ICU.9 Nursing staff in the adult intensive care unit receive continuous training with competency
ICU.9.1 Nursing staff in the adult intensive care unit receive training and education on the
following general and intensive care related needs:
ICU.9.1.1 Fundamental critical care support.
ICU.9.1.2 Infection control principles.
ICU.9.1.3 Blood transfusion.
ICU.9.1.4 Use of the defibrillator.
ICU.9.1.5 Care of patients with tracheostomies.
ICU.9.1.6 IV therapy.
ICU.9.1.7 Pressure ulcer prevention and care.
ICU.9.1.8 Knowledge of dosage range, side effects and complications of commonly used high
alert medications in critical care including vasopressors, narcotics and controlled medications.
ICU.9.1.9 Recognizing critical ECG changes including arrhythmias.
ICU.9.1.10 Using pulse oximetry.
ICU.9.1.11 Assisting physician in placing central lines or arterial lines.
ICU.9.1.12 Assessing Glasgow Coma Scale (GCS).
ICU.9.1.13 Obtaining arterial blood gas samples.
ICU.9.1.14 Care of patients on ventilators.
ICU.9.1.15 Reading central venous pressure (CVP) and swan Ganz monitoring.
ICU.9.1.16 Care of endo-tracheal tube (ETT).

The nurse manager ensures the competency of the nursing staff.
OR.3.1 The nursing staff receive ongoing training on the following general and operating roomrelated
OR.3.1.1 Use of equipment.
OR.3.1.2 Use of defibrillator.
OR.3.1.3 Use of pulse oximetry.
OR.3.1.4 Infection control.
OR.3.1.5 Blood transfusion.
OR.3.1.6 Central sterilization policy.
OR.3.1.7 Maintenance of a sterile field.
OR.3.1.8 Draping and gowning.
OR.3.1.9 Surgical table operation and safe positioning of patients.
OR.3.1.10 Assistance in operations of their specialty surgical area.
OR.3.1.11 Pre and post-procedural handling and disposing of surgical equipment.
OR.3.1.12 Safe operation of variable surgical equipment according to specialty.

Policies and procedures guide the care of women in labor.
L&D.6.1 There are policies and procedures to guide the care of women in labor including, but are
limited to, the following:
L&D.6.1.1 Assessment and re-assessment of women in labor, including immediate postpartum
care and criteria for discharge from delivery room.

11 Pain relief and regional anesthesia.6.1. L&D. L&D. L&D. L&D.1.1. L&D.6. L&D.6.10 Induction of labor. Automated blood pressure monitoring machines.9 The use of episiotomy.7. delivery room nurses and midwives.6.13 Management of the diabetic patient in labor and postpartum. L&D.6.1. L&D.7 The use of sedation.22 Breast feeding. L&D.6 Management of fetal distress.1. L&D.1.4 Appropriate delivery bed.1.6. L&D.19 Management of un-booked deliveries. pediatricians.6.21 Infection control measures in labor and postpartum. L&D.6.1.18 Management of premature rupture of membranes.1.5 Caesarian section. anesthesiologists.17 Instrumental vaginal delivery. L&D. L&D. L&D. L&D.7.L&D.12 Management of hypertensive disorders of pregnancy.5 Intravenous infusion pumps. vacuum extractor and obstetric forceps. L&D.1.3 Pulse oximetry.6. L&D. .6. repeated caesarian section. L&D. L&D.4 Use of partogram for woman in labor.2 The policies and procedures are collaboratively developed by obstetricians.1.1. and other staff as needed.6 Adequate light source appropriate for surgical care.7 The obstetrics department has adequate resources that support the provision of safe care.3 Augmentation of labor and the use of oxytocin.7. including: L&D.6. L&D.1 The obstetrics department has equipment. L&D. Neonatal identification and the immediate assessment and resuscitation of the new born.6.6.1. L&D.7 Specific obstetric instruments such as amnihooks. L&D. L&D.7.16 Management of abnormal positions and presentations. L&D.1.1.2 Management of Ante-partum and post-partum hemorrhage.7.1.14 Suppression of pre-term labor.1.7. L&D. medications.8 The use of cardio-tocography.6. and emergency hysterectomy. L&D. and tools that meet the needs of patients. L&D. Cardio-tocography machines (at least one capable of simultaneous recording of twin fetal hearts).15 Management of multiple births.