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Scope of Service and Nursing Care (1.19)

Scope of Service and Nursing Care (1.19) - Policies, Administrative, UWHC, Department Specific, Nursing Administrative, Organization of Department of Nursing

1.19

POLICY & PROCEDURE





Effective Date:
May 31, 2016

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
1.19

Original
 Revision

Page 1
Of 3

Title:
Scope of Service and Nursing Care


I. PURPOSE:
A. To establish guidelines for nursing practice at UW Health.
II. DEFINITION
A. Nursing care: the integration and systematic application of specialized knowledge
and skills derived from nursing and related sciences, in which the full range of
human responses along the health/illness continuum is recognized and treated.

III. POLICY:
A. The Scope of Service and Nursing Care policy outlines nursing practice in
accordance with the Wisconsin Nurse Practice Act, the Mission, Vision, and
Values Statements of the UW Health, the Nursing Philosophy Statement and the
Professional Practice Model,
B. The purpose of nursing is to assist the patient/family/community to maintain an
optimal state of wellness through comprehensive patient and family centered care,
treatment and education including primary prevention measures and treatment
options, support and interventions during illness, and management of chronic
disability or illness. Nursing care is rendered to patients and families across the
health/illness continuum with the purpose of the patient and/or family maintaining
or assuming the greatest level of self-care possible from pre-admission to
outpatient and/or home care treatment.
C. The practice of nursing at UW Health shall mean the assumption of responsibility
and accountability for nursing practice standards as outlined in the Nursing
Professional Practice Model and the ANA Standards of Practice at UW Health. It
is demonstrated through all nursing roles such as clinician, educator, researcher,
leader, etc. Professional nursing activities include, but are not limited to:
i. Assessment of physiologic, psychosocial, cultural, and spiritual responses
to health promotion, maintenance and restoration;
ii. Development of a plan of nursing care that prescribes interventions and
expected patient and/or family outcomes based on assessment findings;
Execution of evidence based nursing interventions efficiently and
effectively to maximize patient response and promote patient safety;
iii. Evaluation of patient's response to nursing interventions;
iv. Adherence to agreed upon hospital and department patient service
standards.
v. Delegation and supervision of nursing activities based on training and

POLICY & PROCEDURE





Effective Date:
May 31, 2016

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
1.19

Original
 Revision

Page 2
Of 3

Title:
Scope of Service and Nursing Care


experience of other health team members;
vi. Collaboration in the development, execution and evaluation of an
interdisciplinary plan of care;
vii. Provision of patient/family education;
viii. Participation in identification, monitoring and implementation of clinical
practice improvements;
ix. Provision of individualized goal-directed discharge planning.
x. Provision of support to students and new staff through mentoring and
preceptorships.
xi. Support of clinical research
D. The provision of care by a licensed practical nurse, technician, medical assistant,
and nursing assistant shall mean the assumption of patient care duties and
responsibilities commensurate with their training and specific position
descriptions under the direction and supervision of the RN.
E. The UW Health Nursing Professional Practice Model aligns nursing practice
across all levels and settings by identifying relationships and responsibilities of
the professional nurse. Patient and family-centered care is the philosophical and
theoretical basis of the model, with the relationship between the nurse and
patient/family/community at the center. The domains surrounding
patient/family/community describe the ideal environment for nursing practice at
UW Health. A complete description of the UW Health Nursing Professional
Practice Model can be found in the PPM Whitepaper located on the Nursing
Professional Practice Model UW Health intranet site.
F. Scope of Service
i. Nursing care focuses on the recognition and treatment of the full-range of
human responses along the health/illness continuum. Nursing
interventions are directed towards the integration of physiologic,
psychosocial, spiritual, and cultural responses in order to plan, intervene
and evaluate patients' and/or families' attainment of an optimal state of
wellness and self-care practices.
ii. At UW Health, nursing care is delivered to patients and families in
inpatient, ambulatory, surgical services and procedure areas.




POLICY & PROCEDURE





Effective Date:
May 31, 2016

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
1.19

Original
 Revision

Page 3
Of 3

Title:
Scope of Service and Nursing Care


REFERENCE:
ANA Standards of Practice at UW Health

AUTHORED BY:
Magnet Program Coordinator
Director, Nursing Practice & Innovation

REVIEWED BY:
Magnet Coordinator, May 2016
Director, Nursing Practice & Innovation, May 2016
Nursing Administrative Policy and Procedure Committee, May 2016

SIGNED BY:
Beth Houlahan, DNP, RN, CENP
Senior Vice President Patient Care Services,
Chief Nursing Officer