Patient Care

PHI Clinical Policies

Cardiovascular

• Application of a TED Hose (Antiembolism Hose)
• Measuring and Recording Edema
• Blood Pressure
• Monitoring a Client with a Pacemaker at Home
• Management of Automatic Implantable Cardioverter Defibrillator (AICD)

Respiratory

• Administration of Oxygen
• Pediatric Oxygen Administration
• Cleaning and Disinfecting Equipment
• Pulse Oximetry
• Coughing and Deep Breathing
• Postural Drainage
• Manual Percussion and Vibration
• Tracheostomy Care
• Heat Moisture Exchange Device - Nose
• Changing a Tracheostomy Tube
• Oral Pharyngeal Suctioning
• Nasopharyngeal and Nasotracheal Suctioning
• Tracheostomy Suctioning
• Mechanical Ventilation (Negative or Positive Pressure Ventilation)
• Management of Home Ventilators
• Management of Home Respiratory Pacer
• Manual Ventilation with Ambu Bag
• Humidification via Condenser
• Humidification via Cascade

Endocrine

• Management of Diabetic Hyperglycemia
• Management of Diabetic Hypoglycemia
• Insulin types: Onset and Duration
• Diabetic Foot Care
• Diabetic Skin Care
• Blood Glucose Monitoring
• Insulin Syringe Preparation

Urinary/Renal

• Urinary Catheter Insertion - Straight or Indwelling Catheter
• Intermittent Self-Catheterization
• Care of Suprapubic Catheter
• Application of Leg Bag
• Care and Cleaning of Urinary Drainage Bags
• Bladder Program
• Intermittent Irrigation of Indwelling Urinary Catheter
• Care of Urinary Diversion Devices
• External Catheters

Gastrointestinal

• Gastrostomy Tube Care
• Changing a Gastronomy Tube
• Administration of Enteral Feedings - Gastronomy of Jejunostomy Tube
• Bowel Program/Digital Stimulation
• Administration of Enemas
• Ostomy Care
• Ostomy Irrigation
• Inserting Rectal Tube

Medication Administration

• Eye Medications - Drops and Ointments
• Ear Instillations and Irrigations
• Nasal Medications
• Preparing Injections from Ampules and Vials
• Subcutaneous Injections
• Intramuscular Injections/Z-Track
• Intradermal Injections
• TB/Mantoux Skin Test
• Transdermal Medications
• Aerosol Nebulizer/Inhalers
• Adverse Drug Reaction Procedure
• Hepatitis B Vaccine Injections
• Calculating Medication Dosages, Converting Dosage Systems
• Insulin Administration
• Administration SubQ Heparin
• Metered Dose Inhalers
• Suppositories - Rectal/Vaginal

Wound Care

• Types of Dressings
• Application of Dry Dressing
• Application of Wet-to-Dry Dressing
• Application of Transparent Dressing
• Application of Hydrocolloid Dressing
• Application of Hydrogel Dressing
• Assessment of Pressure Ulcers
• Pressure Ulcer Dressing Change Management
• Pressure Ulcer Management
• Surgical Staple Removal
• Soaks
• Photo Documentation
• Wound Drain Management
• V.A.C. Wound Therapy (Vacuum Assisted Closure)

Eye Care/Ear Care

• Eye Irrigation
• Care of the Client with Contact Lenses
• Ear Irrigation
• Cleaning and Checking a Hearing Aid

Intravenous Therapy

• Documentation of Infusion Therapy
• IV Site Dressings
• Infusion Therapy: Special Consideration
• Venipuncture for Blood Specimen Collection
• Peripheral Cannula (Short Catheter) Placement
• Peripheral Infusion: Site/Catheter Management
• Central Venous Catheter Management
• Sterile Injection Cap Change
• Flushing Central Venous Access Devices
• Central Line Dressing Change
• PICC Line Management
• PICC (Mid Line Catheter) Line Insertion
• Responding to Complications of PICC Lines
• PICC Line Dressing Change
• Flushing PICC Lines
• PICC Line Cannula Removal
• Accessing and Filling Implanted Pumps
• Central Venous Catheter Repair (Tunneled Catheters)
• Parenteral Nutrition Administration
• Blood and Blood Component Administration
• Intravenous Pain Management

Specimen Collection

• Midstream and Clean Catch Urine Collection
• Collecting Urine Specimen from Infant or Small Child
• Urine Collection from an Indwelling Catheter
• Stool Specimen Collection
• Measuring Occult Blood in Stool
• Sputum Specimen Collection
• Wound Drainage Collection
• Nose and Throat Specimen Collection
• Vaginal or Urethral Discharge Collection

Neurological

• Care of the Client with Spinal Cord Injury
• Identifying and Treating Autonomic Dysreflexia (Hyperreflexia)
• Seizure Management
• Neuro Assessment
• Mental Status Assessment

Immunology/Oncology

• Management and Care of the Organ Transplant Client

Musculoskeletal/Orthopedic

• Cast Care
• Care of the Client in Traction
• Use of a Hoyer/Hydraulic Lift
• Range of Motion Exercises

Infection Control

• Standard Infection Control Procedures for Home Care
• Aseptic Technique in the Home
• Nursing Bag
• Hand Washing
• Infection Control Considerations

Miscellaneous

• Pain Assessment