Standardized Procedure for Irritable Bowel Syndrome

Running head: STANDARDIZED PROCEDURE FOR IRRITABLE BOWEL SYNDROME
STANDARDIZED PROCEDURE FOR IRRITABLE BOWEL SYNDROME
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1STANDARDIZED PROCEDURE FOR IRRITABLE BOWEL SYNDROME
Irritable bowel syndrome (IBS) is a well-known disorder which primarily affect the
large intestine. Abdominal pain, cramping, constipation, diarrhea, gas and bloating are some
of the common symptoms associated with IBS (Chey, Kurlander & Eswaran, 2015). It can be
a chronic disease which needs to be clinically managed or the patient suffers for a long term.
Standardized procedure can be performed to treat the patients suffering from chronic IBS. A
registered nurse has the authority to perform standardized procedure function under the
conditions mentioned in the standardized procedure of the health care system. The healthcare
system needs to ensure that the nurse provides genuine evidence about the educational
qualification, required training and experience to perform the task. Standardized procedures
are authorized in the Nursing Practice Act (NPA) section 2725. These procedures are
developed in a collaborative way where health administration, nurses and other medical
professionals are involved. As nurses are the primary care givers in the interdisciplinary
collaboration their responsibility is also significantly higher to perform the functions of
standardized procedures. The standardized procedures are developed after critical assessment
and evaluation. It ensures more frequent positive patient related outcomes as the treatment is
more precise and based on evidence.
General Policy: Standardized Procedure for Nurses to treat Irritable bowel syndrome
1. Purpose
Board of Registered Nursing (BRN) collaborating with Allied Health Professions division
under the Board of Medical Quality Assurance publicised eleven points for the standardized
procedure guidelines. So establishing a standardized procedure to treat IBS in acquiescence
with the BRN guidelines where the nurses can perform their task without instantaneous
supervision from a doctor is the primary purpose.

2STANDARDIZED PROCEDURE FOR IRRITABLE BOWEL SYNDROME
2. Development and Review
 Standardized procedures are planned and developed by the collaboration of all the
stakeholders of a health organization. An interdisciplinary committee is established
consisting of administrative representatives, doctors, registered nurses and nurse
practitioners.
 The standardized procedures will be reviewed in regular intervals.
 The standardized procedures will be the evaluated by the interdisciplinary committee.
 After evaluation by the interdisciplinary committee final procedures will be signed
with date on the approval sheets.
 After the signature on the approval sheet and the final agreement all the standardized
procedures will be religiously maintained by the physicians and the nurses. The
collaboration among all the stakeholders in the organization will be maintained while
the standardized procedure is going on. The approval sheets will be kept in file as a
record of the nurse practitioners (NP) who are performing the tasks in the procedure.
 The physicians and the NPs working under their supervision will abide by the
agreements made in the approval sheets. They will be followed upon hire and any
changes required will be in accordance with the agreement made in the approval
sheet.
3. Scope and Setting of the NP
 Nurse practitioners performs tasks which are mentioned in the standardized
procedures. Those are decided based on their area of specialization, previous
experience and credibility of performing a specific task. The tasks include assessment,
treatment and management of IBS, evaluation of the physical condition and
promotions related to physical wellbeing.

3STANDARDIZED PROCEDURE FOR IRRITABLE BOWEL SYNDROME
 Nurse practitioners have the authority for practicing the approved standardized
procedures in the outpatient clinic of the organization. They also maintain the diet,
physical therapy, specific diagnostic procedures and care required to treat IBS.
4. Educational qualifications of the NP
 It is mandatory that the NP has a valid registration or RN license.
 Certification as an NP by the Board of Registered Nursing (BRN) is also crucial.
 Board certification from Nurses Credentialing Centre is also necessary.
 Current health care provider card, nurse practitioner furnishing number, DEA
registration number is required.
 The NP should be credentialed by the medical staff of an organization.
 The NP will be under the supervision of a physician who will observe, authorize and
document about the competency of the NP.
 The competency validation is mandatory for an NP after hire and annually.
 The checklist for competency validation prepared by the physician will be managed
and maintained by the medical staff office.
 Prepared checklist should be evaluated, assessed and updated if required on a yearly
basis.
5. Supervision and Evaluation
 The nurse practitioner has the authority to perform the standardized procedures without
any instantaneous supervision or intervention of the physician. The physician will only
intervene if that is specified in the standardized procedures guidelines.
 The physician will supervise maximum four nurses at the same time. The physician
will conduct a weekly review of the cases of all the nurses under his supervision.
Minimum ten percent of all the cases should be reviewed for all the nurses. The cases