The neonatal intensive care nurse implements several actions to prevent further complications in a newly admitted premature infant. Which type of document did the nurse use to find these actions?
1. Standardized care plan
2. Protocol
3. Standards of care
4. Policy and procedure manual
Correct Answer: 2
Rationale 1: Standardized care plans are preprinted guides for the nursing care of a client who has a need that arises frequently in the agency—or all nursing diagnoses associated with a particular medical condition. In this situation, the nurse is not working from the written care plan, as the baby has just been admitted.
Rationale 2: Protocols are preprinted to indicate the actions commonly required for a particular group of clients. Protocols may include both physicians' orders and nursing interventions.
Rationale 3: Standards of care describe nursing actions for clients with similar medical conditions rather than individuals, and they describe achievable rather than ideal nursing care.
Rationale 4: Policies and procedures are developed to govern the handling of frequently occurring situations.
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