What procedures are included in the Clinical Procedure Manual?

The Medbridge Clinical Procedure Manual (CPM) includes 171 courses that contain over 215 procedures specifically built for clinicians providing care in the home. Within CPM, nurses and other clinicians can find both high-risk procedures that are performed less frequently and the high-volume procedures often performed during each visit. All procedures are aligned with evidence-based research and professional guidelines.

Medbridge Clinical Procedures provide Home Health and Hospice clinicians the information they need to consistently and effectively care for patients in the home. Each procedure includes:

• step-by-step instructions and video demonstrations
• specific tips and considerations for delivering care in the home
• documentation guidelines
• patient and family education
• downloadable step-by-step instructions
• competency evaluation forms

In this article, we'll highlight every procedure that's included in CPM. 

Activities of Daily Living

• Aide Skills: Tub Bath and Shampooing (video)
• Aide Skills: Sponge Bath and Shampooing (video)
• Aide Skills: Shower and Shampooing (video)
• Aide Skills: Oral Hygiene (video)
• Aide Skills: Nail and Skin Care (video)
• Aide Skills: Bed Bath and Shampooing (video)
• Aide Skills: Toileting (video)
• Aide Skills: Nutrition (video)
• Aide Skills: Communication (video)
• Aide Skills: Changes in Skin (video)
• Aide Skills: Ambulation (video)
• Aide Skills: Transfers (video)
• Aide Skills: Bed Mobility (video)
• Aide Skills: Range of Motion (video)
• Aide Skills: Eating/Feeding (video)
• Aide Skills: Providing Perineal Care (video)

Behavioral Health

• Mental Status Assessment—Mental Status Exam (MSE)
• Assessment—Suicide Risk (C-SSRS)
• Assessment—Depression (PHQ-9)
• Assessment—Anxiety (GAD-7)
• Dementia Assessment (Mini-Cog)

Cardiac

• Cardiovascular Assessment (video)
• Edema Assessment and Management (video)
• Cardiac Pulses Assessment: Upper Body and Lower Extremity (video)
• Application Of Ted Hose (Antiembolism Hose) (video)
• Pneumatic Compression Device (video)
• Management Of Automatic Implantable Cardioverter Defibrillator (AICD) and Monitoring Client With Pacemaker At Home 
• Holter Monitor 
• 12-Lead Electrocardiogram (ECG) (video)
• Obtaining Mean Arterial Pressure (MAP) for LVAD Patients (video)

Customer Service

• Customer Service for Patient Engagement (video)
• Managing Patient Complaints (video)
• Resolving Patient Conflicts (video)
• Emotional Intelligence Strategies for Improved Patient Satisfaction (video)

Endocrine

• Diabetic Assessment and Management
• Diabetic Foot Screening and Foot Care (video)
• Blood Glucose Monitoring
• Management of a Patient Utilizing Peritoneal Dialysis
• Insulin Pen
• Insulin Syringe Preparation
• Insulin Types: Onset and Duration

Functional Assessments

• ABC Scale (video)
• Arm Curl Test (video)
• Grip Strength Test (video)
• Dynamic Gait Index (video)
• Berg Balance Test (video)
• Modified Falls Efficacy Scale (video)
• Seated Step Test (video)
• Functional Gait Assessment (video)
• Physical Performance Test (video)
• Home Fall and Accidents Screening Tool (video)
• FIST: Function in Sitting Test (video)
• 6-Minute Walk Test (video)
• 2-Minute Step Test (video)
• Timed Up and Go & Dual-Task Timed Up and Go (video)
• Functional Reach Assessment (video)
• Gait Speed Test (video)
• 5-Times Sit to Stand (video)
• 30-Second Sit-to-Stand (video)
• Occiput-Wall Measure Test (video)
• One-Leg Stand Test (video)
• Four-Square Step Test (video)
• 4-Item Dynamic Gait Index (video)
• 4-Stage Balance Test (video)
• Heel-Raise Test (video)

Gastrointestinal

• Gastrointestinal Assessment (video)
• Administering an Enema (video)
• Digital Disimpaction or Stimulation (video)
• Ostomy/Ilesotomy Assessment and Pouch Change: One-and Two-Pouch Systems (video)
• Administration Of Enteral Feedings (video)
• Gastrostomy Care and Changing a Gastrostomy Tube (video)
• Nasogastric Tubes - Irrigation, Maintenance, and Removal (video)

Genitourinary

• Genitourinary (GU) Assessment (video)
• Urinary Catheter Irrigation (video)
• Urinary Catheterization: Intermittent and Continuous (video)
• Suprapubic Catheter Care, Maintenance, and Reinsertion (video)
• Urostomy Stoma Care (video)
• Percutaneous Nephrostomy (PCN) Site Care, Tube Care and Irrigation (video)
• Macy Catheter (video)

Hospice and End of Life Care

• Hospice RN Comprehensive Assessment (video)
• Functional Assessment Staging Tool (FAST) for Dementia (video)
• Nutrition and Hydration at End of Life (video)
• Hospice Post Mortem Care (video)
• Management of Terminal Hemorrhage
• Constipation Symptom Management
• Determination of Death
• Management of Hiccups
• Opioid Conversion Factors
• Seizures Symptom Management
• Spiritual Needs Assessment
• Wound Care: Odor Management

Hospice Family Communication

• Essential Tools for Talking with Family Caregivers (video)
• Deep Listening: Reflexive Skills for Working with Families (video)
• Care Plans: Helping Family Understand Decline in a Patient (video)
• Strategies for Navigating Conflict with Family (video)
• Optimizing Communication to Reduce Family Grief (video)

Infection Control

• Bag Technique (video)
• Prevent Transmission of BedBugs, Lice and Scabies
• Clostridium Difficile
• Hand Hygiene
• PPE Sequence and Selection (video)
• Managing the COVID Patient at Home
• Managing Airborne Precautions at Home

Intravenous Therapy

• General Infusion Therapy Administration: IV Push, Gravity Drip, Elastomeric Pump, Electronic Infusion Pump (video)
• Central Venous Access Device (CVAD): Site Care and Dressing Change, Flushing and Locking (video)
• Central Venous Access Device (CVAD): Blood Sampling for Laboratory StudiesAccessing an Implanted Vascular Access Port (video)
• Peripheral IV Catheter (PIVC) Insertion (video)
• Discontinuing a Chemotherapy Infusion (video)
• Parenteral Nutrition Administration (video) 
• Phlebotomy (video)
• Subcutaneous Infusion Initiation (video)
• Subcutaneous Fluid administration (video)
• Peripherally Inserted Central Catheter (PICC) Removal (video)
• PT/INR Point of Care Testing  (video)

Laboratory and IV

• Specimen Collection: Stool
• Specimen Collection: Nose and Throat
• Specimen Collection: Sputum Collection
• Specimen Collection: Urine
• Specimen Collection: Wound Culture Collection

Medications

• Medication Reconciliation in The Home (video)
• Ear Instillations And Irrigations
• Eye Medications—Drops and Ointments
• Aerosol Nebulizers and Inhaler (video)
• Medication Self-Administration
• Medication Disposal Guide / Sharps Disposal Do's and Don’ts
• Injections: Intradermal, Intramuscular and Subcutaneous (video)

Miscellaneous

• Cleaning And Checking A Hearing Aid
• Abnormal Involuntary Movement Scale (AIMS) Assessment (video)

Musculoskeletal

• Assessment: Musculoskeletal
• Transcutaneous Electrical Nerve Stimulation (TENS) Unit (video)
• Use Of A Hoyer/Hydraulic Lift

Neurological

• Neurological Assessment (video)

Pain

• Pain Assessment
• Pain Management

Respiratory

• Respiratory Assessment (video)
• Tracheostomy Care(video)
• Peak Flow Meter Use and Assessment (video)
• Spacer Use and Cleaning (video)
• Administration of Oxygen in the Home (video)
• Oxygen Tank Regulators 
• Liquid Oxygen System
• Continuous Positive Airway Pressure (CPAP)
• Tracheostomy—Humidity Administration, Speaking Valve Placement and Removal, and Unplanned Tube Decannulation Safety (video)
• Management of Home Ventilators—Humidity Administration and Manual Ventilation with a Handheld Resuscitator (video)
• Mechanical Ventilation Management (video)
• Pleural Catheter Management (video)

Safety

• Blood and Body Fluid Spills
• Assessment of Home Safety for Patient and Family
• Home Safety for Staff
• Medical Equipment: Cleaning and Disinfecting

Urinary/Renal

• Application of a Leg Bag

Wound Care

• Wound Care: Assessment and Measurement (video)
• Wound Care: Cleansing and Packing a Wound (video)
• Wound Care: Multilayer Compression Therapy (video)
• Wound Care: Negative-Pressure Wound Therapy (video)
• Wound Care: Staple and Suture Removal (video)
• Wound Care: Jackson-Pratt Drain (JP Drain) Care and Removal (video)
• Unna Boot (video)
• Residual Limb (Stump) Care
• Application Of Hydrocolloid Dressing
• Application Of Hydrogel Dressing
• Application Of Transparent Dressing

Vital Signs

• Vital Signs: Respiratory Rate (video)
• Vital Signs: Pulses (video)
• Vital Signs: Temperature (video)
• Assessment: Weight
• Blood Pressure Measurement —Upper and Lower Extremity
• Pulse Oximetry 
• Rectal Temperature (video)