Search for school

Five Clinical Practice Guidelines for Primary Care Nurses

Clinical Practice Guidelines for Primary Care Nurses

Clinical practice guidelines are a crucial part of providing quality treatment. Primary care nurses need to be familiar with these resources and how to access them. So here’s a look at five guidelines for common conditions:

•Head lice remain a common condition, especially among children from economically disadvantaged homes. Current guidelines recommend the use of a bright flashlight or, preferably, a fine-tooth comb in detecting louses or nymphs. Active infestations are indicated when a nit is 6mm or closer to the scalp. Examining the nape of the neck or the area behind the ears are also excellent ways to find evidence of these pests. The preferred treatment method is a 1% solution of Permethrin, applied to the hair and scalp for 10 minutes then rinsed off. A second application should be administered seven to ten days later.

•Hypertension remains a major cause of chronic health problems such as heart disease and stroke. One method of detecting it is to use automated blood pressure systems. However, these are frequently inaccurate if the patient has an irregular heartbeat, such as the kind that exists with a trial fibrillation. In such cases, manual testing should be performed. Also, if the patient has a measurement above 140/90 at the beginning of his or her appointment, a second check should be performed later during the session. If this one is significantly lower than the first, then a third should be performed later on. The lower of the previous two measurements should be entered in his or her chart.

•Sunburn is a painful condition commonly seen during the summer. In most cases, recommended treatment methods include cold packs, topical analgesics, and prescribing rest and adequate nutrition. Some alternative forms of therapy include oatmeal baths, applying milk and use of vitamin C and E creams. The healthcare provider should also educate the patient on the importance of avoiding prolonged exposure to the sun and of using sunscreen when outside.

•Lower back pain is another commonly reported condition that primary care nurses must deal with. Current guidelines stress certain diagnostic criteria, such as determining how long the patient has suffered pain, how the pain rates in severity from 0 to 10, and whether it causes loss of functionality. Therapeutic intra-articular facet joint injections are not recommended as a treatment method, but caudal epidural steroid injections are advised in some cases. Such measures should only be used if milder forms of therapy, such as exercise and chiropractic adjustment, have been tried first and have failed to give relief of symptoms.

•Rheumatoid arthritis is another condition that a primary care nurse will commonly see. Therapy centers around the management of symptoms, with medicines such as glucocorticoids administered for immediate relief of flare-ups, and paracetamol, codeine or other analgesics used for long-term pain management. Non-steroidal anti-inflammatory agents should be used conservatively on an as-needed basis. Referral to a specialist is warranted when the small joints of the hands or feet are affected.

Clinical practice guidelines should be consulted on a regular basis by the primary care nurse. Guidelines.gov is an excellent free resource where guides for hundreds of conditions can be found. Use of these materials will enable healthcare providers of all types to be more effective in curing illnesses and relieving symptoms for their patients.

Nursing Scholarships

American Assembly for Men in Nursing (AAMN) American Cancer Society Doctoral Degree Scholarships in Cancer Nursing Gallagher Student Health Careers Scholarship
The Gates Millenium Scholars (GMS) National Black Nurses Association (NBNA) National Student Nurses’ Association (NSNA)
New Careers in Nursing (NCIN) Nurse Corps Scholarship (NCS) Nurses of Tomorrow
Nursing Economics Foundation Tylenol Future Care Scholarship American Holistic Nurses Association
Thank you for sharing your preferences.
You can find other options through our sponsored listings below!
Quick Fact
In 2018, workers with a bachelor's degree or higher had almost twice as much
median earnings per week than workers with only a high school diploma.*
*Bureau of Labor Statistics

Tulsa Welding School

Get your career started with an education from Tulsa Welding School.

Programs:

  • Professional Welder with Pipefitting

Liberty University

100% Online & No Standardized Testing

Programs:

  • Doctor of Education: Community Care & Counseling: Marriage & Family
  • Doctor of Ministry: Evangelism & Church Planting
  • M.Div: Homiletics
  • And more...

Arizona College

Arizona College prepares students to work in the 'real world' of medicine.

Programs:

  • Health Care Administration
  • Medical Assisting
  • Health Information Specialist
  • And more...

Dorsey Schools

Dorsey has been a trusted career training school in Michigan for over 80 years!

Programs:

  • Medical Administration and Billing
  • Medical Assistant
  • Dental Assistant

South College

At South College we welcome students from all different stages of life and career. 

Programs:

  • Certificate in Computed Tomography (CT)
  • Associate of Science in Occupational Therapy Assistant
  • Certificate in Surgical Technology
  • And more...

Milan Institute of Cosmetology

Get hands-on training for a beauty industry career at the Milan Institute of Cosmetology.

Programs:

  • Cosmetology
  • Esthetician
  • Nail Technology

UEI College

At UEI College, we want you to succeed. We’re like a family and we want you to be a part of it.

Programs:

  • HVAC Technician (11-month diploma program)
  • Business Office Administration (10-Month Diploma Program)
  • Criminal Justice (11-Month Diploma Program)
  • And more...

Florida Career College

Train for the real-world skills that help you launch a successful technology or healthcare career with a degree, or diploma from Florida Career College.

Programs:

  • Computer and Network Technician (11-month diploma program)
  • Medical Assistant Technician (10-Month diploma program)
  • Patient Care Technician (10-month diploma program)
  • And more...

Northcentral University

  • Northcentral University was founded in 1996 to provide working professionals around the world with unprecedented access to richly engaging, professionally relevant, and academically-rigorous education from a U.S. university.

Programs:

  • International Business - D.B.A.
  • Leadership in Higher Education - EdS
  • MS Organizational Leadership - Nonprofit Management
  • And more...

Related Post

How to Obtain a Career in Correctional Nursing

Choosing to become a corrections nurse is a decision that should not be taken lightly. A corrections nurse is responsible for attending to inmates at correctional facilities across the country.

Why Taking a NCLEX Refresher Course is Important

Every licensed nurse in the United States has gone through the grueling experience of taking the National Council Licensure Examination, or NCLEX, and most likely every nurse can verify that an NCLEX