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MSRM 140117.01 Table of Contents

(R - 12/16)

Nursing Practice Protocols

Section 1. Cardiovascular/Circulatory

MSRM 140117.01.1.1 
Chest Pain (cardiac / musculoskeletal / pleuritic / gastroesophageal) including Cardiac Emergency 

MSRM 140117.01.1.2
Cardiopulmonary Resuscitation -Emergency Care  

MSRM 140117.01.1.3
Hypertension Emergency 

MRSM 140117.01.1.4
Swelling (edema)

Section 2. Dermatology

MSRM 140117.01.2.1  
Abrasions / Laceration

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 and Corns  

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) 

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, flashburn)  

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 Hypoglycemia – including Diabetic Emergency      

MSRM 140117.01.4.2
Diabetic Hyperglycemia – 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
Hunger Strike  

MSRM 140117.01.5.4
Indigestion   

MSRM 140117.01.5.5
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   

MSRM 140117.01.11.3 
Pepper Spray / Tear Gas  

MSRM 140117.01.11.4
Pandemic Influenza  

Section 12.  Treatments/Testing/Procedures  

MRSM 140117.01.12.1
Chronic Clinic Nursing Intervention  

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

Section 13.  Miscellaneous

MSRM 140117.01.13.1
Emergency Care Record - Medical Diagram of Injury   

MSRM 140117.01.13.2 
Follow-Up A and R Assessment 

MRSM 140117.01.13.3 
Inmate Death  

MSRM 140117.01.13.4 
Medication Counseling-Education 

MSRM 140117.01.13.5
Non-Consensual Sexual Contact  

MRSM 140117.01.13.6
On Call Nurse Telephone Triage and/or ER Transfer  

MSRM 140117.01.13.7
Overdose / Poisoning   

MSRM 140117.01.13.8
Post Hospitalization Assessment   

MSRM 140117.01.13.9
Toothache - Dental    

MSRM 140117.01.13.10
Wellness Check