Policy Manual sample

MDT Home Health Care Agency, Inc. Factors to be charted: PARALYSIS: 1. Of the muscles of the face 2. Of the legs 3. Of one side of the body 4. Of a single limb PERSPIRATION: 1. Large amount 2. Small amount PHYSICAL EXAMINATION: 1. By observation 2. By listening 3. By handling 4. By palpating 5. By striking 6. By measuring POSITIONS: 1. Flat on back, arms straight at sides 2. On side, knees flexed 3. Semi-erect, knees flexed, head slightly elevated 4. Semi-erect, head elevated, knees flexed 5. On back, knees flexed and apart, feet on table 6. On back, buttocks near edge of table, knees well flexed and separated 7. Resting on knees and chest 8. On back, pelvis higher than head 9. On stomach, face turned to one side Suggested terms to use: 1. Facial 2. Paraplegia 3. Hemiplegia 4. Monoplegia 1. Profuse, excessive 2. Scanty 1. Visual inspection 2. Auscultation 3. Manipulation 4. Palpation 5. Percussion 6. Measurement 1. Horizontal 2. Lateral 3. Semi-Fowler 4. Fowler 5. Dorsal recumbent 6. Lithotomy 7. Knee-chest 8. Trendelenburg 9. Prone Home Health Agency Nursing Manual J-23