
60
100
40
1.
1.
50
Crutch (adjust/teach)
Sling, ACE wrap, etc.
(apply/teach)
Medications:
1. Oral- per trip x ______
IV Start- each attempt
1. Adult X ____
2. Peds x _____
3. DC IV Site
Administer blood x ______ unit
40
45
100
Nursing Interventions
Pts
Nursing Interventions
Pts
1. Sub Q/IM/event
2. Rectal- X _____
1. Eye/ear installation each
2. IV push/piggyback
3. IV Cont. infusion- no med x ______
hrs
4. IV cont. inf. W meds x ______ hrs
50
50
50
50
NG Tube Insertion
NG Lavage/15 min x _____
100
100
Restraints/30 minutes
Pts who require 1:1 or who are
confused/combative, pyschotic/15 min
X ______
Peds<6 (no adult)
Abuse exam, peds/adult
Asst with:
1. Peds exam
2. Gyn Exam (no specimen)
3. Gyn Exam (specimen)
4. Suture setup
5. Suture assist
6. Rape Examination
7. Lumbar Puncture
8. Chest tube insertion
9. Needle decompression
100
10.
11.
12.
13.
80
80
60
75
Venipuncture: (Specimen Collection)
1. Adult x ________
2. Peds X _________
3. AG Sugar x _____
4. Dip Urine
1. ED Staff to lab x _______
2. Arrange Outpt. Testing
3. D/C pt via W/c to POV
4. Assist pt to ED via W/C
5. ED staff with pt for tests per 15 min x
______
6. Pt transfer with ED staff to
another hosp
Admission
Pt transport by ED Staff
1. To Xray
2. To Floor
Other tests
Arrange:
Transfers (nsrg home,home)
Taxi/Bus
Transfer to another hosp
Perform:
1. Ear irrigation
2. Eye irrigations
3. Fill foley cath
4. Enema X _____
5. Foley Cath- Insert adult
6. Cath Peds
7. Peds apply U-Bag
8. Irrigate Cath
9.
Oral suctioning x _____
10. Tracheal suctioning x _____
50
75
50
75
40
40
50
55
45
45
45
300
45
65
50
75
65
100
80
70
60
100
80
50
45
40
50
50
125
45
150
99281( 0-50) 99282 (51-100) 99283 (101-150) 99284 (151-200)
99285 (201-300) 99291 (301-400)
Prepared by:
Date:
1.
2.
3.
4.
Thoracentesis
Paracentesis
Nasal Packing
Rectal Exam
Fetal Heart tones
Newborn Care
Prepare pt for OR
Bed linen change X ______
100
100
150
100
75
100
35
65
250
90
200
80
50
100
200
40
1. Cardiac Arrest <15 min
2. Cardiac arrest each addl. 15 min x
______
3. Ventilator pt x ______ hrs
200
1. Cardioversion/event
2. Intubation
3. External Pacer
4. Defib/time
Conscious Sedation
Thrombolytic Administration
Critically Ill pt observation x ____
½ hr
Committal of patient for drug/alcohol
rehab
300
200
250
150
300
350
150
100
150
300