Policy Manual sample

MDT Home Health Care Agency, Inc. Factors to be charted: TREATMENT: 1. Preventive 2. Offering temporary relief URINATION: 1. To urinate 2. No control over urination 3. Burning when voids 4. Large amount of urine voided 5. Total suppression of urine 6. Frequent voiding at night 7. Painful urination 8. Pus in urine 9. Blood in urine 10. Hemoglobin in urine 11. Glucose in urine 12. Albumen in urine 13. Acetone in urine 14. Bile in urine 15. Scantiness of urine 16. Bed-wetting 17. Stones in urine VOMIT: 1. Desire to do so 2. Act of doing so WEIGHT: 1. Overweight 2. Thin, underweight WOUNDS: 1. Deep 2. Slight, surface only 3. Not infected 4. Discharging pus 5. Infected 6. Torn Suggested terms to use: 1. Prophylactic 2. Palliative 1. Void, micturate 2. Involuntary,incontinent 3. Burning sensation on 4. Diuresis 5. Anuria 6. Nocturia 7. Dysuria 8. Pyuria 9. Hematuria 10. Hemoglobinuria 11. Glucosuria 12. Albuminuria 13. Acetonuria 14. Choluria 15. Oliguria 16. Enuresis 17. Calculi 1. Nausea 2. Emesis 1. Obese 2. Emaciated 1. Deep 2. Superficial 3. Clean 4. Suppurating 5. Infected 6. Lacerated Home Health Agency Nursing Manual J-27