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MSRM 140117.01 Table of Contents

Nursing Practice Protocols

(R-10/19)

Section 1. Cardiovascular / Circulatory

MSRM 140117.01.1.1 
Chest Pain (cardiac / musculoskeletal / pleuritic / gastroesophageal / anxiety) 

MSRM 140117.01.1.2
Cardiopulmonary Resuscitation - Emergency Care  

MSRM 140117.01.1.3
Hypertension 

MRSM 140117.01.1.4
Swelling (peripheral / pulmonary edema)

Section 2. Dermatology

MSRM 140117.01.2.1  
Abrasions / Laceration / Puncture

MSRM 140117.01.2.2
Bites – Insect and Spider  

MSRM 140117.01.2.3
Blisters  

MSRM 140117.01.2.4
Burns – including Burn Emergency 

MSRM 140117.01.2.5
Calluses / Corns / Ingrown Toenail

MSRM 140117.01.2.6
Contusions  

MSRM 140117.01.2.7
Dandruff  

MSRM 140117.01.2.8
Parasitic Infestation (example- Lice (Pediculosis Capitus, Corporis, Pubis)  

MSRM 140117.01.2.9
Pruritic Lesions (example- Jock Itch (Tinea Cruris)  

MSRM 140117.01.2.10
Pruritic Lesions / Scaling (example- Athlete’s Foot)  

MSRM 140117.01.2.11
Pustular Lesions (example- Acne)  

MSRM 140117.01.2.12
Skin and Soft tissue (boils, cellulitis, etc.)  

MSRM 140117.01.2.13
Skin Infestation (example- Scabies)  

MSRM 140117.01.2.14
Skin Irritation (example- Dermatitis- Rash, Poison Ivy, Dry Skin) 

MSRM 140117.01.2.15
Sunburn  

Section 3. Ears, Eyes, Nose and Throat

MSRM 140117.01.3.1
Earache / Excess Ear wax – including Hearing Loss Emergency  

MSRM 140117.01.3.2
Eye – Foreign Body  

MSRM 140117.01.3.3 
Eye Irritation (example- Conjunctivitis / Sty, flash burn)  

MSRM 140117.01.3.4
Nosebleed (Epistaxis)  

MSRM 140117.01.3.5
Visual Complaints and/or Visual Acuity Testing  

Section 4. Endocrine

MSRM 140117.01.4.1
Diabetic Symptomatic Hyperglycemia – including Diabetic Emergency      

MSRM 140117.01.4.2
Diabetic Symptomatic Hypoglycemia – including Diabetic Emergency  

Section 5. Gastrointestinal / Nutritional Health

MSRM 140117.01.5.1
Abdominal Pain / Constipation / Diarrhea - Including Abdominal Pain Emergency  

MSRM 140117.01.5.2
Hemorrhoids   

MRSM 140117.01.5.3
Indigestion   

MSRM 140117.01.5.4
Nausea / Vomiting  

Section 6. Genitourinary

MSRM 140117.01.6.1
Painful Urination (example-Urinary Tract Infection)  

Section 7. Gynecology / Reproductive

MSRM 140117.01.7.1 
Breast Cancer Risk Assessment 

MSRM 140117.01.7.2
Genital Discharge – Female   

MSRM 140117.01.7.3 
Genital Discharge – Male   

MSRM 140117.01.7.4
Menstrual Cramps (example- Dysmenorrhea)   

MSRM 140117.01.7.5 
Obstetrical Encounter  

MSRM 140117.01.7.6
Torsion / Epididymitis 

Section 8. Immunologic

MSRM 140117.01.8.1
Allergic Reaction – including Anaphylactic Emergency  

Section 9. Musculoskeletal

MSRM 140117.01.9.1 
Altercation / Physical Assault  

MSRM 140117.01.9.2
Amputation   

MSRM 140117.01.9.3 
Back Pain – Acute / Chronic  

MSRM 140117.01.9.4 
Mandible / Jaw Injury  

MSRM 140117.01.9.5 
Muscle Strain / Overuse / Sprain   

MSRM 140117.01.9.6
Skeletal Injury (example- Fractures / Dislocations including Orthopedic Emergency)  

Section 10.  Neurological  

MSRM 140117.01.10.1 
Dizziness / Lightheaded (example– Vertigo) 

MSRM 140117.01.10.2
Head Trauma   

MSRM 140117.01.10.3
Headache   

MSRM 140117.01.10.4
Heat Exhaustion / Cramps (Heat Stroke) – including Heat Emergency   

MSRM 140117.01.10.5
Mental Status Changes  

MRSM 140117.01.10.6
Neurological Deficits   

MSRM 140117.01.10.7
Seizures 

Section 11.  Respiratory   

MSRM 140117.01.11.1 
Impaired Gas Exchange / Shortness of Breath – including Respiratory Emergency  

MSRM 140117.01.11.2
Runny Nose / Congestion / Upper Respiratory Infection / Inflammation of Sinus Mucosa  

MSRM 140117.01.11.3 
Pepper Spray / Tear Gas  

MSRM 140117.01.11.4
Pandemic Influenza 

MSRM 140117.01.11.5 
Viral Infection (Example- influenza (Flu)

Section 12.  Treatments / Testing / Procedures  

MRSM 140117.01.12.1
Chronic Clinic Nursing Interventions  

MRSM 140117.01.12.2
Foley Catheter   

MRSM 140117.01.12.3
Intravenous Catheter / PICC / IVAD  

MRSM 140117.01.12.4
Percutaneous Endoscopic Gastrostomy Tube (Peg) 

MRSM 140117.01.12.5
Routine Physical Nursing Interventions – Female  

MRSM 140117.01.12.6 
Routine Physical Nursing Interventions – Male   

MRSM 140117.01.12.7
Suture / Staple Removal  

MSRM 140117.01.12.8
UA DipStick  

MRSM 140117.01.12.9
Venipuncture (Blood Drawing)   

MSRM 140117.01.12.10
Wound Care Treatment  

MSRM 140117.01.12.11
Nebulizer Treatment

MSRM 140117.01.12.12
Straight Catheterization

MSRM 140117.01.12.13
Colonoscopy Prep

MSRM 140117.01.12.14
Routine Vital Sign Check

Section 13.  Mental Health / Behavioral

MSRM 140117.01.13.1
Hunger Strike   

MSRM 140117.01.13.2 
Mental Health Check 

MRSM 140117.01.13.3 
Non-Consensual Sexual Contact  

MRSM 140117.01.13.4
Overdose / Poisoning   

MSRM 140117.01.13.5
Self-Harm / Self-Injury / Self-Mutilation

MSRM 140117.01.13.6
Use of Force  

Section 14. Dental

MSRM 140117.01.14.1 
Toothache / Broken Tooth

Section 15. Miscellaneous

MSRM 140117.01.15.1   
Emergency Care Record - Medical Diagram of Injury

MSRM 140117.01.15.2 
Follow-Up Assessment from Writ / Court

MSRM 140117.01.15.3 
Inmate Death

MSRM 140117.01.15.4 
Medication Counseling-Education

MSRM 140117.01.15.5 
On Call Nurse Telephone Triage and/or ER Transfer

MSRM 140117.01.15.6 
Post Hospitalization / ER / Procedure Assessment

MSRM 140117.01.15.7 
Wellness Check

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