name: Evaluate for psychological symptoms of relocation stress syndrome (e.g., anxiety, confusion, helplessness, loneliness, withdrawal, anorexia, ongoing worry, pessimism, anorexia, depression, increased demands)


name: Monitor for physiological symptoms of relocation (e.g., weight change, change in vital signs, decreased cognitive ability, inability to sleep)


name: Ensure personal agency over transition with respect to individual preferences


name: Support shared decision-making between family and individual


name: Encourage to participate in preparations for transition to reduce uncertainty


name: Facilitate communication and coordination of event prior to relocation


name: Select ideal time and date for transition


name: Plan for personal items to be in place before relocating


name: Establish routines that are preferred by person


name: Consider mental health, finances, personal history, and cultural background when making decisions


name: Encourage individual and family to seek counseling, as appropriate


name: Avoid negative assumptions on function and cognitive status of person


name: Facilitate social integration and encourage pursuit of new relationships (e.g., assign a "buddy" to help acquaint to new environment)


name: Facilitate visitations during first week of relocation


name: Facilitate maintenance of relationships between person and friends and family


name: Ensure access to technology to support communication connections (e.g., phones, tablets, computers, internet)


name: Evaluate effect of disruption of lifestyle, loss of home, and adaptation to new environment


name: Educate all staff related to relocation stress syndrome and its treatments


name: Ensure policies established on when to transfer from acute care areas, such as avoiding nighttime or premature transfer where possible


name: Arrange for adequate staff available to ensure smooth transition


name: Ensure completion of informed consent and Institutional Review Board (IRB) approval


name: Review implementation of study protocol as specified


name: Confirm participants' understanding of risks and benefits of research


name: Perform activities per routine while participants under study observation


name: Document data according to procedure and study protocol


name: Assist to complete study questionnaires or other data collection tool, according to study protocol


name: Obtain summary of study results for participating staff and interested study participants


name: Monitor amount of participation in research studies


name: Monitor participants response to research protocol


name: Inform investigator of any adverse events


name: Facilitate increased use of positive coping strategies


name: Encourage practice of mindfulness (e.g., journaling, yoga, meditation) and resources to manage stress (e.g., tranquility room)


name: Promote positive lifestyle (e.g., proper nutrition, ample sleep, hydration, regular exercise) for body wellness, to adapt to stress and reduce toll of emotions like anxiety or depression


name: Foster avoidance of negative outlets (i.e., masking pain with alcohol, drugs, or harmful substances)


name: Facilitate development of meaningful, healthy relationships with empathetic and understanding people


name: Encourage development of routines and traditions (e.g., birthdays, holidays)


name: Facilitate acceptance of support from concerned persons


name: Encourage regular connections and interactions with support persons (e.g., counselors, employee assistance, chaplains)


name: Encourage active involvement in groups, faith-based communities, or other local organizations


name: Facilitate use of healthy personal goals, using past experiences


name: Encourage to seek help with progress toward goals


name: Assist in developing interpersonal skills, as needed


name: Assist in developing optimism for the future


name: Assist in identifying resources for advice and support


name: Assist in acquiring assertiveness skills


name: Assist in role playing decision-making skills


name: Encourage participation in services or activities


name: Determine presence of unemployment, homelessness, educational attainment, incarceration, and mental and physical health issues in population or community


name: Use available documents to identify community priorities (e.g., Community Health Needs Assessment)


name: Promote development of adequate community services to assist in decreasing areas of concern (i.e., promote access to public health, health care and social services, unemployment services, behavioral health services, housing)


name: Strengthen access to public health, health care, and social services


name: Ensure community members know how to access care and are not limited by real or perceived barriers to services


name: Promote access to physical and psychological health care


name: Provide community members with regular educational events and resources to know what to do to care for themselves and others in both routine and emergency situations


name: Encourage individuals to strengthen health and resilience (e.g., develop healthy lifestyles, maintain connections to meaningful groups, create evacuation and disaster response plans for self and family)


name: Encourage social connectedness in which community members are regularly involved in each other's lives


name: Provide at-risk individuals with programs that serve them (e.g., counselors, social services, employee assistance) and allow them to take active part in protecting their health


name: Urge programs that serve at-risk individuals to develop robust disaster and continuity of operations plans


name: Promote development of health and wellness groups, faith-based communities, or other local organizations


name: Build networks that include social services (e.g., behavioral health services, community organizations, businesses, academia, at-risk individuals, and faith-based stakeholders in addition to traditional public health, health care, and emergency management partners)


name: Support ongoing educational programs related to public health and behavioral health measures, emergency preparedness, and community health resilience interventions


name: Observe for non-reassuring (abnormal) fetal heart rate signs (e.g., bradycardia, tachycardia, nonreactivity, variable decelerations, late decelerations, prolonged decelerations, decreased long-term or short-term variability, sinusoidal pattern)


name: Apply oxygen at 10 to 15 L/min if positioning is ineffective in correcting non-reassuring (abnormal) pattern of fetal heart rate


name: Perform amnioinfusion for non-reassuring (abnormal) variable decelerations in fetal heart rate or meconium-stained amniotic fluid


name: Coach to decrease pushing efforts for non-reassuring (abnormal) fetal heart signs to allow reestablishment of placental perfusion


name: Explore confirmed or suspected genetic risk factors to determine level of understanding


name: Review complete health history, including prenatal and obstetrical history, developmental history, and past and present health status related to confirmed or suspected genetic risk factors


name: Obtain comprehensive family history and construct at least three-generation pedigree


name: Review options for diagnostic testing that may confirm or predict presence of genetic disorder, such as biochemical or radiographic studies, chromosome analysis, linkage analyses, or direct DNA testing


name: Provide written summary of risk identification counseling, as indicated


name: Determine risk factors using the appropriate agency guidelines (e.g., World Health Organization, Centers for Disease Control and Prevention)


name: Review recent travel history to determine exposure


name: Determine exposure to groups of people and need for contact tracing (e.g., daycare, university residence halls, long-term care facility, hospital)


name: Maintain privacy when contact tracing for identification of other individuals who may have been exposed


name: Determine if high-risk behaviors are present (e.g., unprotected sex, close contact with at-risk people for more than 15 minutes)


name: Recommend appropriate testing, treatment, and quarantine procedures for individuals with known exposure


name: Isolate from others if concern for droplet or airborne spread while waiting for testing confirmation


name: Instruct on appropriate methods to prevent spread


name: Inform care takers, as applicable, on symptoms that may signify transmission


name: Initiate appropriate preventative measures in various settings


name: Report communicable infectious diseases, as required by law, to the appropriate public health departments on the local, state, and national level


name: Plan scheduled meetings with consistent time and location


name: Use structured communication tool to organize topics


name: Review follow-up safety issues and proactively identify safety concerns for current day (e.g., high-risk fall, high-risk medication infusions, sitters, video monitoring, indwelling central venous or urinary catheter days, persons with similar names)


name: Give every team member opportunity to contribute


name: Encourage sharing of positive observations and concerns (e.g., what works, what does not)


name: Include discussion of issues with equipment and room concerns


name: Direct concerns raised during huddles to appropriate person or groups for resolution


name: Keep huddle meetings brief (i.e., 5-10 minutes)


name: Use visual management board to provide information on huddle agenda, current safety issues and performance metrics, if available


name: Provide for privacy of information shared (i.e., avoid using protective health information [PHI] limit detail written on visual management board)


name: Use designated team member to note issues for follow-up


name: Provide updates on recent or upcoming relevant safety announcements and initiatives, (e.g., changes to high-alert medications, adherence to standardized checklists)


name: Evaluate process periodically and revise as indicated


name: Review health history and results of diagnostic tests to determine whether meets agency criteria for conscious sedation by registered nurse


name: Ask about any previous experiences with conscious sedation


name: Review medications and verify absence of contraindications for sedation


name: Evaluate level of consciousness and protective reflexes before administering sedation


name: Ensure emergency resuscitation equipment readily available, specifically source to deliver 100% oxygen, emergency medications, and defibrillator


name: Administer medication as per health care provider order or protocol, titrating carefully according to response


name: Monitor level of consciousness, airway, vital signs, oxygen saturation, ET CO2, and EKG, as per agency protocol during procedure


name: Monitor for adverse effects of medication after administration (e.g., agitation, respiratory depression, hypotension, undue somnolence, hypoxemia, arrhythmias, apnea, exacerbation of pre-existing condition)


name: Use sedation scale to determine LOC (e.g., Ramsay scale)


name: Ensure availability of and administer antagonists as appropriate, per health care provider order or protocol


name: Determine whether meets discharge criteria (e.g., Aldrete scale)


name: Document actions and response, as per agency policy


name: Discharge or transfer, as per agency protocol


name: Determine level of assistance needed with self-care activities or instrumental activities of daily living (e.g., shopping, cooking, housekeeping, laundry, use of transportation, managing money, managing medications, use of communication, use of time)


name: Consider culture and age when promoting self-care activities


name: Determine needs for home enhancements (e.g., laundry and other facilities located on main floor, side rails in hallways, grab-bars in bathrooms)


name: Determine financial resources and personal preferences regarding modifications to home or care


name: Verify presence of safety equipment in home (e.g., smoke detectors, carbon monoxide detectors, fire extinguishers)


name: Provide tools to assist in daily activities (e.g., extenders to reach items in cupboards, in closets, on countertops, on stovetops, and in refrigerator; specialized knobs to operate household equipment such as stoves or microwaves)


name: Provide cognitive enhancing techniques (e.g., up-to-date calendars, clearly legible and understandable lists for medication times, easy-to-see clocks)


name: Provide visual safety devices or techniques (e.g., painting edges of steps bright yellow, clear pathway through walkways of house, non-skid surfaces installed in showers and bathtubs)


name: Establish routine for self-care activities and assist with activities as needed


name: Determine whether physical or cognitive ability stable or declining, and respond to changes accordingly


name: Consult with occupational or physical therapist to collaborate on self-care needs


name: Assist in establishing methods and routines for cooking, cleaning, and shopping


name: Instruct to wear clothing with short or tight-fitting sleeves when cooking


name: Assist in setting-up tasks so person can complete task (e.g., chop food, place clothing in easy-to-reach place, unpack groceries)


name: Monitor ability for independent self-care


name: Monitor need for adaptive devices for personal hygiene, dressing, grooming, toileting, and eating


name: Use consistent repetition of health routines as means of establishing them


name: Encourage to perform normal activities of daily living to level of ability


name: Encourage independence, but intervene when unable to perform


name: Instruct family to encourage independence, to intervene only when unable to perform


name: Provide methods of contacting for support and assistance (e.g., lifeline, list of nonemergent numbers for police, fire, poison control, utility companies)


name: Instruct on alternative methods of transportation (e.g., buses and bus schedules, taxis, city or county transportation for disabled people)


name: Instruct not to smoke in bed, while reclining, or after taking mind-altering medication


name: Instruct individual and caregiver on what to do if experiences fall or other injury (e.g., what to do, how to gain access to emergency services, how to prevent further injury)


name: Instruct on appropriate and safe storage for medications


name: Instruct on appropriate use of monitoring equipment (e.g., glucose-monitoring device, lancets)


name: Instruct on appropriate methods of dressing wounds and appropriate disposal of soiled dressings


name: Verify ability to open medication containers


name: Provide support individual to stay with person


name: Contact Sexual Assault Nurse Examiners (SANEs), forensically trained nurses, Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiners (SAFEs), or Sexual Assault Examiners (SAEs) to conduct examination, as available in organization


name: Inform person about availability of sexual assault crisis counsellor


name: Contact sexual assault crisis counsellor upon request of person


name: Explain sexual assault protocol and obtain consent to proceed


name: Document whether showered, douched, or bathed after incident


name: Document mental state, physical state (e.g., clothing, dirt, debris), history of incident, evidence of violence, and prior gynecological history


name: Implement sexual assault protocol (i.e., label and save soiled clothing, vaginal secretions, fingernail scraping, vaginal hair combings)


name: Offer prophylactic antibiotic medication against STI


name: Provide with sexual assault crisis center phone number


name: Document according to agency and sexual assault collection policy


name: Secure all collection evidence in locked area and hold for law enforcement


name: Use appropriate screening tools once risk level established (e.g., Sequential Organ Failure Assessment [SOFA], quick SOFA [qSOFA], Systemic Inflammatory Response Syndrome [SIRS] Criteria)


name: Identify presence of at-risk conditions (e.g., age, debilitated and immunocompromised persons, recent illness, trauma, invasive procedures, chronic conditions, change in cognition and affect)


name: Evaluate vital signs and laboratory values using prescribed criteria from screening tools


name: Identify possible causes (e.g., recent exposure to infection)


name: Remove any potential source of infections (e.g., inflamed IV lines, urinary catheters with cloudy output)


name: Follow protocol for sepsis care bundle for all persons with positive screening results and confirmed infections, in prescribed time frames (i.e., 1-hour resuscitation bundle started within 1 hour of person presentation of sepsis or septic shock; may not necessarily complete all bundle elements within 1 hour of recognition)


name: Monitor lactate levels continuously when >2 mmol/L


name: Obtain blood cultures as quickly as possible and prior to administering antibiotics


name: Administer broad spectrum IV antibiotics within first hour, as prescribed


name: Administer IV crystalloid for hypotension (MAP <65 mm Hg) or lactate >=4 mmol/L, per protocol and facility policy


name: Apply vasopressors if remains hypotensive (MAP <65 mmHg) during or after fluid resuscitation, as prescribed


name: Use vasopressors to maintain MAP >=65 mmHg


name: Reexamine volume status and tissue perfusion after initial fluid administration if persistent hypotension (MAP <65 mmHg) or if initial lactate was >=4 mmol/L


name: Ensure all bundle criteria achieved within prescribed time frames (i.e., less than 1 hour but no more than 6 hours)


name: Apply bundle criteria time frames with clock start when person meets screening criteria, or in ER, clock begins at presentation to triage


name: Document all reassessments and ongoing bundle or resuscitation measures


name: Perform focused exam after initial fluid resuscitation, including at least two of the following: CVP, SvO2, bedside cardiovascular ultrasound, dynamic assessment of fluid responsiveness with passive leg raises or fluid challenge


name: Maintain ongoing screening for SIRS criteria in at-risk persons (e.g., fever, HR, respiratory rate, PaCO2; laboratory values)


name: Maintain ongoing screening for SOFA criteria in qualifying at-risk persons (e.g., blood pressure, respiratory rate, any change in mental status)


name: Maintain ongoing screening for qSOFA criteria in qualifying at-risk persons (e.g., oxygen levels, laboratory values, hypotension requiring vasopressor support, Glasgow Coma Scale score, urine output)


name: Ensure ongoing screening for septic shock in persons meeting sepsis criteria (e.g., significantly decreased urine output, abrupt change in mental status, decrease in platelet count, difficulty breathing, abnormal heart pumping function, abdominal pain)


name: Communicate sepsis status in handoff reports


name: Use aseptic technique with all at-risk and immunocompromised persons


name: Ensure that all catheters and IVs are discontinued as soon as possible


name: Monitor for early detection indicators (e.g., increased serum lactate level, normal or low WBC count, decreased segmented WBC level, increased immature WBC level)


name: Instruct on signs of infection, how to monitor temperature, need to take all prescribed antibiotics to completion, and time matters with severe infections


name: Educate about underlying medical conditions and potential hazards


name: Instruct on need for vaccinations (e.g., influenza, pneumonia)


name: Instruct on need to prevent infections by cleaning all wounds carefully


name: Instruct to refrigerate foods properly and avoid eating under-cooked meats


name: Administer anti-inflammatory medications, as appropriate


name: Administer anti-inflammatory agents and/or bronchodilators, as appropriate


name: Explore knowledge about clinical condition


name: Provide information about common responses


name: Assume advocacy role as indicated (i.e., in life-threatening situations when anxiety high and parents or other family members unable to perform role)


name: Recognize that each child responds differently


name: Encourage care of young sibling in own home if possible


name: Assist to maintain or modify usual routines and activities of daily living as necessary


name: Encourage visits to affected brother or sister


name: Explain care of affected brother or sister


name: Encourage participation in care of affected brother or sister, as appropriate


name: Instruct on strategies to interact with affected sister or brother


name: Recognize and respect when not emotionally ready to visit affected sibling


name: Assist to clarify, explore, and expose concerns and fears


name: Use drawings, puppetry, and dramatic play to see how perceives events


name: Clarify concern for contracting illness of affected sibling and develop strategies for coping with concern


name: Instruct related to pathology of disease, according to developmental stage and learning style


name: Use concrete substitutes for sibling unable to visit affected brother or sister (e.g., pictures, videos)


name: Explain that they are not cause of illness


name: Instruct on strategies for meeting own emotional and developmental needs


name: Praise when has patience, has sacrificed, or has been particularly helpful


name: Acknowledge personal strengths and abilities to cope with stress successfully


name: Provide community resource referrals, as necessary


name: Communicate situation to school nurse to promote support in accord with parental wishes


name: Encourage parents to have individual moments with siblings


name: Establish type of incontinence (e.g., slight or light incontinence, moderate to heavy incontinence, fecal or urinary incontinence) or excessive skin fold sweat


name: Use assessment tool or standardized scale to identify persons at risk for skin breakdown (e.g., Braden Scale, International Consultation on Incontinence Questionnaire - Short Form [ICIQ-SF])


name: Determine personal needs (e.g., odor control, prevention of clothing stains, self-application, skin breakdown or friction areas, aesthetic audio or visual qualities, price, bariatric size)


name: Determine expectations for product use (e.g., skin fold moisture protection, swimming wear, day wear, night wear, travel wear, wet bed prevention, urinary or fecal incontinence coverage, reusable or washable)


name: Consider product attributes (e.g., cloth backing, perineal pads, panty liners, padded diapers, waistband products, overnight briefs, day briefs, removable, reusable, pull-ups, reusable tabs)


name: Adjust product robustness as indicated by time of need (i.e., use light perineal pads for slight leakage, change to heavier briefs for night coverage)


name: Avoid exceeding product guidelines for change of product (e.g., change every 3 hours)


name: Match product to skin care needs (i.e., avoid snug plastic products if risk for skin breakdown)


name: Fit product to anatomy (i.e., use hip measurements and ensure leg and waist openings are snug, avoid too tight or too loose fittings, use product sizing charts where available, cut skin fold protectors to desired size before applying)


name: Fold precut skinfold sheet in half during application for better fit if indicated


name: Change precut skinfold sheet daily or when wet


name: Choose product that fits clothing (e.g., less absorbent, smaller product, avoid colored adhesives or designs under light clothing)


name: Choose product with ease of use as indicated by needs


name: Ensure product odor neutralization capabilities as indicated by preference


name: Consider product needs when administering medications with incontinence effects (e.g., laxatives, diuretics)


name: Inspect skin area with every product change or toileting occurrence


name: Inspect skin and mucous membranes for redness, extreme warmth, edema, drainage or signs of pressure buildup (i.e., reddened skin that does not blanch)


name: Apply topical preventative skin treatments as indicated


name: Avoid reusing soiled products, even with minimal soil apparent


name: Instruct on product types, usage, indications, and contraindications


name: Determine ability to select products and include in planning, where appropriate


name: Instruct about signs of skin breakdown and potential changes in product required for breakdown occurrences


name: Instruct about skin care while using products


name: Monitor skin for rashes and abrasions and change product as indicated when rash or abrasion present


name: Change product if causing tightness or restrictive movement


name: Document skin condition every eight hours or as indicated


name: Inspect donor site dressing at least daily, as per agency protocol


name: Apply medications to wound site per agency protocol


name: Instruct individual to keep healed skin donor site soft and pliable


name: Instruct to apply pressure for excessive bleeding and notify health care provider if application of pressure not resulting in decreased bleeding


name: Instruct on signs and symptoms to report to health care provider immediately


name: Follow agency protocol for treatment of graft site (e.g., elevate graft site, needle aspiration, bleb treatment)


name: Instruct on allowed activities until graft adheres


name: Instruct to keep affected part immobilized during healing


name: Monitor color, warmth, capillary refill, and turgor of graft


name: Monitor for signs of infection (e.g., fever, pain) and other complications


name: Prevent development of complications of immobility (e.g., pneumonia, pulmonary emboli, pressure injury)


name: Provide emotional support, understanding, and consideration


name: Instruct on care of graft site area (e.g., compression stocking, dressing, avoidance of sun light and heating pad, no smoking), as prescribed


name: Inspect skin daily for persons at risk of breakdown


name: Institute measures to reduce risk for skin or tissue breakdown (e.g., reduce frequency of complete bathing, keep skin free from waste or exudate, use mild soaps, use emollients, turn or reposition frequently)


name: Rate any lesions or areas of breakdown using standardized tool or scale (e.g., Braden Scale)


name: Apply topical treatment to affected area (e.g., antibiotic, anti-inflammatory, emollient, anti-fungal, debriding agent), as appropriate


name: Apply clear occlusive dressing to affected areas as needed


name: Avoid using rough-textured bed linens and keep linens clean, dry, free of wrinkles and foreign objects


name: Refrain from using alkaline soap on skin


name: Use plain water to cleanse and avoid drying skin where possible (e.g., newborn)


name: Rinse skin carefully and completely to avoid drying effects of soap


name: Soak in colloidal bath to enhance skin moisture, as appropriate


name: Wash skin and supply clean, dry linens after episodes of incontinence


name: Keep skin dry after episodes of diaphoresis


name: Check skin surfaces where moisture caused by perspiration can be trapped


name: Apply drying powders to deep skinfolds or dust skin with medicated powder, as appropriate


name: Administer back rub or neck rub, as appropriate


name: Apply incontinence underwear loosely, as appropriate


name: Massage around affected areas of dryness or redness, as appropriate


name: Initiate consultation of specialty services, as needed


name: Encourage adults at risk for skin tears to wear long sleeves, long trousers, or knee-high socks


name: Cover hands with mittens to avoid excessive scratching or tearing at skin, as appropriate


name: Use devices on bed and chair (e.g., pads) that protect person


name: Turn person on bedrest or immobilized person at least every 2 hours, using specific schedule


name: Provide appropriate pads, cushions, mattresses, or beds that are designed to reduce pressure for persons on bedrest


name: Instruct older adults who have been using baking soda or salt for tooth cleansing to avoid ingesting due to high sodium content


name: Provide sunscreen in recommended SPF for exposure


name: Institute measures to promote adequate healing (i.e., provide adequate rest, food and fluids, check wounds and skin daily, avoid skin tears from adhesive tapes)


name: Approximate regular sleep and wake cycle in planning care


name: Explain importance of adequate sleep during various stages and occurrences in life (e.g., pregnancy, illness, psychosocial stresses)


name: Determine effects of medications on sleep pattern


name: Monitor and record sleep pattern and number of sleep hours


name: Monitor sleep pattern and note physical (e.g., sleep apnea, obstructed airway, pain or discomfort, urinary frequency) and psychological (e.g., fear, anxiety) circumstances that interrupt sleep


name: Instruct to limit use of electronic devices (e.g., phone, Internet, television)


name: Decrease or eliminate routine, non-essential nighttime cares


name: Encourage to establish bedtime routine to facilitate transition from wakefulness to sleep


name: Facilitate maintenance of usual bedtime routines, pre-sleep cues or props, and familiar objects (e.g., for children-a favorite blanket or toy, rocking, pacifier, story; for adults-a book to read, warm bath), as appropriate


name: Instruct to avoid bedtime foods and beverages that interfere with sleep (e.g., caffeinated beverages, food with high sugar content, gas-forming foods)


name: Assist to limit daytime sleep by providing activity that promotes wakefulness, as appropriate


name: Instruct on autogenic muscle relaxation or other non-pharmacological forms of sleep inducement


name: Initiate comfort measures of massage, positioning, and affective touch


name: Encourage sleep enhancement devices and apps, as appropriate


name: Provide non-pharmacological sleep enhancements (e.g., aromatherapy, decreased light intensity)


name: Consider combinations of devices, comfort measures, non-pharmacological enhancements


name: Promote increase in number of hours of sleep, if needed


name: Adjust medication administration schedule to support sleep and wake cycle


name: Instruct about factors (e.g., physiological, psychological, lifestyle, frequent work shift changes, rapid time zone changes, excessively long work hours, other environmental factors) that contribute to sleep pattern disturbances


name: Guide in developing sleep hygiene protocol (e.g., follow regular sleep schedule, get out of bed when cannot sleep, do not spend too much time in bed, avoid excessive tasks in bed, make bedroom comfortable)


name: Encourage use of sleep medications that do not contain REM sleep suppressor(s) (e.g., melatonin)


name: Regulate environmental stimuli to maintain normal day-night cycles, as indicated


name: Provide written information about sleep enhancement techniques


name: Record current smoking status and smoking history at every visit, including vaping


name: Identify factors for nicotine dependence (e.g., impulsivity, likelihood of withdrawal, environmental stressors) using screening tool, as indicated


name: Determine readiness to learn about smoking cessation


name: Monitor readiness to attempt to quit smoking


name: Discuss presence of smoking related illnesses


name: Offer tobacco cessation treatment in hospital to all current smokers and at discharge


name: Offer follow-up to persons who are attempting to quit smoking, if possible


name: Give clear, strong, and consistent advice to quit smoking


name: Provide special counseling and psychosocial intervention to pregnant smokers


name: Discuss risks and consequences of continuing smoking or vaping, and rewards and benefits of cessation


name: Provide motivational interventions to stimulate future quit attempts


name: Instruct on physical symptoms of nicotine withdrawal (e.g., headache, dizziness, nausea, irritability, insomnia)


name: Monitor smoking abstinence symptoms during treatment


name: Explain physical withdrawal symptoms from nicotine are temporary


name: Investigate possible challenges to remain abstinent


name: Inform about dangers of vaping as alternative method (e.g., same nicotine health issues, vaping addictive, nicotine concentration stronger)


name: Inform about nicotine replacement products (e.g., patch, gum, nasal spray, inhaler) to help reduce physical withdrawal symptoms


name: Assist to identify psychosocial aspects (e.g., positive and negative feelings associated with smoking) that influence smoking behavior


name: Assist in developing smoking cessation plan that addresses psychosocial aspects that influence smoking behavior


name: Assist to recognize cues that prompt to smoke (e.g., being around others who smoke, frequenting places where smoking allowed)


name: Assist to develop practical methods to resist cravings (e.g., spend time with nonsmoking friends, frequent places where smoking not allowed, relaxation exercises)


name: Encourage self-rewards at specific intervals of smoke-free living (e.g., 1 week, 1 month, 6 months)


name: Provide encouragement to maintain smoke-free lifestyle


name: Encourage to attend smoking cessation support group


name: Help plan specific coping strategies and resolve problems that result from quitting


name: Advise to avoid dieting while trying to give up smoking as can undermine chances of quitting


name: Advise to work out plan to cope with others who smoke and avoid being around them


name: Inform that dry mouth, cough, scratchy throat, and feeling on edge are symptoms that may occur after quitting; patch or gum may help with cravings


name: Advise to avoid smokeless tobacco, dipping, and chewing as these can lead to addiction and health problems, including oral cancer, gum problems, loss of teeth, and heart problems


name: Manage medications for tobacco dependence, such as nicotine replacement therapy and bupropion, as appropriate


name: Arrange for follow-up contacts with person to acknowledge that withdrawal difficult, to reinforce importance of remaining abstinent, and to offer congratulations on progress


name: Provide social support during smoking cessation treatment


name: Advise to keep journal for relapses or near relapses, what causes them, and what can be learned from them


name: Offer referral to other services, as appropriate


name: Identify social inequities and determine how they contribute to disparities in health outcomes


name: Evaluate how processes of social exclusion (e.g., history of colonialism, misrecognition, disrespect, stigma, fear of difference, dominance, oppression) contribute to health care disparities


name: Evaluate how upstream factors (e.g., low educational status or opportunity, income disparities, discrimination, social marginalization) impede positive health outcomes in broad and inequitable way


name: Evaluate how midstream factors (e.g., homelessness, food insecurity, trauma) contribute to individual factors and social needs that may affect health


name: Use postcolonial and intersectional perspectives to understand how structural inequities and structural violence result in health disparities


name: Recognize health inequities as outcomes of race, class, and gender discrimination


name: Collaborate with persons directly affected by social injustices


name: Convey respect for human dignity for all


name: Convey respect and unconditional positive regard for individual and group differences since valued recognition is foundational condition for human dignity


name: Refrain from making judgments based on gender, race, class, sexual orientation, abilities, age, or circumstances


name: Recognize biases, assumptions, prejudicial attitudes, stereotypes that contribute to social injustices and health care inequalities when relating to persons


name: Promote social solidarity by creating opportunities designed to promote sense of belonging and safety


name: Establish working non-hierarchical partnerships mindful of human dignity, caringly honest and tactful


name: Create and participate in community meetings, town meetings, citizen salons, and intergroup programs for dialogue to explore issues of culture, politics, racism, geographic location, violence, and religion and their contribution to health inequalities


name: Work with partnerships to discover social, environmental, educational, and economic conditions associated with injustices that influence well-being


name: Identify specific social and structural changes required to correct social and institutional injustices that sustain inequalities and perpetuate advantages for some and disadvantages for others


name: Tailor care toward individual and groups with greatest needs to provide more resources and support


name: Identify existing positive strengths and traits of persons, families, communities, and populations affected by unjust situations


name: Develop collaborative strategies to rectify oppressive power dynamics and dehumanizing conditions that interfere with human flourishing


name: Collaborate with other nurses, health care professionals and interested stakeholders (e.g., politicians, business owners, philanthropists, teachers, community organizers, clergy, attorneys, engineers) to develop multipronged strategies to dismantle social, political, or economic structures responsible for social and health inequities


name: Facilitate access to health services for individuals, families, and communities to settings where nurses work including federally qualified health centers (FQHCs), retail clinics, home health and home visiting, telehealth, school nursing, and school-based health centers, and nurse-managed health centers


name: Develop and use strategies (e.g., care management, person-centered care, cultural humility) to overcome barriers to quality care, structural inequities, and implicit bias


name: Use principles of transcultural nursing to provide care to diverse communities that are culturally respectful and appropriate


name: Advocate and speak out against racism, discrimination, and injustice


name: Promote health equity by working with public policy makers and organizational leaders to transform health-related public policies, which contribute to health disparities


name: Recognize own spiritual beliefs regarding relationship with greater power


name: Convey engagement, interest, and compassion


name: Demonstrate caring presence and comfort by spending time with person, their family, or significant others


name: Provide environment that fosters meditative or contemplative attitude for self-reflection


name: Encourage conversation that assists person in sorting out spiritual concerns and beliefs


name: Determine unique, expressed spiritual needs


name: Assist person with identifying barriers and attitudes that hinder growth, self-discovery, or ability to achieve personal spiritual needs


name: Encourage examination of spiritual commitment based on beliefs and values


name: Assist exploring beliefs as related to healing of body, mind, and spirit


name: Nurture faith in higher power during spiritual care encounters through use of devotions, prayers, physical touch, scripture, or music, as appropriate


name: Take initiative in prayers, monitoring readiness, openness, and comfort level with praying or being prayed for, as indicated


name: Encourage participation in devotional services, retreats, and special prayer or study programs


name: Refer for pastoral care or primary spiritual caregiver, as indicated


name: Use tools to monitor and evaluate spiritual well-being, as appropriate (e.g., formal spiritual assessments; admission statements related to religion, nationality, language; statements related to illness)


name: Ensure adequate time available for therapeutic interaction


name: Begin conversations with concrete and easily discussed questions and prompts while being open to when or if person or family member wants to talk about more personal beliefs


name: Ask if thinks of self as spiritual or religious and use response to determine if conversation should continue


name: Allow person or family to steer conversation (i.e., have maximal control over discourse)


name: Determine importance of faith or beliefs for person or family (e.g., regular attendance at religious services; scheduled prayer sessions; adherence to religious rituals)


name: Encourage review of past life and focus on events and relationships that provided spiritual strength and support


name: Be open to expressions of concern, loneliness, or powerlessness


name: Be available to listen to feelings and express empathy


name: Ensure that nurse will be available to support individual in times of suffering


name: Encourage to be open to feelings about illness and death


name: Assist to properly express and relieve anger in appropriate ways


name: Use values clarification techniques to help clarify beliefs and values, as appropriate


name: Facilitate use of meditation, prayer, and other religious traditions and rituals


name: Listen carefully to communication, and develop sense of timing for prayer or spiritual rituals


name: Instruct about methods of relaxation, meditation, and guided imagery, as appropriate


name: Provide spiritual music, literature, radio, or television programs if indicated


name: Take initiative in prayers for individuals, families or groups, monitoring readiness, openness and comfort level with praying or being prayed for, as indicated


name: Pray with person or family, if requested


name: Be aware of religious rules, celebrations, and customs that may affect nursing or spiritual care (e.g., dietary laws, fasting, blood transfusions, free-flowing water for cleansing)


name: Adapt nursing care to accommodate person's spiritual or religious rituals, where possible


name: Arrange visits by spiritual advisor or clergy, if indicated


name: Encourage participation in spiritual or religious interactions with family members, friends, and others


name: Determine if person would like to be able to attend religious services


name: Accommodate attendance at services where possible (e.g., live-streamed television services)


name: Encourage religious service attendance, if desired


name: Refer to spiritual advisor of individual's choice, if possible and appropriate


name: Identify risk factors for substance use (e.g., maladaptive behaviors, negative life events, family conflict, child abuse, and neglect)


name: Explain causes and consequences of substance misuse


name: Counsel how to cope with increased levels of stress


name: Assist individual to use anxiety reducing strategies


name: Counsel how to prepare, cope, or avoid difficult or emotionally painful events, or irritating or frustrating situations


name: Assist to reduce social isolation, as appropriate


name: Engage in evidence-based substance abuse prevention programs (e.g., life skills training, social skills training, competence enhancement program, social resistance skills training)


name: Encourage parents on importance of good role modeling


name: Support parents regarding development of parenting skills, nurturing behaviors, establishing clear boundaries or rules, and parental monitoring


name: Encourage school programs on avoidance of drugs and alcohol as recreational activities


name: Support or organize community groups to reduce injuries associated with alcohol


name: Promote media campaigns on substance use issues


name: Survey students on use of alcohol and drugs and alcohol-related behaviors, if indicated


name: Assist in organizing activities for teenagers after functions like prom and homecoming


name: Support religious beliefs, practices, and participation in spiritual programs inspired by faith


name: Determine level of alcohol consumption, mental, and physical condition


name: Monitor blood alcohol concentration and useful markers such as CBC, urea, electrolytes, and liver function tests


name: Monitor severity of withdrawal syndrome with validated scales (e.g., Clinical Institute Withdrawal Assessment of Alcohol Scale - Revised [CIWA -AR])


name: Encourage fluids (e.g., water, electrolyte drinks)


name: Create low-stimulation environment for detoxification


name: Administer medications for management of alcohol dependence or relapse prevention, as appropriate


name: Approach abusive behavior in neutral manner


name: Address hallucinations in therapeutic manner


name: Listen to person and family concerns about alcohol withdrawal


name: Instruct about signs and symptoms that may occur during withdrawal (e.g., fatigue, depression)


name: Provide psychosocial interventions such as motivational interviewing and brief counseling, as appropriate


name: Provide emotional support to person and family, as appropriate


name: Recommend follow-up with proper counseling


name: Administer medications (e.g., benzodiazepines, chlorpromazine, diazepam, nicotine replacement, phenobarbital, clonidine, trazodone, methadone, alpha-2 adrenergic agonists, and anti-psychotics), remaining aware of cross-tolerance


name: Determine presence of suicidal risk using valid suicide assessment scale


name: Determine whether has available means to follow through with suicide plan


name: Consider hospitalization of anyone at serious risk for suicidal behavior


name: Treat and manage any psychiatric illness or symptoms that may be placing person at risk for suicide (e.g., mood disorder, hallucinations, delusions, panic, substance abuse, grief, personality disorder, organic impairment, crisis)


name: Conduct mouth checks after medication administration to ensure that person is not "cheeking" medications for later overdose attempt


name: Involve in planning own treatment, as appropriate


name: Instruct in coping strategies (e.g., assertiveness training, impulse control, progressive muscle relaxation), as appropriate


name: Interact at regular intervals to convey caring and openness and to provide an opportunity to talk about feelings


name: Use direct, non-judgmental approach in discussing suicide


name: Assist to identify network of support persons and resources (e.g., clergy, family, providers)


name: Initiate suicide precautions (i.e., ongoing observation and monitoring of person, provision of protective environment) when at serious risk of suicide


name: Place in least restrictive environment that allows for necessary level of observation


name: Continue regular assessment of suicidal risk (at least daily) to adjust suicide precautions appropriately


name: Search newly hospitalized person and personal belongings for weapons or potential weapons during inpatient admission procedure, as appropriate


name: Search environment routinely and remove dangerous items to maintain as hazard free


name: Limit use of potential weapons (e.g., sharps, ropelike objects)


name: Monitor during use of potential weapons (e.g., razor)


name: Use protective interventions (e.g., area restrictions, seclusion, physical restraints) if lacks restraint to refrain from harming self as needed


name: Assign to room located near nursing station for ease in observation, as appropriate


name: Increase surveillance at times when staffing predictably low (e.g., staff meetings, change of shift report, staff mealtimes, nights, weekends, times of chaos on nursing unit)


name: Consider strategies to decrease isolation and opportunity to act on harmful thoughts (e.g., use of sitter)


name: Observe, record, and report any change in mood or behavior that may signify increasing suicidal risk


name: Document results of regular surveillance checks


name: Explain suicide precautions and relevant safety issues (e.g., purpose, duration, behavioral expectations, behavioral consequences)


name: Facilitate support by family and friends


name: Involve family in discharge planning (e.g., illness and medication teaching, recognition of increasing suicidal risk, plan for dealing with thoughts of harming self, community resources)


name: Refer to mental health care provider (e.g., psychiatrist, psychiatric or mental health advanced practice nurse) for evaluation and treatment of suicide ideation and behavior as needed


name: Provide information about available community resources and outreach programs


name: Increase public's awareness of suicide as preventable health problem


name: Report to the post-anesthesia or postoperative nurse pertinent information about the patient and procedure performed


name: Determine health risks and perceptions of health status, including information about normal behavior and routines, as appropriate


name: Ask about recent signs, symptoms, or problems


name: Select appropriate indices for ongoing monitoring based on condition


name: Adjust frequency of data collection and interpretation as indicated by condition


name: Provide continuous monitoring for unstable or critically ill persons


name: Continuously monitor for presence of trigger areas for immediate response (e.g., low oxygenation levels, low or elevated heart rates, low or elevated blood pressure, bed alarm)


name: Monitor current status with previous status to detect improvements and deterioration in condition (e.g., behavior patterns, bleeding tendency, neurological status, oxygenation status, vital signs)


name: Facilitate acquisition and interpretation of diagnostic tests including laboratory data, as appropriate


name: Monitor equipment to enhance acquisition of reliable data


name: Notify health care provider of significant changes


name: Initiate or change health care treatment to maintain parameters within limits ordered by health care provider, using established or standing protocols


name: Obtain health care provider consult when data indicate needed change in health care therapy


name: Analyze health care provider orders in conjunction with condition to ensure safety


name: Provide proper environment for desirable outcomes (e.g., match nurse competency to care needs, provide required person to nurse ratio, provide adequate auxiliary staffing, ensure continuity of care)


name: Explain diagnostic test results to person and families


name: Involve person and family in monitoring activities, as appropriate


name: Facilitate acquisition of interdisciplinary services, as appropriate


name: Focus surveillance on community needs as identified by local agencies and health care providers (i.e., community health needs assessment)


name: Collect data needing to be reported related to health events, such as diseases and injuries


name: Engage community members in collecting health information for people who have limited access or barriers to healthcare services


name: Report data to appropriate agency using standard reporting mechanisms


name: Follow up on reports to ensure accuracy and usefulness of information


name: Adapt tools and approaches for data collection, reporting, and communication


name: Instruct on importance of follow-up of contagious disease treatment


name: Provide regular training, supervision, and incentives to promote sustainability


name: Reinforce community surveillance for sustainability


name: Establish mechanism for information feedback and communication with community


name: Provide regular reports concerning observable benefits to community


name: Determine reasons for monitoring with health care provider


name: Ensure appropriate data collection permissions and authorizations are obtained


name: Advise person of any risks from remote surveillance method used


name: Limit access to monitoring equipment and person's data to trained and authorized personnel


name: Ensure technology equipment assembled and connected by authorized, trained personnel


name: Ensure comfort level with use of technology


name: Instruct on use of equipment if indicated (e.g., wearable devices, mobile devices, smartphone apps)


name: Establish frequency of data collection and interpretation as indicated


name: Instruct person or caregiver on role in data gathering (e.g., applying equipment, answering questions, recording data same time daily)


name: Ensure understanding of importance of data transmission


name: Ensure data obtained from person wherever possible (i.e., avoid caregiver speaking for person or reporting data, if appropriate)


name: Determine health risks from data interpretation (e.g., vital signs, glucose readings, ECGs), as appropriate


name: Obtain information about usual behavior and routines


name: Monitor condition to detect improvements or deterioration


name: Collaborate and consult with primary caregiver as necessary


name: Initiate or change treatment as prescribed by primary care provider


name: Analyze primary caregiver orders in conjunction with current person status to ensure safety


name: Troubleshoot all equipment and systems to enhance acquisition of reliable data


name: Coordinate placement, replacement, or set-up of equipment and supplies


name: Obtain consultation from appropriate health care worker to initiate new treatment or change existing treatments, as indicated


name: Maintain confidentiality and security of data


name: Provide individual with access to own data, as appropriate


name: Document assessments, advice, instructions, or other information given to individual according to specified guidelines


name: Determine how person or family member can be reached for future surveillance, as appropriate


name: Determine reasons for surveillance with health care providers


name: Instruct on purpose, process, and risks for video monitoring


name: Limit access to monitoring equipment and data to trained and authorized persons


name: Ensure all video technicians and caregivers have training in equipment and in responses to observed activities


name: Provide report to video technicians prior to start of each shift


name: Ensure video technician understands purpose for monitoring (e.g., fall risk, cognitive impairment, elopement risk, potential for seizure, substance withdrawal, behavioral issues)


name: Respond to reports from video technician regarding unsafe activity


name: Notify video technicians not to communicate with person via video microphone but instead contact nurse first, when individuals have communication difficulties, confusion, or delirium


name: Instruct video technicians to notify nurse whenever they observe an at-risk activity


name: Provide privacy (e.g., turn off monitoring when providing care, request non-recorded monitoring where possible, limit number of video technicians)


name: Document video monitoring use per agency policy


name: Determine need for continued monitoring every shift and discontinue when no longer needed


name: Determine type of difficulty with swallowing (e.g., inflammation, stricture, neurological dysfunction)


name: Collaborate with other members of interprofessional health care team (e.g., occupational therapist, speech pathologist, dietitian) to provide continuity in rehabilitative plan


name: Determine ability to focus attention on learning and performing eating and swallowing tasks


name: Remove distractions from environment before starting exercises


name: Position self so person can see and hear directions


name: Collaborate with speech therapist to instruct about swallowing exercise regimen


name: Assist to sit in erect position (i.e., as close to 90 degrees as possible) for feeding or swallowing exercise


name: Assist to position head in forward flexion in preparation for swallowing (e.g., "chin tuck")


name: Instruct to open and close mouth in preparation for food manipulation


name: Instruct not to talk during eating if appropriate


name: Guide in phonating staccato sounds to promote soft palate elevation if appropriate


name: Use jaw, tongue, and swallow exercises to build strength as indicated


name: Provide a lollipop to suck on to enhance tongue strength if appropriate


name: Assist hemiplegic person to sit with affected arm forward on table


name: Assist to place food at back of mouth and on unaffected side


name: Provide rest period before eating or exercise to prevent excessive fatigue


name: Instruct to reach for particles of food on lips or chin with tongue


name: Assist to remove food particles from lips and chin if unable to extend tongue


name: Monitor consistency of food and liquid based on findings of swallowing study


name: Consult with therapist and provider to gradually advance consistency of food


name: Instruct caregivers on how to position, feed, and monitor


name: Instruct on nutritional requirements and dietary modifications in collaboration with dietitian


name: Instruct on emergency measures for choking


name: Instruct how to check for pocketed food after eating


name: Provide scheduled practice sessions for family or caregiver as needed


name: Provide with written materials appropriate to identified needs


name: Instruct parent to establish family rules and to remain consistent on enforcement


name: Instruct parent to maintain open lines of communication with adolescent


name: Instruct parent to monitor and discourage excessive screen time (e.g., video games, TV, computer, phone)


name: Encourage to sleep 9 to 10 hours per night


name: Guide parents to remove media devices from bedroom, as appropriate


name: Instruct parent to encourage and praise for accomplishments


name: Instruct parent to promote positive body image and self-esteem


name: Educate about expected pubertal changes and encourage honest, age-appropriate discussion with reassurance


name: Educate about safe sex practices and potential risks and encourage honest, age-appropriate discussion


name: Guide parent to provide privacy in home, as appropriate


name: Instruct parent to promote selection of good friends and healthy relationships


name: Instruct parent to continue to model moral behavior and citizenship


name: Instruct parent to encourage goal setting and assist adolescent to begin planning for future


name: Instruct parent to teach strategies to balance commitments (e.g., school, job, social life)


name: Reinforce communication skills, anger management, and conflict resolution


name: Encourage competence, independence, and self-responsibility


name: Instruct parent to establish adolescent responsibilities and privileges


name: Include adolescents and parents together in instructions as needed


name: Encourage parents to role model healthy eating habits


name: Involve in food selection and preparation


name: Instruct to continue to eat meals as a family, as able


name: Reinforce importance of healthy eating and drinking water


name: Discourage excessive caffeine, high sugar foods and beverages, and energy drinks


name: Encourage to brush teeth with fluoridated toothpaste twice per day


name: Instruct parents to promote dental exams twice per year


name: Instruct parents to encourage adolescent to practice good dental hygiene


name: Educate on dangers of dieting for weight loss and eating disorders


name: Encourage parents to maintain open lines of communication with adolescent


name: Educate parents to establish clear family rules and to remain consistent on enforcement


name: Instruct parents to model motor vehicle safety and discuss common adolescent risky behaviors (e.g., distracted driving, speeding, car surfing, night-time driving, non-use of vehicle restrains)


name: Encourage to establish motor vehicle safety plan


name: Instruct parents to remove guns from home or store ammunition and guns separately in locked boxes


name: Encourage parents to emphasize healthy relationships (e.g., adolescent peer group friends, romantic relationships) and beware of bullying


name: Encourage proper safety equipment for motorized or nonmotorized activities and while engaging in sports


name: Encourage water safety (i.e., do not swim alone, do not use substances while swimming, enter water of unknown depths feet first)


name: Instruct parents to monitor for signs of high-risk behaviors (e.g., substance abuse, unsafe relationships, self-harm practices, eating disorders, disordered mood, depression)


name: Instruct parents to be knowledgeable about adolescent social media activity and reinforce safe usage


name: Determine current level of knowledge related to specific disease process


name: Explain pathophysiology of disease and relationship to anatomy and physiology, at person's level of understanding


name: Explain what has already been done to manage symptoms


name: Provide information about condition, as appropriate


name: Identify changes in physical condition for person


name: Provide actual information about prognosis and condition, as appropriate


name: Provide family and significant others with information about progress, as appropriate


name: Describe rationale behind management, therapy, or treatment recommendations


name: Encourage to explore options or get second opinion, as appropriate or indicated


name: Encourage self-management and behavioral changes to improve disease symptoms and health outcomes


name: Instruct on measures to control or minimize symptoms, as appropriate


name: Refer to local community agencies and support groups, as appropriate


name: Instruct on signs and symptoms to report to health care provider, as appropriate


name: Instruct to provide opportunity for play among children of similar age


name: Educate to offer choices, as appropriate


name: Direct to encourage child to express self through providing positive rewards or feedback for attempts


name: Instruct to assist each child to become aware of importance as individual


name: Educate to be consistent and structured with behavior management or modification strategies


name: Encourage to describe what is happening (i.e., let's wash your hands)


name: Direct to help child learn to express emotions


name: Educate to limit rules, but consistently enforce them


name: Instruct to have misbehaving child take breaks or "time outs"


name: Direct to limit use of word "No" but redirect attention, when needed


name: Instruct to provide opportunity for large and fine motor activities


name: Educate to establish consistent bedtime routine


name: Inform on signs of toilet training readiness and training strategies


name: Instruct to teach and role model table manners


name: Instruct to encourage child to interact with others by role modeling interaction skills


name: Educate to self-help skills (e.g., feeding, toileting, brushing teeth, washing hands, dressing)


name: Direct to teach child how to seek help from others when needed


name: Instruct to assist child with sharing and taking turns


name: Instruct to facilitate role playing or imaginative play


name: Guide to role model healthy eating habits


name: Inform to provide structured mealtime environment as family


name: Educate to offer cup and utensils at mealtime


name: Instruct to allow toddler to self-feed and to provide finger foods


name: Instruct to provide nutritious meals and snacks at regularly scheduled times to avoid grazing


name: Inform to anticipate appetite slumps and continue to offer healthy food options


name: Educate to offer choices and allow experimentation


name: Instruct to feed child while calm in seated position


name: Guide to limit sugary foods and beverages


name: Inform to introduce whole milk from 1 to 2 years, followed by reduced fat milk


name: Instruct to avoid choking hazards (e.g., popcorn, hotdogs, hard foods, gum, whole grapes)


name: Guide to brush child's teeth with fluoridated toothpaste


name: Instruct to have child sit calmly while eating


name: Educate to avoid having child eat in car


name: Instruct to avoid choking hazards (e.g., popcorn, hotdogs, hard foods, whole grapes, gum, large chunks of raw fruits or vegetables)


name: Instruct on recommended car seat practices


name: Instruct to never leave child alone outdoors or in vehicle


name: Guide to remove or lock firearms in safe place in home


name: Encourage to teach and reinforce "good touch, bad touch" and stranger safety


name: Instruct to apply sunscreen often to prevent sunburn


name: Guide to maintain child-proof living and play environment


name: Educate to teach and reinforce water safety


name: Guide never to leave child unattended near water


name: Instruct to have child wear helmet while riding toys with wheels


name: Provide environment conducive to learning


name: Determine administrative support and budget


name: Coordinate resources within facility to form planning or advisory committee, which can contribute to positive outcomes for program and provide forum for ensuring commitment to program


name: Write program goals and outline major content areas with learning objectives


name: Write job description for coordinator responsible for education


name: Establish ground rules for behavior at meetings


name: Determine optimal methods of learning for group members


name: Educate staff about teaching program, as appropriate


name: Provide written schedule, including dates, times, and places of teaching sessions or classes, to staff and individuals, as appropriate


name: Determine appropriate days and times to reach maximum number of participants


name: Prepare announcements or memos to publicize outcomes, as appropriate


name: Manage size and competencies of group, as appropriate


name: Orient persons to educational program and objectives to accomplish


name: Provide for special needs of learners (e.g., ease of access, portable oxygen), as appropriate


name: Tailor educational methods or materials to group's learning needs or characteristics, as appropriate


name: Evaluate progress in program and mastery of content


name: Document progress on permanent health care record, if indicated


name: Communicate evaluation of program's goal attainment to planning or advisory committee


name: Hold summative evaluation sessions for planning or advisory committee to revamp program, as appropriate


name: Document number who have attained learning objectives


name: Refer persons to other specialists or agencies to meet learning objectives, as appropriate


name: Assist to identify infant readiness cues and responses to stimulation


name: Assist to set up routine for infant stimulation


name: Instruct to perform activities that encourage movement or provide sensory stimulation


name: Have demonstrate techniques learned during teaching


name: Instruct to promote face-to-face interaction with infant


name: Educate to talk, sing, and smile at infant while giving care


name: Inform to praise infant for all efforts to respond to stimulation


name: Instruct to tell infant his or her name frequently


name: Instruct to encourage touching and hugging infant frequently


name: Encourage to respond to crying by holding, rocking, singing, talking, walking, repositioning, rubbing or massaging back, and wrapping, as appropriate


name: Educate to rock infant in either upright position or cradle position


name: Guide to sponge or tub bathe using various massaging strokes with soft wash cloth or sponge and pat dry with soft towel


name: Inform to massage infant by rubbing lotion in gentle but firm strokes


name: Instruct to rub soft toys on infant's body


name: Educate to encourage infant to feel different textures and identify them for infant


name: Guide to blow air in circles on alert infant's arms, legs, and tummy


name: Inform to encourage infant to grasp soft toys or caregiver's fingers


name: Encourage to promote shaking of rattles, encouraging auditory following of sounds


name: Educate to encourage visual following of objects


name: Guide to reposition infant every hour unless sleeping


name: Inform to place infant on tummy while awake to encourage head lifting


name: Educate to position infant on back under cradle gym


name: Guide to show brightly colored pictures, such as in board books


name: Instruct to encourage infant to look in mirror


name: Inform to perform activities that encourage movement or provide sensory stimulation


name: Instruct to encourage infant to lie on back and kick with feet


name: Educate to place toys just outside infant reach


name: Instruct to offer toys to encourage infant to grasp


name: Instruct to lay infant on back or tummy and help to roll over


name: Educate to provide opportunity for infant to explore cloth or soft plastic books


name: Instruct to encourage infant to use toys for teething


name: Instruct to encourage infant to bang toys together and hand transfer toys


name: Instruct to support infant in sitting position


name: Instruct to play song and motion games (e.g., pat-a-cake) with infant


name: Educate to perform activities that encourage movement or provide sensory stimulation


name: Instruct to place infant on abdomen, putting palms on soles of infant's feet and pushing gently forward


name: Instruct to stand infant on lap, swaying side to side


name: Educate to introduce infant to body parts


name: Guide to play hide-and-seek and peek-a-boo with infant


name: Educate to place infant in high chair, encouraging infant to feel food and feed self


name: Instruct to allow infant to hold spoon and cup


name: Encourage to dance with infant while holding infant upright


name: Guide to pull infant to standing, holding onto hands for stabilization


name: Instruct to guide infant to walk holding infant by hands or wrists with arms above head


name: Educate to encourage ball play (e.g., rolling, grasping, stopping, retrieving)


name: Instruct to wave bye-bye to infant while encouraging infant to imitate


name: Educate to take infant on house tour, identifying objects and rooms


name: Instruct to play follow-the-leader, practicing imitation of infant noises, animals, or songs


name: Instruct to say words to infant, encouraging infant to say them back


name: Educate to demonstrate how to remove and replace objects from container


name: Instruct to demonstrate stacking objects


name: Instruct to feed only breastmilk or formula for first year (i.e., avoid replacing formula or breast milk with milk)


name: Instruct to always hold infant upright in semi-reclined position when giving bottle


name: Inform to burp infant during and after feeding


name: Instruct on proper formula or breastmilk preparation and storage


name: Instruct to never prop bottle or give bottle in bed


name: Inform to avoid putting cereal in bottle, only formula or breastmilk


name: Instruct to limit water intake to ½ oz to 1 oz at a time, 4 oz daily


name: Instruct to avoid use of honey or corn syrup


name: Instruct to discard leftover formula and clean bottle after every feeding


name: Instruct to administer vitamin D supplement as appropriate


name: Instruct to introduce solids without added salt or sugar when infant demonstrates readiness cues


name: Instruct to introduce one new food at a time


name: Instruct to avoid giving juice or sweetened drinks


name: Instruct to introduce finger foods when infant can sit up


name: Instruct to introduce cup when infant can sit up


name: Instruct to have infant join family at meal times


name: Instruct to observe for cues of satiation


name: Instruct to let infant begin self-feedings and observe to avoid choking


name: Instruct to avoid sugary food or drinks (e.g., flavored milks, soda)


name: Instruct to offer variety of foods according to the food pyramid


name: Explain it may take several offerings before infant accepts new food


name: Instruct to offer three meals and healthy snacks


name: Instruct to begin to wean from bottle to cup


name: Instruct to allow infant to feed self with spoon


name: Instruct that child may begin whole milk at 1 year of age


name: Instruct to install and use car seat according to manufacturer's recommendations


name: Instruct to place infant alone on back to sleep and keep loose bedding, pillows, and toys out of crib


name: Guide parents on dress for proper infant temperature regulation


name: Instruct to only use cribs that meet current safety standards


name: Instruct to avoid use of jewelry or cords or chains on infant


name: Instruct to use and maintain all equipment properly (e.g., swings, strollers, playpens, port-a-cribs)


name: Inform to avoid holding infant while smoking or drinking hot liquids


name: Instruct to hold infant when feeding, avoid propping of bottle, and test formula temperature


name: Instruct to monitor experienced and trained childcare providers


name: Instruct to test water temperature of bath


name: Instruct not to leave baby unattended near pets or siblings


name: Instruct to verify smoke detectors are installed and functioning in home


name: Inform on proper precautions against sun exposure


name: Instruct to avoid feeding solids until 4 to 6 months


name: Instruct never to shake, toss, or swing infant in the air


name: Instruct to avoid use of walkers or jumpers due to danger of injury and detrimental effects on muscle development


name: Instruct never to leave infant unattended in bath, grocery cart, high chair, or on sofa


name: Instruct to use safe high chair when infant able to sit


name: Instruct to feed only soft or mashed foods


name: Instruct to remove small objects from infant's reach


name: Instruct to avoid sunscreen until 6 months old


name: Instruct to avoid sources of lead poisoning


name: Instruct to keep dangerous items out of infant's reach


name: Instruct to provide barriers to dangerous areas


name: Instruct to supervise infant's activity at all times


name: Instruct to maintain smoke-free environment


name: Instruct to keep number for poison control on hand


name: Instruct to provide protection from glass furniture, sharp edges, unstable furniture, and appliances


name: Instruct to store all cleaning supplies, medications, and personal care products out of infant's reach


name: Instruct to use childproof latches on cupboards


name: Instruct to prevent infant's access to upper story windows, balconies, and stairs


name: Instruct to keep infant away from ponds, pools, toilets, and all containers with liquid to prevent drowning


name: Instruct to select toys according to manufacturer's age recommendations


name: Instruct to ensure multiple barriers to pool or hot tub area


name: Instruct to monitor car seat for weight limit and consider toddler rear-facing seat


name: Instruct to never leave infant alone while outside or in vehicle


name: Determine current infection prevention practices


name: Instruct to use soap and water or alcohol-based sanitizer for cleansing hands


name: Avoid rinsing off or wiping off hands after using hand sanitizer


name: Encourage to ask about hand hygiene for those caring for them (i.e., has caregiver washed their hands upon entering room or home)


name: Instruct when to wash hands to protect self at home and in healthcare settings (e.g., before, during, and after food preparation, before eating, after using toilet, after contact with pets or pet products or pet waste, after contact with garbage, before and after contact with someone who is sick)


name: Encourage to perform hand hygiene under observation to ensure proper technique and understanding


name: Advise to avoid close contact with people who are sick


name: Advise to stay home and avoid traveling when sick


name: Advise not to share or reuse cups, dishes, or utensils without washing them with hot and soapy water


name: Advise not to drink water that has been sitting out more than 15 minutes


name: Advise to use masks and social distancing (i.e., keeping at least 3-6 feet away from others not in immediate household) during periods of increased respiratory infection activity in community


name: Instruct to cover mouth and nose with tissue when coughing or sneezing


name: Instruct to use nearest waste receptacle to dispose of tissue after use


name: Instruct to perform hand hygiene after having contact with respiratory secretions and contaminated objects or materials


name: Instruct frail and at-risk persons and family members to avoid crowds and gatherings when social distancing not possible


name: Instruct as indicated for routine bodily hygiene (e.g., bathe daily, wash armpits, groin, genitals and rectal area twice per day)


name: Instruct to clean toothbrush twice per week


name: Advise to avoid touching eyes, nose, or mouth as much as possible


name: Advise to clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill


name: Promote appropriate nutritional and fluid intake


name: Instruct about signs and symptoms of infection and when to contact health care provider


name: Instruct to self-isolate if contagious with infectious agent, per local public health guidelines


name: Instruct to quarantine when exposed to persons with confirmed infectious agents, per local public health guidelines


name: Encourage to obtain vaccinations for infectious diseases


name: Guide to establish family rules and remain consistent on enforcement


name: Instruct to minimize screen time to 1 to 2 hour per day


name: Inform to encourage 1 hour or more of physical activity per day


name: Instruct to read stories and encourage child to read aloud


name: Encourage to maintain consistent bedtime


name: Instruct to keep electronics out of child's bedroom to promote sleep (i.e., TV, cell phone, computer)


name: Instruct to promote positive body image and self-esteem


name: Educate to role model moral and social behaviors


name: Inform to teach conflict resolution and anger management skills


name: Guide to facilitate and encourage fantasy and imaginative play


name: Encourage to educate child about puberty and encourage honest, age-appropriate discussion


name: Instruct to educate child about sex and encourage honest, age-appropriate discussion


name: Guide to foster cooperation, not competition, among children


name: Educate to encourage competence, independence, and self-responsibility


name: Instruct to assign age-appropriate chores, responsibilities, and privileges


name: Inform to encourage healthy hobbies and activities that promote fitness and motor skill development


name: Instruct to continue to eat meals as family, as able


name: Educate to encourage variety of healthy foods


name: Guide to teach importance of healthy eating and drinking water


name: Encourage to discourage or limit sugary foods and beverages


name: Inform to anticipate appetite to vary at times (i.e., growth spurts, changes in activity level)


name: Guide to allow child to respond to internal cues of satiety


name: Encourage to involve child in meal planning, grocery shopping, including reading food labels, and food preparation


name: Educate to encourage child to brush teeth with fluoridated toothpaste twice per day


name: Instruct on the dangers of dieting for weight loss


name: Instruct on proper motor vehicle restraint use, and that child must ride in back seat


name: Educate to practice and reinforce firearm safety


name: Guide to reinforce "good touch, bad touch" and teach "just say no" concepts


name: Encourage to discuss how to ask for help


name: Educate to reinforce water safety and encourage swimming lessons


name: Guide to reinforce use of proper safety equipment, such as helmet while riding bike or other nonmotorized activities, discourage motorized vehicles use (e.g., ATVs, mopeds, snowmobiles)


name: Educate to encourage proper safety equipment during sports (e.g., mouth guard, helmet, eye protection)


name: Instruct to have fire safety plan, practice regular fire drills


name: Guide to provide adequate supervision, as should not be left alone


name: Encourage to monitor for signs of high-risk behaviors (e.g., substance abuse, unsafe relationships)


name: Inform to be knowledgeable about child digital and social media activity, keep computer in central area of the house, and teach social media safety


name: Provide individualized approach to instructions, using visual aids, instructional booklets written in simple language or person's language, or videos, as appropriate


name: Begin instruction as soon as possible to allow for addition instructional sessions, as appropriate


name: Ensure information accommodates level of health literacy


name: Use problem scenarios to increase learning (e.g., side effects, contaminated syringe)


name: Provide professional interpreters rather than family or friends during instruction, as needed


name: Provide information about use of non-prescription medications and how they may influence existing condition


name: Determine if using culturally based home health remedies


name: Provide information about possible effects of home health remedies on use of non-prescription and prescribed medications


name: Instruct to recognize distinctive characteristics of medications, as appropriate


name: Inform of both generic and brand names of each medication


name: Instruct on purpose and action of each medication


name: Instruct on dosage, route, and duration of each medication


name: Instruct on proper administration or application of each medication


name: Evaluate ability to self-administer medications


name: Instruct to perform needed procedures before taking medication (e.g., check pulse, glucose), as appropriate


name: Inform what to do if dose of medication missed


name: Instruct on criteria to use when deciding to alter medication dosage or schedule, as appropriate


name: Inform of consequences of not taking or abruptly discontinuing medications, as appropriate


name: Instruct on specific precautions to observe when taking medications (e.g., no driving, no using power tools), as appropriate


name: Instruct on possible adverse side effects of each medication


name: Instruct how to relieve or prevent certain side effects, as appropriate


name: Instruct on appropriate actions to take if side effects occur


name: Instruct on signs and symptoms of overdosage and underdosage


name: Inform of possible medication or food interactions, as appropriate


name: Provide information on process of medication administration when sick


name: Instruct how to properly store medication


name: Instruct on proper care of devices used for administration


name: Instruct on proper disposal of needles and syringes at home and where to dispose of sharps container in community, as appropriate


name: Provide written information about action, purpose, side effects, and needed material related to medications


name: Assist to develop written medication schedule


name: Determine if adherence or memory cue needed (e.g., medication dose containers organized by hours and days of week)


name: Instruct to carry documentation of prescribed medication regimen


name: Instruct how to fill prescriptions, as appropriate


name: Inform of possible changes in appearance or dosage when filling generic medication prescriptions


name: Warn of risks associated with taking expired medication


name: Caution against giving prescribed medication to others


name: Determine ability to obtain required medications


name: Provide information on cost savings programs or organizations to obtain medications and devices, as appropriate


name: Reinforce accurate information provided by other health care team members, as appropriate


name: Inform when and where procedure or treatment will take place, as appropriate


name: Inform about how long procedure or treatment expected to last


name: Inform about who will be performing procedure or treatment


name: Reinforce confidence in staff involved, as appropriate


name: Determine previous experiences and level of knowledge related to procedure or treatment


name: Explain purpose of procedure or treatment


name: Describe pre-procedure or treatment activities


name: Review informed consent for procedure or treatment according to agency policy, as appropriate


name: Instruct how to cooperate and participate during procedure or treatment, as appropriate


name: Encourage child's participation in procedure or treatment


name: Conduct tour of procedure or treatment room and waiting area, as appropriate


name: Introduce person to staff involved in procedure or treatment, as appropriate


name: Explain need for certain equipment (e.g., monitoring devices) and function


name: Discuss need for special measures during procedure or treatment, as appropriate


name: Describe post-procedure or post-treatment assessments or activities and rationale


name: Inform how person can aid in recuperation


name: Provide time for person to rehearse events that will happen, as appropriate


name: Instruct to use coping techniques directed at controlling specific aspects of experience (e.g., relaxation, imagery), as appropriate


name: Determine expectations of procedure or treatment


name: Correct unrealistic expectations of procedure or treatment, as appropriate


name: Encourage to share doubts, fears, and perceptions about treatment or procedure


name: Instruct on general fitness as prerequisite


name: Educate about modifying game rules according to age and ability of participants


name: Explore options in finding sport that fits with interests and abilities


name: Educate on appropriate matching of competitors by age, weight, and stage of physical maturation


name: Instruct on safety rules, training guidelines, and correct biomechanics


name: Educate on proper use and condition of safety equipment


name: Instruct on need for appropriate supervision when training for recreational and competitive events


name: Instruct on need for physical exam before participation


name: Inform importance of warm-up and cool-down activities


name: Instruct on use of protective and supportive garments for all sports, and ensuring players without protective garments are not placed into contact situations


name: Recommend use of certified athletic trainers for competitive sports


name: Instruct on need for health care coverage at competitive sporting events, as appropriate


name: Develop emergency plan in case of serious injury


name: Recommend use of preseason seminars for athletes, families, and coaches, to increase awareness of injury prevention


name: Instruct parents and athletes of steps they can take to prevent injuries


name: Educate on signs and symptoms of overuse injuries, dehydration, heat exhaustion, use of performance enhancing drugs, eating disorders, menstrual dysfunction, and stress


name: Instruct to collect data on injury type, rate, treatment, and referrals


name: Instruct to monitor long-term health of athletes and return of injured athletes to participation to prevent reinjury


name: Educate to provide emotional support for athletes experiencing injury


name: Encourage coaches to get annual CPR and first aid training, with emphasis on recognizing head injuries


name: Ensure coaches are well informed of normal development and physical, emotional, and social needs of athlete


name: Educate parents on qualifications and behavior expected of coaches


name: Instruct on importance of monitoring athletes for signs and symptoms of stress


name: Provide referrals for athletes with emotional or psychosocial concerns


name: Educate on relaxation techniques and coping strategies for athletes, coaches, and parents


name: Provide information on how to dress the child in loose, easyto-remove clothing


name: Determine reasons for equipment use with health care provider


name: Ensure appropriate data collection permissions and authorizations are obtained where indicated


name: Advise any risks from equipment used as needed


name: Ensure that recommended equipment has appropriate decision-making support capabilities


name: Change or replace equipment, per protocol


name: Correct or replace malfunctioning equipment


name: Keep emergency equipment in appropriate and readily accessible place


name: Plug life-sustaining equipment into electrical outlets connected to an emergency power source


name: Have equipment checked by bioengineering on routine maintenance schedule, as appropriate


name: Recharge batteries in portable equipment


name: Consult with other health care team members and recommend equipment or devices


name: Verify data entry from biomedical devices to electronic health record


name: Display clinical summaries and trend analysis of pertinent data


name: Manually assess condition when machine-derived data conflicts with nurse's perception


name: Place bedside equipment strategically to maximize access and prevent tripping over tubes and cords


name: Become knowledgeable of equipment and proficient in use


name: Instruct person and family how to operate equipment, as appropriate


name: Inform person and family of expected outcomes and side effects associated with using equipment


name: Demonstrate to family members how to communicate with person on life-support equipment


name: Facilitate interaction between family members and person receiving life-support therapy


name: Monitor effect of equipment use on physiological, psychological, and social functioning of person and family


name: Monitor effectiveness of technology on outcomes


name: Identify self with name and credentials, organization; let person know if call recorded (e.g., for quality monitoring), using voice to create therapeutic relationship


name: Determine if person would like to proceed via phone or video conference, as available


name: Inform person about call purpose and process


name: Confirm person's telephone number or method of reconnection if interrupted (e.g., email address, chat room number)


name: Request person to move to quiet location or consider wearing headphones to minimize background noise where possible


name: Establish level of knowledge and source of that knowledge


name: Determine ability to understand telephone teaching or instructions (e.g., hearing deficits, confusion, language barriers)


name: Review pertinent information about purpose of contact (e.g., medical diagnoses if any, past health history, current treatment regimen, results of tests)


name: Speak slowly and clearly and avoid raising voice volume


name: Be aware of visual or audio cues that information not understood


name: Consider cultural and socioeconomic aspects to person's response


name: Identify actual or potential problems related to implementation of self-care regimen


name: Make recommendations about regimen changes as appropriate, using established guidelines as needed and available


name: Consult with primary care provider about changes in treatment regimen as necessary


name: Inquire about related complaints or symptoms, according to standard protocol as needed and available


name: Obtain data related to effectiveness of current treatments


name: Involve family or significant others in care and planning, as indicated


name: Determine any safety risks to caller and others


name: Determine whether concerns require further evaluation, using standard protocol as needed and if necessary


name: Use screening tools when identifying individuals who may need more comprehensive, in-person assessment


name: Provide clear instruction on how to access needed care, if concerns


name: Provide information about health promotion or health education, as appropriate


name: Provide services in calm, caring, and supportive manner


name: Determine understanding of information provided


name: Document any assessments, advice, instructions, or other information provided according to specified organizational guidelines


name: Document disposition and person's intended actions


name: Determine need and time intervals for further intermittent assessment, as appropriate


name: Determine how person or family member can be reached for return contact, as appropriate


name: Discuss and resolve problem contact with supervisory or collegial help


name: Determine cause of temperature alteration (e.g., excessive heat exposure, volume depletion, exertional, drug-induced, radiation, evaporation, conduction, convection, infection)


name: Monitor laboratory values for serum electrolytes, urinalysis, blood cultures, and complete blood count


name: Institute continuous core temperature monitoring device, as appropriate


name: Monitor temperature per guidelines for body temperature readings (i.e., normothermia by monitoring every 30 minutes twice then per protocol, hypothermia and hyperthermia treat by continuous monitoring per core temperature monitoring device), as appropriate


name: Report signs and symptoms of hypothermia and hyperthermia


name: Treat hyperthermia per protocol (e.g., cooling blankets, cooled IV fluids, fan, cold packs, place in cooled water)


name: Use cooling mattress, water-circulating blankets, tepid baths, icepack or gel-pad application, and intravascular cooling catheterization to lower body temperature, as appropriate


name: Treat hypothermia per protocol (e.g., warming blankets, warmed IV fluids, warmed oxygen therapy)


name: Use warming mattress, warm blankets, and warm ambient environment to raise body temperature, as appropriate


name: Adjust environmental temperature to person needs


name: Promote adequate fluid and nutritional intake, if appropriate


name: Instruct how to prevent heat exhaustion and heat stroke


name: Instruct about actions to prevent hypothermia from cold exposure


name: Inform of indications of heat exhaustion and appropriate emergency treatment, as appropriate


name: Inform about indications of hypothermia and appropriate emergency treatment, as appropriate


name: Monitor temperature at least every 30 minutes until stable, as appropriate


name: Wrap low birthweight infant in plastic (e.g., polyethylene, polyurethane) immediately after birth while still covered with amniotic fluid, as appropriate and according to agency protocol


name: Apply stockinette cap to prevent heat loss


name: Place in isolette or under warmer, as needed


name: Adjust environmental temperature to infant needs


name: Instruct parents on methods to maintain adequate infant body temperature


name: Determine cause of increased body temperature (e.g., poikilothermia, malignant hyperthermia, spinal cord injury above T6, extreme physical exertion)


name: Ensure patent airway and administer cooled oxygen as needed


name: Discontinue any presumed causative medication if experiencing neuroleptic malignant syndrome (e.g., selective serotonin reuptake inhibitors [SSRI], monoamine oxidase inhibitors [MAOI], or tricyclic antidepressants)


name: Discontinue physical activity and place into cooler environment


name: Place in cooled water, as tolerated, but avoid causing shivering


name: Provide oral rehydrating solution (e.g., sports drink) or other cold fluid if tolerated


name: Do not offer food or liquid by mouth if neurological impairment


name: Administer pharmacological agents as needed


name: Do not administer aspirin or other antipyretic if suspect damage to thermoregulation centers (e.g., hypothalamus)


name: Obtain laboratory values for serum electrolytes, urinalysis, cardiac enzymes, liver enzymes, blood cultures, and complete blood count and monitor results


name: Provide transportation to hospital for further treatment if needed


name: Instruct on risk factors for heat-related illness (e.g., high environmental temperature, high humidity, dehydration, physical exertion, obesity, extremes of age, certain drugs, heart disease)


name: Instruct on measures to prevent heat-related illness (e.g., prevent sun overexposure; ensure adequate intake of nutritious foods and fluids before, during, and after physical activity; seek settings in which air conditioning available; wear lightweight, light-colored, and loose-fitting clothing)


name: Counsel about known risks and benefits of exogenous hormone therapy


name: Confirm informed consent to hormone therapy


name: Explore acute, active mental health complaints that may be adversely affected by hormone therapy


name: Discuss with family about teenagers on hormone therapy


name: Determine family's level of support and understanding of hormone treatment and gender acceptance


name: Explore and provide psychosocial supports and referrals, as indicated


name: Communicate assessment and findings to health care provider who will be prescribing hormone therapy


name: Examine person's goals and understanding of hormone therapy to ensure concordance with general nature and purpose of hormone therapy


name: Examine understanding of physical, mental health, and social benefits and risks of hormone therapy


name: Discuss alternatives to hormone therapy, when applicable


name: Discuss alternative surgical referrals, if person intends to continue with sexual re-assignment


name: Counsel person on psychoactive effects of hormones (i.e., some mood and mental health problems such as depression and anxiety)


name: Gather information about mood and mental health for purpose of forecasting symptoms that may be intensified by hormone therapy


name: Guide to discuss these symptoms with health care provider who will be prescribing hormone therapy.


name: Explore social transition needs (e.g., peer support, psychotherapy, documentation changes, care coordination, legal advocacy)


name: Confirm use of medications as prescribed


name: Encourage to talk about doubts, fears, and acceptance of hormone therapy


name: Monitor bodily changes and adverse effects every 3 months for first year, then every 6 to 12 months


name: Request for transgender men dosage of serum testosterone at follow-up visits with practical target in male range (300-1000 ng/dL)


name: Request for transgender women dosage of serum testosterone and estradiol at follow-up visits with a practical target in the female range (testosterone 30-100 ng/dL; estradiol <200 ng/mL)


name: Monitor transgender men hormone levels, hematocrit, and lipid profile before starting hormones and at follow-up visits


name: Monitor transgender women hormone levels, prolactin, and triglycerides before starting hormones and at follow-up visits


name: Perform, according to health care prescription, bone mineral density screening before starting hormones for persons at risk for osteoporosis


name: Instruct about cancer risks (e.g., transgender men's cervix or breasts, transgender women's breasts and prostate)


name: Instruct about hormone level risks (e.g., too high dangerous, low level reverses sex)


name: Ensure follow-up counseling related to social effect of transgender change


name: Facilitate pre-transport coordination and communication


name: Acquire current information about nature of event (e.g., number of victims, severity of injuries, area involved)


name: Communicate with central authority (i.e., Command Center)


name: Ensure proper personnel alerted (e.g., nursing leadership, ER leadership, administration leadership)


name: Contact supplementary health care workers (e.g., surgeons, dentists, veterinarians, hospice nurses, retired clinicians, volunteers), as indicated


name: Set up reception and triage staging areas with decontamination resources near event location, as indicated


name: Notify acute care facilities in area to expect transfers


name: Use hallways, parking areas, lobbies, lawns, or rooftops for health care, as needed