jeneiser

First identify each modality in which the nursing staff functions at your facility. My nursing P&P manual covers our responsibilities in CT, MRI, Nuc. Med., an XR. Under each area, I have all the procedures that nursing is involved in; describe the purpose & objective, nsg qualifications (if any, such as certification for giving moderate sedation, ACLS, EKG interpretation etc.), list equipment and supplies needed for each, then give step by step instructions of the procedure as it is performed. Delegate some of the tasks by assigning a nurse to outline a procedure while he/she is doing it. If you make pre or post procedure calls to patients, develop forms that identify information that needs to be covered and include that with your procedure (the same information will be given by all your staff and nothing will be omitted). I included all the nursing forms with each procedure and explainations of what documentation is required. I have documentation instructions and pt. discharge instruction forms for contrast reaction and extravasation (others are post sedation, post VCUG, myelogram and LP procedures etc.) Include code (resuscitation) precdures and forms, who is to be notified, etc. Have a signature page for a radiologist to review and approve the P & P manual(I also have the radiologist sign each procedure that has standing orders i.e. aminophyllin to reverse symptomatic patient after an adenosine stress test) Hope this helps