I am in the beginning phase of trying to start NIO at our outpatient clinics and UCC. The goal is to have our RN’s work to the top of their licensure, empower them, improve access, and delivery safe, effective care. We have created
algorithms for the below 5 minor conditions. My question is I have been able to find little EBP in regard to this. There is a lot of information on Nurse-Led clinics, however very little on NIO. Any input links suggestions would be helpful, thank you for your time.
Yours in Nursing,
-Acute Uncomplicated Female Cystitis
-Adult Cold Symptom
-Adult Strep Throat
-Nausea, Vomiting, Diarrhea
-Pediatric Cold Symptom
-Pediatric Strep Throat
To provide guidance for utilizing evidence-based Nurse Initiated Orders (NIOs) on applicable patients who present to primary care and Urgent Care seeking treatment for low acuity symptoms.
Applies to all XXX Hospital and Branch Health Clinics, our target populations are patients 6-65 years of age who meet the criteria in Enclosures 1-6.
Caring for minor illnesses throughout primary and urgent care clinics creates a barrier to same-day/acute access. Nurse initiated orders (NIO) have proven to improve access, reduce cost, improve patient satisfaction, and increase work fulfilment. They are developed through an interdisciplinary process involving physicians, clinicians and ancillary personnel with a vested interest in the process and delivery of patient care for which they are intended. Approval by Executive Committee of Nursing Staff, Medical Executive Committee, Pharmacy and Therapeutics Committee, and Standards and Practice Committee is required. These orders are predetermined collections of set algorithms initiated based upon nursing assessment
of the patient and are consistent with high-quality evidence based care, enhanced patient safety, and satisfaction.