1. A manual provides instructions, and nursing manuals are an important resource for nurses to locate procedures when needed. There are three types of nursing manuals: those issued by administrative offices covering regulations, procedure manuals for specific areas like labs, and unit procedure manuals. 2. Standing orders provide treatment instructions for nurses and other healthcare workers to use in emergencies or when a doctor is unavailable, such as in homes, schools, or industries. They are intended to be temporary until a doctor can provide care. 3. Standing orders can be institutional, specific, or general. Institutional ones outline activities based on available resources, staff roles, and objectives. Specific ones provide procedures for trained staff like nurses to perform tasks like

1. Mr.Visanth V S
Asso.Professor
IGSCON

2. 
A manual is a book which gives instruction. A nursing an
important resource for practice, but ensuring that the
correct procedure can be located when needed. In nursing it
may be of 3 types;
Procedure issued by the administrative office and
referring mainly to regulations.
Procedure manuals, e.g. Lab procedure manuals, nursing
procedure manuals.
 Unit procedure outline the procedure to be used in unit.
Nursing Manuals

3. 
Standing orders are specific instruction regarding
treatment for condition that nurses and other
health workers may encounter in home, school
and industries where a doctor is not readily
available.
 The standing order are intended to provide
treatment only in emergencies and temporarily in
the absence of a doctor, they should be limited.
Standing Orders/Nursing Protocols

4. 
 Institutional standing order:- These are written format of activities
to be performed based on available resources ,staff position and the
objectives of a medical institution or hospital.
 Specific standing order:-These are authorized formats of
procedures framed for trained medical personnel, mainly the
nurses , technical knowledge and specific skills are require to
implement these orders. Eg-giving care at home ,injections ,
oxygen therapy.
 General standing orders:- Owning to a large population. some
standing order are used to propagate health care messages. Eg-
preventive measures against AIDS, Covid19 etc.
Types of Standing Order

5. 
To meet emergency situation.
To deliver care at home, school, community
To provide temporary treatment in the
absence of a doctor
To promote health services in community.
Purpose of standing order

6.  Standing order instructions should be issued jointly by an
authorized medical office and a nurse or a committee with
a nurse representative.
Standing instruction must be used with caution and
discretion.
Standing orders are these to promote health services in
the community.
The medical officer is legally responsible for issuing
standing orders, and he should have faith in the sound
judgment of his staff.
General Standing Order Instructions

7. 
They reduce danger in acute condition.
They create the feeling of responsibility
among the members of the health team.
 Every health service should issue standing
instruction to meet the health need of the
areas.
Contd……..

8. Standing orders provides timely treatment during
emergencies.
They enhances the quality and activity of health
services.
They provide a feeling of confidence and responsibility
in the nursing staff and other health workers.
They help to decentralize the health responsibilities.
They help to strengthen the primary services in the
community.
Advantages Of Standing Order

9. The nurse should be skillful in detecting abnormality.
The nurse should be prompt in detecting appropriate
action for particular situation.
The nurse should maintain a record of care given to the
patient.
The nurse should have thorough knowledge to identify
the actual problem of the patient and to plan appropriate
nursing intervention.
 The nurse should intervene with services according to the
given standing orders.
Role Of A Nurse In Standing Orders

10. Should develop a good therapeutic relationship with the
individual and family.
Use referral system if it is possible.
The nurse should inform the health officer immediately
if there is a communicable disease.
Should keep the medication safe and ready to follow
standing orders.
Ensure a safe and healthy environment for patient.
Recording and reporting is essential.
Contd……..

11. 