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Gastrointestinal System
California Correctional Health Care Services
Constipation/Diarrhea
A. Education/Training: The Registered Nurse shall attend an in-service on the assessment
and treatment of patients presenting with symptoms consistent with constipation and
diarrhea, and achieve a minimum score of 80% on the written posttest examination.
B. Experience: None.
C. Certification: None.
D. Initial Evaluation: Initial competence will be validated onsite through simulated
exercises, mock scenarios, and return demonstrations. The Registered Nurse must
satisfactorily demonstrate all critical behaviors identified on the Competence Validation
Tool to be considered competent to perform standardized procedure functions.
A written performance appraisal shall be performed by the Supervising Registered Nurse
or designee six months after initial competence has been validated. Methods to evaluate
performance shall include but not be limited to direct observation, feedback from
colleagues and physicians, and chart review.
E. Ongoing Evaluation: Ongoing competence will be validated annually using case study
analysis.
IV. REGISTERED NURSES AUTHORIZED TO PERFORM THIS PROCEDURE
A current list of all Registered Nurse authorize to perform this procedure shall be
maintained on file in the Office of the Director of Nursing.
V. DEVELOPMENT AND APPROVAL OF THE STANDARDIZED PROCEDURE
This standardized procedure was developed and approved by authorized representatives of
administration, medicine, and nursing. The procedure will be reviewed annually.
REVIEW DATE: ___________
REVISION DATE:
___________
___________
___________
___________
___________
THE PROTOCOL WAS APPROVED BY:
___________________________________
DATE:______________
Chief Nurse Executive/Director of Nursing
___________________________________
DATE:______________
Chief Medical Executive
______________________________________________________________________________
7/20/2012
5-8a-3

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