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Nursing Reference Center as a Policy and Procedure Manual - Help Sheet

April 2014


  1. Streamline the hospital Policy and Procedure process by adding persistent links (Plinks) to Nursing Reference Center (NRC) content.

  2. Nursing Reference Center content is evidenced-based and updated continually when new evidence is identified.

  3. Hospitals can reduce their exposure to liability by ensuring that all nurses use the same set of skills (Standardization of Care) for each policy.

  4. Hospitals can ensure that they meet the Exemplary Professional Practice Model Magnet Component based on Recognized Standards of Practice, Quality improvement and Culturally Competent Care.


  1. Create a short, on-line overview of each nursing policy and procedure.

  2. Add a general approval statement in the Policy section (ie: “Nursing Leadership has reviewed and approved the resources contained in Nursing Reference Center”).

  3. Any policy information that is specific to your hospital should be displayed in the HOSPITAL SPECIFIC section.

  4. Include persistent links (Plinks) to applicable NRC content (Skills, Skill Competency Checklists and Evidence-Based Care Sheets. The Plinks will be provided by EBSCO.

See Sample Policy and Procedure below:

pine valley logo
Pine Valley General Hospital

Policies & Procedures: Nursing Professional Services

I.D. Number: N – 635


{X} Clinical Practice Committee
{X} Nursing Professional Council
{  } Education Council

Source: Nursing
Cross Index: Respiratory Therapy
Date Revised: April 4, 2014
Date Effective: August 7, 2012
Scope: Pine Valley General Hospital
     Knobles Grove Regional

PURPOSE: An arterial catheter is used for continuous monitoring of blood pressure (BP) and to obtain arterial blood samples.

POLICY: Pine Valley General’s Clinical Practice Committee and Nursing Professional Council have reviewed and approved the resources contained in Nursing Reference Center relating to Arterial Catheters. Click on the links below to review Nursing Practice and Skills/Skill Competency Checklists. Note: any policy information that is specific to Pine Valley General will be displayed in the HOSPITAL SPECIFIC SECTION.

HOSPITAL SPECIFIC: Arterial line insertion can take place at the bedside, in the operating room (OR), or in a clinical laboratory. Physicians, nurse anesthetist, physician assistant and registered respiratory therapists have been authorized to insert arterial lines. Nurse assistance provided during arterial catheter insertion promotes clinician adherence to aseptic technique, which is essential to reduce the risk for CRBSI.

Reference: CINAHL Nursing Guide, April 4, 2014

Click on link below for the Nursing Practice and Skill:

Click on link below for Skill Competency Checklist:

Eliza Schub, RN, BSN, Cinahl Information Systems, Glendale, CA
Sara Richards, MSN, RN, Cinahl Information Systems, Glendale, CA
Nursing Executive Practice Council, Glendale Adventist Medical Center, Glendale, CA
Original document: 2012 Aug 17
Latest revision: 2014 Apr 04

Kathleen A. Jensen
Kathleen A. Jensen, RN, MHA
Chief Nursing Officer
Pine Valley General Hospital

See also:

Nursing Reference Center Promotion Kit


Disclaimer Message
The information contained in this Nursing Practice & Skill is intended to present an overview of assisting with arterial catheter insertion and is not intended to replace facility protocols, clinician orders, manufacturer’s instructions, or the clinical experience necessary to become proficient in assisting with arterial catheter insertion.