Professional Practice

Nursing Procedural Guidelines

Reviewed / updated June 2022


To identify evidence based clinical nursing procedural references for patient care within Sentara.  Nursing procedures are based on best practice references, clinical practice guidelines, and standards from professional nursing associations and organizations. It is the practice of Sentara Healthcare Nursing that the following resources will guide nursing procedural care. Explicit policies or physician orders for nursing within scope of practice or manufacturer guidelines on specific products may at times be appropriate to supersede these generic procedural references.


Patient care areas will have either electronic or hard copy access to the below listed references.  The procedures in these listed references are accepted and approved for nursing practice. To request changes or updates contact the appropriate Practice Forum.

Access Compliance 360

  • Employees should search Compliance 360 software platform for system-wide Policies, Procedures, and Job Aids first
  • If no information is found, then the following references are used.

Review the following general and specialty care guidelines for procedural care references.

Standards may be accessed in three methods:

  1. Epic electronic medical record divisions search under Learning Home Dashboards
  2. WaveNet
  • Learning
  • Sentara Knowledge Online Resources(SKOR)
  • Nursing
  • Nursing Specialty (by category)

For references not available electronically via the library, hardcopy editions are available- contact department for details/access. *(indicated by underlined text)

Drug/Lab and Formulary Information (Located under the Pharmacy link in SKOR)

IBM Micromedex® Solutions (in SKOR)

Lexicomp Online (in SKOR)

Gahart, B. (2021). Gahart’s 2020 Intravenous Medications: A handbook for nurses and health professionals, 37th  edition. St. Louis, MO: Mosby.  (In SKOR)

Phelps, S., Hagemann, T., Lee, K. & Thompson, A. (2018). The Teddy Bear Book Pediatric Injectable Drugs, 11th Ed. Bethesda, MD: American Society of Health-System Pharmacists. (In SKOR)

General Nursing

ANA (2015) Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD: ANA (In SKOR – Under Nursing Scope & Standards of Practice)

ANA (2021). Nursing: Scope and Standards of Practice 4th Edition. Silver Spring, MD: ANA (In SKOR – Under Nursing Scope & Standards of Practice)

Elsevier Care Plan Guides available via “Clinical Key” button in Epic

Nursing Reference Center™ Plus (NRC) EBSCO Industries, Inc. (in SKOR)

Society for Vascular Nursing (2014) Core Curriculum for Vascular Nursing 2nd ed. (SKOR)

Infusion Therapy

Infusion Nursing Society (INS).

  • INS Standards of Practice (8th, 2021).
  • Acute Care (Formerly: Policies and Procedures) (6th, 2021).
  • Policies and Procedures for Infusion Nursing Older Adult (4th, 2021).
  • Neonate to Adolescent(3rd , 2021).
  • Ambulatory Infusion Centers Policies and Procedures (2nd, 2021)
  • Home Infusion Policies and Procedures (2nd, 2021)

Infusion Nursing. Author. (In SKOR)

Specialty Settings

Ambulatory Nursing

American Academy of Ambulatory Care Nursing- Core Curriculum for Ambulatory Care Nursing, 4th Edition, 2019 (in SKOR)

American Academy of Ambulatory Care Nursing -Care Coordination and Transition Management (CCTM) Core Curriculum, 2nd Edition, 2019 (in SKOR)

Critical Care Nursing: 

American Association of Critical-Care Nurses. (2015). AACN Scope and Standards for Acute and Critical Care Nursing Practice. Aliso Viego, CA:  AACN Scope and Standards for Progressive and Critical Care Nursing Practice – AACN access free to members

Wiegand, D. L. (Ed.). (2017). AACN procedure manual for high-acuity, progressive, and critical care (7th ed.). St. Louis, MO: Elsevier (In SKOR)  

Emergency Nursing:

Emergency Nurses Association (2017). Emergency Nursing: Scope and Standards of Practice. 2nd ed. Emergency Nurses Association, Des Plaines, IL. (hard copy in units)

ENA. (2009). Core Curriculum for Pediatric Emergency Nursing, 2nd Ed. Des Plaines, IL: Author (hard copy in units)

ENA. (2017.) Emergency Nursing Core Curriculum, 7th Edition, Des Plaines, IL. (hard copy in units)

Emergency Nurses Association. (2019). Sheehy’s Emergency Nursing: Principles and Practice, 7th Ed. Elsevier Health Sciences. (hard copy in units)

Endoscopy Nursing:

Society of Gastroenterology Nurses and Associates, Inc. (SGNA). (2007-2017). Standards and Practice Guidelines. Retrieved from:  (SKOR)

Home Health/Hospice Nursing:

Mefford, Jeanette (2017). Clinical procedures: Home care and hospice. West Des Moines, IO: Briggs Healthcare. (In SKOR)

Maternal Obstetric Neonatal Nursing:


Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). (2015). Fetal Heart Monitoring, Principles and Practice, 5th Ed. Dubuque, IA: Kendall/Hunt Publishing, Co. (hard copy in units)

Lowdermilk, D., Perry, S., & Cashion, K. (Eds). (2014). Maternity Nursing, 8th Ed. Maryland Heights, MO: Mosby. (Hard copy in units)

Troiano, N., Harvey, C., & Witcher, Patricia M. (Eds). (2019). High Risk & Critical Care Obstetrics, 4th  Ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. (Alternative title: AWHONN’s high-risk and critical care intrapartum nursing) (In SKOR)


American Academy of Pediatrics (AAP). (2012). The S.T.A.B.L.E. Program, Learner/ Provider Manual: Post-Resuscitation/ Pre-Transport Stabilization Care of Sick Infants- Guidelines for Neonatal Heal … / Post-Resuscitation Stabilization) 6th Ed. Chicago, IL: Author (hard copy in units)

AAP. (2021). Perinatal Continuing Education Program (PCEP) Specialized Newborn Care, Volumes I-IV. Chicago, IL: Author. (In SKOR)

American Heart Association (AHA)/ American Academy of Pediatrics (AAP). (2021). Textbook of Neonatal Resuscitation Program, 8th Ed. Chicago, IL: Author. (IN SKOR – also available in Spanish – Reanimación neonatal )

National Association of Neonatal Nurses (NANN). (2010- 2021). Position Statements. Retrieved from (In SKOR)

American Academy of Pediatrics and American College of Obstetrics and Gynecology.  Guidelines for Perinatal Care, 8th edition (2017) (in SKOR)


Academy of Breastfeeding Medicine (2012-2021). Clinical Protocols.  Retrieved from . (In SKOR)

Hale, T., & Rowe, H. (2021). Hale’s Medications and Mother’s Milk 19th Ed. New York, NY:  Springer Publishing Company (In SKOR)

Medical Group:

Nursing Reference Center™ Plus (NRC) (2016) EBSCO Industries, Inc. (in SKOR)

American Academy of Ambulatory Care Nursing AAACN Position Statements

Nurse Practice Acts
Nurse Practice Acts

Virginia Board of Nursing
Virginia Board of Nursing

North Carolina Board of Nursing

Oncology Nursing:

Kaplan, M. (2018). Understanding & Managing Oncologic Emergencies, A Resource for Nurses (3rd Ed.) Pittsburgh, PA: ONS (SKOR)

Polovich, M. Ed. (2018). Safe Handling of Hazardous Drugs (3rd Ed.). Pittsburgh, PA: ONS (In SKOR) 

Olson, M. & Lefebvre, K. & Brassil (2019). Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice. Pittsburgh, PA: ONS. (In SKOR)

Wilkes, G. & Barton-Burke, M. 2020-2021 Oncology Nursing Drug Handbook. (23rd ed.) Sudbury: Jones & Bartlett Publishers, Inc. (In SKOR)

Pediatric Nursing:

ANA/National Association of Pediatric Nurse Practitioners/Society of Pediatric Nurses. (2015). Pediatric Nursing: Scope and Standards of Practice, 2nd Ed. Silver Spring, MD: ANA. (In SKOR Found in Nursing Scope and Standards of Practice)

Hockenberry, M., Wilson, D. & Rodgers (2018). Wong’s Nursing Care of Infants and Children 11th edition. St. Louis, MO: Elsevier (hard copy in units)

Radiological Nursing:

Society of Interventional Radiology (2018). Clinical Practice Guidelines. Retrieved from Society of Interventional Radiology – Clinical practice ( (In SKOR)

Surgical Nursing:

Association of peri-Operative Registered Nurses (AORN). (2021). Guidelines for Perioperative Practice. Denver, CO: author (In SKOR)

American Society of PeriAnesthesia Nurses (ASPAN). 2021-2022 PeriAnesthesia Nursing Standards, Practice Recommendations and Interpretive Standards. Cherry Hill, N.J.: ASPAN. (In SKOR)

Odom-Forren J. (2018). Drain’s PeriAnesthesia Nursing: A Critical Care Approach, 7th Edition. St. Louis, MO:  Elsevier, Inc. (In SKOR)

Telephone Triage:

Briggs, J. (2020) Telephone Triage protocols for nurses (6th Ed.) Philadelphia, PA: Lippincott, Williams & Wilkins. (In SKOR)

Wound/Ostomy Nursing:

WOCN Practice Guideline series (Username is Sentara 1 to Sentara 12, PASSWORD is: welcome1 – each username has 2 concurrent users if you can’t get in using one username try another name)

  • Guideline for Management of Wounds in Patients with Lower-Extremity Arterial Disease.
  • Guideline for prevention and management of pressure ulcers (injuries).
  • Guideline for management of wounds in patients with lower-extremity neuropathic disease.
  • Guideline for management of wounds in patients with lower-extremity arterial disease.

WOCN Nursing: Scope and Standards of Practice. (2018) (In SKOR)

Haesler. E. (2019). Prevention and Treatment of Pressure Ulcers/Injuries (3rd Ed.) (In SKOR)

All Nursing:

National Pressure Ulcer Advisory Panel (NPUAP). (2019). Prevention and Treatment of Pressure Ulcers Quick Reference Guide. Retrieved from Quick_Reference_Guide-10Mar2019.pdf (

KCI ® an Acelity™ Company. (2014). V.A.C. Therapy Clinical Guidelines.  Retrieved from 2-b-128h-vac-clinical-guidelines-web.pdf (