: Hospital Administration

3364-100-01-01 Admission, Discharge and Transfer
3364-100-01-02 Leave of Absence for Patients
3364-100-01-03 Patient Transportation to Other Health Resources
3364-100-01-05 Acceptance and Responsibility for Transferring Patients to the University of Toledo Medical Center
3364-100-01-06 Inpatient Rehabilitation Admission to Coghlin Rehabilitation Center
3364-100-01-07 Elective Admissions
3364-100-01-08 Room Assignment for Patients Undergoing Administration or Implantation of Therapeutic Radioactive Material
3364-100-01-09 Admission and Discharge Criteria for Special Care Units
3364-100-01-10 Observation Service
3364-100-01-11 Regional Access - Transfers
3364-100-01-13 Confidential Patients
3364-100-01-14 Room Assignments for Patients Undergoing Administration of Intravenous Chemotherapeutic Agents
3364-100-01-15 Admission and Discharge Criteria for Intermediate Care Units
3364-100-01-16 Patient Identification
3364-100-01-17 Access to Care
3364-100-05-01 Computer Downtime
3364-100-05-03 Service Requests for Information Systems
3364-100-05-04 Recurring (Monthly) Billing Patients
3364-100-05-05 Medicare Questionnaire
3364-100-05-06 Physician Non-Staff Caregiver Table Maintenance
3364-100-05-07 External Release of Electronic Data
3364-100-10-01 General Consent/Conditions for Treatment
3364-100-10-04 Informed Consent to Medical or Surgical Procedures for Minors
3364-100-10-06 Situations When Informed Consent Cannot be Obtained from the Patient
3364-100-10-11 Informed Consent to Medical or Surgical Procedure
3364-100-10-12 Advance Medical Directives
3364-100-35-01 Designation of Authority During Absence of the Vice President/Executive Director
3364-100-35-02 Hospital Organization
3364-100-35-04 Management Reporting-Information Flow
3364-100-40-02 Management of the Health Care Worker Infected with Hepatitis B Virus, Hepatitis C Virus, or Human Immunodeficiency Virus
3364-100-45-01 Withholding of Advanced Life Support in the Event of a Cardiac or Respiratory Failure and/or Arrest
3364-100-45-03 Organ, Tissue or Eye Donation after Death
3364-100-45-04 Care of Inpatient on Agency Services
3364-100-45-07 Ruppert Health Center, Hospital Clinics, Kobacker Center, Glendale Medical Center, Monclova Family Practice and other Campus Buildings Code Blue Resuscitation
3364-100-45-09 Blood Transfusion Reaction Protocol
3364-100-45-11 Proper Blood Transfusion Filter Use
3364-100-45-14 Suspected Child Abuse Neglect
3364-100-45-15 Adult Abuse, Neglect and Exploitation
3364-100-45-16 Elder Abuse, Neglect and Exploitation
3364-100-45-18 Assessment/Reassessment
3364-100-45-19 Pediatric Patients-Procedures
3364-100-45-21 Domestic Violence
3364-100-50-02 Clinical Practice Protocols
3364-100-50-04 Complex Patient Billing Follow Up Process
3364-100-50-06 Accommodations for Patients Who Are Sensory Impaired and/or have Limited English Speaking Ability
3364-100-50-07 Reviews for External Review Agencies
3364-100-50-08 Hospital Department Grant Application
3364-100-50-09 Performance Improvement Quality Monitoring Report
3364-100-50-10 Ambulance Ambulette Services
3364-100-50-13 Prisoners-Patients Who Require Security Service Provided by a Law Enforcement Agency
3364-100-50-16 Management and Control of Agitated or Disturbed Persons
3364-100-50-17 Acquiring Equipment Repair
3364-100-50-20 Transplantation Patient Selection Committee
3364-100-50-21 Financial Policy for Organ Transplant Recipients
3364-100-50-24 Reimbursement for Patient Property
3364-100-50-26 Trauma Alert System
3364-100-50-27 Scrubs - Authorized Use and Security
3364-100-50-28 The Joint Commission (TJC) Unannounced Survey Readiness Plan
3364-100-50-30 Hospital-Wide Discharge Planning
3364-100-50-32 Facsimile Transmission of Patient Information
3364-100-50-33 Cardiopulmonary Resuscitation Competency
3364-100-50-34 Critical Incident Debriefing
3364-100-50-35 Impounded Medical Charts
3364-100-50-36 Insurance Verification & Pre-certification
3364-100-50-37 Availability of Medical Records
3364-100-50-38 Sentinel Events-Adverse Events
3364-100-50-39 Patient Safety and-or Occurrence Reporting
3364-100-50-40 Retention and Destruction of Medical Records
3364-100-53-02 Supplier Visitation to the OR
3364-100-53-03 Point-of-Care-Testing
3364-100-53-04 Reprocessing Medical Devices
3364-100-53-05 Universal Protocol Policy-Procedural Verification/Time Out
3364-100-53-07 Pre-Procedure Protocols for Outpatient Surgery, Same Day Surgery, and Elective Surgery Patients
3364-100-53-11 Sedation-Analgesia by Non-Anesthesiologists
3364-100-53-12 Restraint Policy
3364-100-53-15 Transfer of a Patient to Another Hospital
3364-100-53-16 Verbal Orders Including Telephone Orders
3364-100-53-17 Indications for Autopsy
3364-100-53-18 Handwritten Entries in the Medical Record, Signature Stamps and Electronic Signature on Transcribed Reports
3364-100-53-20 Management of Obstetric Emergencies
3364-100-53-21 Requirements for Clinical Information on Laboratory Requisitions
3364-100-53-22 Critical Tests and Results
3364-100-53-23 Fecal Occult Blood Testing
3364-100-55-02 Procedures Which May Not Be Performed in the Emergency Department
3364-100-55-07 Emergency Medical Treatment for Employees
3364-100-60-01 Complaint-Grievance Management
3364-100-60-02 Patient Rights and Responsibilities
3364-100-60-03 Notarization and Witnessing Services for Patients
3364-100-60-04 Patient Education
3364-100-60-05 Patient Advocacy for Psychiatric Units
3364-100-60-06 Adult Patients Requiring Psychiatric Intervention
3364-100-60-08 Right of Hospitalized Patients to Change Physicians
3364-100-60-09 Customer Service Values
3364-100-60-10 Disclosure of Unanticipated Outcomes
3364-100-65-02 Licensure and or Certification Policy
3364-100-70-02 Adverse Drug Reaction Reporting Policy
3364-100-70-07 Ordering of Antineoplastic Agents
3364-100-70-10 Medication Management
3364-100-70-11 Use of Abbreviations in the Medical Record
3364-100-70-14 Pneumonia and Influenza Standing Orders
3364-100-70-15 Medication Reconciliation
3364-100-80-01 Statement of Purpose and Services, Coghlin Rehabilitation Hospital
3364-100-85-01 Age Limit of Visitors
3364-100-85-02 Visitors Patients Accompanied by an Assistance Animal
3364-100-85-03 Visitor Authorization After Regular Hours
3364-100-90-01 Release of Information
3364-100-90-02 Minimum Necessary Guidelines for Use Disclosure of Protected Health Information
3364-100-90-03 Patient Request for Restriction on Health Information
3364-100-90-04 Designated Record Set
3364-100-90-05 De-Identifiable and Re-Identifiable Health Information
3364-100-90-06 Patient Request to Receive Communications of Protected Health Information (PHI) by Alternative Means/Locations
3364-100-90-07 Right to Access and Amend PHI
3364-100-90-08 Patient Directory
3364-100-90-10 Privacy & Security Office Designations
3364-100-90-11 Accounting and Documentation of Disclosures of Protected Health Information other than Treatment, Payment or Healthcare Operations
3364-100-90-12 Security and Protection of Patient Information - Both Paper and Electronic
7-01-09 Admission for Discharge Criteria for Special Care Units
7-01-11 Regional Access - Transfers
7-01-14 Room Assignments for Patients Undergoing Administration of Intravenous Chemotherapeutic Agents
7-01-18 Notification of Hospital Discharge Appeal Rights
7-05-01 Computer Downtime
7-05-02 Authorized Use of the Hospital Computer System
7-05-03 Services Requests for Information Systems
7-05-06 Physician/Non-Staff Caregiver Table Maintenance
7-05-07 External Release of Electronic Data
7-10-02 Guardianship
7-10-05 Informed Refusal or Withdrawal of Treatment Diagnostic Study
7-10-07 Consent/Charging for Examination of Sexual Assault Victims
7-10-08 Consent for Anatomical Gift by a Relative or the Guardian of the Person of Decedent
7-10-09 Consent for Human Immunodeficiency Virus (HIV) Testing
7-10-10 Leave from Medical University Hospitals Against Medical Consent
7-35-03 Mission of the Hospital
7-35-04 Management Reporting/Information Flow
7-35-05 Clincal Care Committee Informational Updates
7-40-03 Infection Control Committee
7-45-02 Request for Determination of Death by Brain Criteria
7-45-05 Rapid Response Team
7-45-06 Code Blue Policy and Procedure
7-45-07 Ruppert Health Center, Hospital Clinics, Kobacker Center, Glendale Medical Center, Garden Lake, Other Campus Buildings Code Blue Resuscitation Policy and Procedure
7-45-08 DNRCC & DNRCC-Arrest (DNR's) Temporary Suspension
7-45-09 Blood Transfusion Reaction Protocol
7-45-10 Code Blue Carts (Contents & Locations)
7-45-11 Proper Blood Transfusion Filter Use
7-45-12 Foregoing Life Sustaining Treatments
7-45-13 Categories of Patient Treatment
7-45-17 Lookback Program
7-45-20 Market Withdrawal Recalls
7-45-22 Reporting of Animal Bites
7-50-01 Correspondence with Outside Legal Counsel
7-50-03 Clinical Associates
7-50-05 Organizational Business Ethics
7-50-06 Accommodations for Patients Who are Sensory Impaired and/or Who Have Limited English Speaking Abilities
7-50-08 Hospital Department Grant Application
7-50-11 Dress Code Guidelines
7-50-15 Dissemination of Medical Staff Members and Resident Credentialing Related Information
7-50-16 Management and Control of Agitated or Disturbed Persons
7-50-17 Acquiring Equipment Repair
7-50-19 Hospital Based Influenza Immunization
7-50-22 Managing Staff Requests not to Participate in Aspects of Patient Care
7-50-23 Adjustment of Hospital Charges
7-50-24 Reimburseemnt for Patient Property
7-50-27 Scrubs - Authorized Use and Security
7-50-28 The Joint Commission On Accreditation Of Health Care Organizations JCAHO Unannounced Survey Readiness Plan
7-50-31 Approval of Standard Care Arrangements for Hospital Employed Advanced Practice Nurses
7-50-41 Use of Utility Elevator
7-50-42 Disaster Responsibilities for Volunteer Health Care Professionals
7-53-01 Transfer of Designation of Attending Physician
7-53-06 Legal Medical Record
7-53-07 Pre-Procedure Protocols for Outpatient Surgery, Same Day Surgery, and Elective Surgery Patients
7-53-19 Horizon Patient Folder Eelctronic Signature
7-53-20 Management of Obstetric Emergencies
7-53-21 Requirements for Clinical Information on Laboratory Requisitions
7-55-02 Procedures Which May Not Be Performed in Emergency Department
7-60-02 Patient Rights and Responsibilities
7-60-04 Patient Education
7-60-05 Patient Advocacy for Psychiatric Units
7-60-09 Customer Service Values
7-60-11 Personal Cell Phones/Pagers
7-65-02 LIcensure and/or Certification Policy
7-65-04 Requirements for Education Records
7-70-01 Obtaining Controlled Substances Without Certification Medical Indications
7-70-04 Drug Utilization Policies
7-70-05 Therapeutic Drug Subsitution
7-70-09 Drug Food Interation
7-70-12 Medication Management Responsibility
7-70-13 High Alert Medications
7-85-02 Visitors/Patients Accompanied by an Assistance Animal
7-90-09 Receipt, Revision and Retention of Notices