Mr.Visanth V S
Asso.Professor
IGSCON

A manual is a book which gives instruction. A nursing an
important resource for practice, but ensuring that the
correct procedure can be located when needed. In nursing it
may be of 3 types;
Procedure issued by the administrative office and
referring mainly to regulations.
Procedure manuals, e.g. Lab procedure manuals, nursing
procedure manuals.
 Unit procedure outline the procedure to be used in unit.
Nursing Manuals

Standing orders are specific instruction regarding
treatment for condition that nurses and other
health workers may encounter in home, school
and industries where a doctor is not readily
available.
 The standing order are intended to provide
treatment only in emergencies and temporarily in
the absence of a doctor, they should be limited.
Standing Orders/Nursing Protocols

 Institutional standing order:- These are written format of activities
to be performed based on available resources ,staff position and the
objectives of a medical institution or hospital.
 Specific standing order:-These are authorized formats of
procedures framed for trained medical personnel, mainly the
nurses , technical knowledge and specific skills are require to
implement these orders. Eg-giving care at home ,injections ,
oxygen therapy.
 General standing orders:- Owning to a large population. some
standing order are used to propagate health care messages. Eg-
preventive measures against AIDS, Covid19 etc.
Types of Standing Order

To meet emergency situation.
To deliver care at home, school, community
To provide temporary treatment in the
absence of a doctor
To promote health services in community.
Purpose of standing order
 Standing order instructions should be issued jointly by an
authorized medical office and a nurse or a committee with
a nurse representative.
Standing instruction must be used with caution and
discretion.
Standing orders are these to promote health services in
the community.
The medical officer is legally responsible for issuing
standing orders, and he should have faith in the sound
judgment of his staff.
General Standing Order Instructions

They reduce danger in acute condition.
They create the feeling of responsibility
among the members of the health team.
 Every health service should issue standing
instruction to meet the health need of the
areas.
Contd……..
Standing orders provides timely treatment during
emergencies.
They enhances the quality and activity of health
services.
They provide a feeling of confidence and responsibility
in the nursing staff and other health workers.
They help to decentralize the health responsibilities.
They help to strengthen the primary services in the
community.
Advantages Of Standing Order
The nurse should be skillful in detecting abnormality.
The nurse should be prompt in detecting appropriate
action for particular situation.
The nurse should maintain a record of care given to the
patient.
The nurse should have thorough knowledge to identify
the actual problem of the patient and to plan appropriate
nursing intervention.
 The nurse should intervene with services according to the
given standing orders.
Role Of A Nurse In Standing Orders
Should develop a good therapeutic relationship with the
individual and family.
Use referral system if it is possible.
The nurse should inform the health officer immediately
if there is a communicable disease.
Should keep the medication safe and ready to follow
standing orders.
Ensure a safe and healthy environment for patient.
Recording and reporting is essential.
Contd……..


Nursing Manuals, Protocols/ Standing Orders

  • 1.
  • 2.
     A manual isa book which gives instruction. A nursing an important resource for practice, but ensuring that the correct procedure can be located when needed. In nursing it may be of 3 types; Procedure issued by the administrative office and referring mainly to regulations. Procedure manuals, e.g. Lab procedure manuals, nursing procedure manuals.  Unit procedure outline the procedure to be used in unit. Nursing Manuals
  • 3.
     Standing orders arespecific instruction regarding treatment for condition that nurses and other health workers may encounter in home, school and industries where a doctor is not readily available.  The standing order are intended to provide treatment only in emergencies and temporarily in the absence of a doctor, they should be limited. Standing Orders/Nursing Protocols
  • 4.
      Institutional standingorder:- These are written format of activities to be performed based on available resources ,staff position and the objectives of a medical institution or hospital.  Specific standing order:-These are authorized formats of procedures framed for trained medical personnel, mainly the nurses , technical knowledge and specific skills are require to implement these orders. Eg-giving care at home ,injections , oxygen therapy.  General standing orders:- Owning to a large population. some standing order are used to propagate health care messages. Eg- preventive measures against AIDS, Covid19 etc. Types of Standing Order
  • 5.
     To meet emergencysituation. To deliver care at home, school, community To provide temporary treatment in the absence of a doctor To promote health services in community. Purpose of standing order
  • 6.
     Standing orderinstructions should be issued jointly by an authorized medical office and a nurse or a committee with a nurse representative. Standing instruction must be used with caution and discretion. Standing orders are these to promote health services in the community. The medical officer is legally responsible for issuing standing orders, and he should have faith in the sound judgment of his staff. General Standing Order Instructions
  • 7.
     They reduce dangerin acute condition. They create the feeling of responsibility among the members of the health team.  Every health service should issue standing instruction to meet the health need of the areas. Contd……..
  • 8.
    Standing orders providestimely treatment during emergencies. They enhances the quality and activity of health services. They provide a feeling of confidence and responsibility in the nursing staff and other health workers. They help to decentralize the health responsibilities. They help to strengthen the primary services in the community. Advantages Of Standing Order
  • 9.
    The nurse shouldbe skillful in detecting abnormality. The nurse should be prompt in detecting appropriate action for particular situation. The nurse should maintain a record of care given to the patient. The nurse should have thorough knowledge to identify the actual problem of the patient and to plan appropriate nursing intervention.  The nurse should intervene with services according to the given standing orders. Role Of A Nurse In Standing Orders
  • 10.
    Should develop agood therapeutic relationship with the individual and family. Use referral system if it is possible. The nurse should inform the health officer immediately if there is a communicable disease. Should keep the medication safe and ready to follow standing orders. Ensure a safe and healthy environment for patient. Recording and reporting is essential. Contd……..
  • 11.