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Policy and Procedures

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El Paso Policies & Procedures

Numerical Index

                                                                                             TABLE OF CONTENTS


1. Leadership/Administration

All Campus Policies

1.01   Mission and Vision

1.03   Statement of Professionalism

1.08   Institutional Health Care Ethics Committee

1.10  Policy Statements Initiation and Issuance

1.11   Policy Approval Flowchart

1.12   Clinic Departmental Policy Requirements

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El Paso Campus Policies

EP 1.1   Verification of Licensure/Certification

EP 1.1A    Verification of Licensure Form

EP 1.2   CPR Certification

EP 1.3   Mid Level Provider Requirements

EP 1.4   Diagnostic Study Results, Review of

EP 1.5  Breast Pumping in The Workplace

EP 1.7   Feral Cat Program

EP 1.8   HR Dress Code Policy

EP 1.9   Tuberculosis Skin Testing Policy

EP 1.9A Tuberculosis Clinic Referral Acknowledgement

EP 1.10   Student Activities on El Paso Campus

EP 1.15   Non Clinical Dress Code Policy


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2. Emergency Procedures

All Campus Policies

2.01     TTUHSC Emergency Paging Codes

2.02     Medical Emergencies in Clinical Areas

2.02A  Cardiopulmonary Arrest Flow Sheet

2.03     Emergency Equipment:  Crash Carts, Drug Boxes & Defribrillators

2.03A   Crash Cart Supplies and Drugs

2.03B   Emergency Equipment Check List

2.03C  Amarillo - Emergency Equipment Inventory

2.03C  El Paso - Emergency Equipment Inventory

2.03C  Lubbock - Emergency Equipment Inventory

2.03C  Odessa - Emergency Equipment Inventory

2.04     Bioterrorism Readiness Plan

2.04A  Amarillo - Contact Numbers

2.04A  El Paso - Contact Numbers

2.04A  Lubbock- Contact Numbers

2.04A  Odessa - Contact Numbers

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El Paso Campus Policies

EP 2.1 Fire Safety Procedures

EP 2.2 Bomb Threat Procedures

EP 2.4 Robbery Situations - How Staff Must React

EP 2.5 Emergency Operations Plan

EP 2.6 Safety Program Management Plan



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3. Patient Care

All Campus Policies

3.01     Patient Assessment

3.02     Assessment and Management of Pain

3.02A  Pain Scales

3.03    Patient Education

3.04    Orders, Receiving and Noting

3.05    Central Line

3.10    Removal of a PICC Line

3.11    Extravasation Management

3.20    Laboratory Requisition and Processing

3.21    Lab Specimen Collection

3.25    Latex Allergy - Suspected or Known

3.26    (Amarillo) - Universal Protocol Verification Process for Invasive Procedures (Amarillo)

3.26A  (Amarillo) - Universal Protocol Checklist (Amarillo)

3.26    (EP-Lbb-PB) - Universal Protocol Verification Process for Invasive Procedures (El Paso, Lubbock and Permian Basin)

3.26A  EP - Universal Protocol Checklist (El Paso)

3.26A  LBB-PB - Universal Protocol Checklist (Lubbock and Permian Basin)

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El Paso Campus Policies

EP 3.1 Critical Laboratory Reporting

EP 3.2 Nursing Care, Standardization of

EP 3.3 Security of Abusable Supplies

EP 3.4 Supply/Medication Rotation

EP 3.5 Medications, Disposal of

EP 3.6 Admission and Transfer of Patients to Hospital

EP 3.7 Requisition Completion for Ancillary Service

EP 3.9 Pharmacy Calls to Clinics 

EP 3.9A Telephone Progress Note



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4. Medication Management

All Campus Policies

4.01     Management of Clinic Stock Drugs & Biologicals

4.01A  Medication Refrigerator Temperature Log

4.02    Sample Drugs Control

4.03    Medication Management, Administration & Documentation

4.04    Medication Administration for Certified Medical Assistants in Ambulatory Care

4.04A  Physician Delegation Statement

4.04B  CMA-Administered Approved Medication List

4.06.   Prescription by Telephone

4.07    Adverse Drug Event Reporting

4.08   Intravenous Medication Administration

4.09   Prescription Form Completion - Required Information

4.10   Multi-Dose Medication Vials - Use, Handling & Expiration

4.11   Physician Delegation of Prescriptive Authority

4.11A Example of Practice Privileges and Written Protocol

4.11B Sample Delegating Physician Supervision Log

4.12   Physician Delegation to Pharmacist



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5. Management of Information/Medical Record

All Campus Policies

5.01    Medical Records Documentation and Confidentiality

5.02    Medical Records Paper Format

5.02A  Amarillo -Medical Records Standard Format

5.02A  El Paso -Medical Records Standard Format

5.02A  Lubbock -Medical Records Standard Format

5.03    Authentication of Entries into the Medical Record

5.05.   Medical Records Form

5.07    Securing Medical Records Pending Litigation

5.08    Acess to the Medical Records Department

5.09    Release of Health Record Information

5.10    Guidelines for Destruction/Disposal of Protected Health Information

5.11    Retention & Retirement of Medical Records

5.12    Adoption Records

5.15    Medial Records Abbreviations

5.15A  UMC/HSC Do Not Use Abbreviations



El Paso Campus Policies

5.2    Downtime Operations Guidelines

5.2A  Downtime Operations Questionnaire

5.2B  Downtime Progress Note

5.3    Medical Records Access for Research

5.4    Medical Records Request and Documentation

5.6    Proximity Cards

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6. Patient Rights/Patient Relationships and Agreements

All Campus Policies

6.01   Patient Rights and Responsibilities

6.02   Patient Concern Procedures

6.03   Obtaining Patient Feedback

6.04   Patients Who Threaten Harm to Themselves or Others

6.05   Patients with Communication, Visual, Hearing or Speech Impairment

6.05A Suggestions Regarding Meeting a Blind Person

6.06    Inmate Management Plan

6.06A  Suggestions for Dealing with Inmate/Prisoner Patients

6.06B  Inmate Management Log

6.06C  Amarillo - Instructions for Inmate Appointments

6.06C  El Paso - Instructions for Inmate Appointments

6.06C  Lubbock - Instructions for Inmate Appointments

6.06C  Odessa - Instructions for Inmate Appointments

6.06D  Inmate Management Plan Policy Violation

6.07    Clinical Research Patients

6.08    Spiritual Care

6.09    Family Participation in Patient Care Decisions

6.20    Advance Directives

6.20A  Advance Directive Consent Form (English)

6.20A.1 Advance Directive Consent Form (Spanish)

6.20B  Disclosure Statement for Medical Power of Attorney (English)

6.20B.1 Disclosure Statement for Medical Power of Attorney (Spanish)

6.20C   Surrogate Decision of Advance Directives (English)

6.20C.1 Surrogate Decision of Advance Directives (Spanish)

6.20D    Mental Health Declaration (English)

6.20D.1 Mental Health Declaration (Spanish)

6.20E   Out of Hospital Do-Not-Resuscitate Order

6.20F   Frequently Asked Questions Regarding Advance Directives

6.20G  Advance Directives - Summary Sheet (English and Spanish)

6.21     Informed Consent

6.21A  Consent for Treatment Guidelines, Who May Sign for Consent

6.21B  Consent to Treatment/Health Care Agreement (English)

6.21B.1 Consent to Treatment/Health Care Agreement (Spanish)

6.21C Alternative Consent for Minor by Non-Parent

6.21D Texas Medical Disclosure Panel List A

6.21D.1  Texas Medical Disclosure Panel List B

6.21E  General Medical/Surgical Procedures Consent (English)

6.21E.1 General Medical/Surgical Procedures Consent (Spanish)

6.22   Refusal to Submit to Treatment and/or Refusal to Follow Physician's Instructions

6.22A Refusal to Submit to Treatment and/or Refusal to Follow Physician's Instructions Form

6.23   Audiovisual Recording, Patient Consent

6.24   Management of Suspected Abuse Victim

6.24A Recognizing and Reporting Child Abuse

6.24B Recognizing and Reporting Elder or Disabled Abuse

6.24C Recognizing and Reporting Adult Victims of Family Violence

6.24D Checklist for DSHS Monitoring

6.24E  Amarillo - Domestic Violence Notice

6.24E  El Paso - Domestic Violence Notice

6.24E  Lubbock - Domestic Violence Notice

6.24E  Odessa - Domestic Violence Notice

6.25    Transportation of Patients

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El Paso Campus Policies

EP 6.2 Persons Accompanying Patients

EP 6.3 Termination of the Physician/Patient Relationship

EP 6.4 Management of the Suspected Abuse Victim

EP 6.4A Recognizing and Reporting Child Abuse

EP 6.4B Reporting Elder Disabled Abuse

EP 6.4C Reporting Adult Victims Family Violence

EP 6.4D Child Abuse Reporting Form

EP 6.4E Notice of Family Violence



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7. Infection Prevention and Control

All Campus Policies

7.01      Infection Prevention & Control Plan

7.02     Exposure Control Plan/Isolation Systems:  Standard Precautions and Transmission-Based Precautions

7.03      Hand Hygiene

7.04      Infection Control, Waiting Room/Lobby

7.05      Disposal of Needles & Sharps

7.06      Disposal of Biohazardous/Infectious Waste

7.07      Management of Blood & Body Fluid Exposures

7.07A   Needlestick Injuries/Exposures to Body Fluids:(Amarillo)

7.07B   Needlestick Injuries/Exposures to Body Fluids:(El Paso)

7.07C   Needlestick Injuries/Exposures to Body Fluids:(Lubbock)

7.07D   Needlestick Injuries/Exposures to Body Fluids:(Odessa)

7.08      Cleaning of Blood Soiled Areas

7.09     Incidental Housekeeping

7.09     Sterilization Procedures, Autoclaves

7.11      Cleaning of Patient Exam Room

7.12      Storage of Linens and Supplies

7.13     Cleaning of Pediatric Toys and Equipment

7.14     Staff Lounge/Break Room Cleaning

7.15.     High Level Disinfection for Reuseable Instruments

7.15A  CIDEX® OPA Test Strip Usage Instructions

7.16  Clinical Waste Disposal Procedures for Infectious Waste

7.17.     Outbreak Investigation of Infectious Diseases

7.18.     Plan to Manage the Influx of Potentially Infectious Patients

7.20      Employee Communicable Disese Policy

7.20A.  CDC Personnel Health Guideline

7.20B . Employee Communicable Disease Report

7.21.     Notifiable Conditions Reporting

7.22.     Healthcare Associated Infection Tracking

7.22A   Healthcare Associated Infection Communication Form

7.23     Clinic Tuberculosis Exposure Control

7.23A   TB Fact Sheet

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El Paso Campus Policies

EP 7.1    Infection Control Screening:  New Employee, Student, Visitor

EP 7.1A TTUHSC-EP Employee, Student Visitor Infections Control Screening Flow Chart

EP 7.2   Standard Precautions for Blood/Body Fluids (Universal Precautions)

EP 7.3   Needlestick Injuries/Exposures to Body Fluids:  Care and Follow Up

EP 7.3A Exposure Control Plan, Bloodborne Pathogens

EP 7.4   Infectious Disease Exposures

EP 7.5   Immuno-Compromised Patients, Care of

EP 7.6   Chemical and Biological Monitoring of Stream Sterilization

EP 7.6A Internal Pack (In-Pack) Monitoring of Steam Sterilization

EP 7.9   Procedure for Notifying Housekeeping for Cleaning Outside of the Normal

EP 7.10   Prevention of Transmission of Hepatitis B, C and HIV from HCW to Patient

EP 7.10A Expert Panel -OH Review and Decisions

EP 7.10B Patient Notification of Exposure

EP 7.10C Physician Attestation

EP 7.10D Exposure Prone Procedures Listing

EP 7.11 Vaccine Administration

EP 7.11A Vaccine Administration - Appendix D

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8. Performance Improvement

All Campus Policies

8.01     Performance Improvement Program

8.02     Occurrence Reporting

8.02A.  Occurrence Report Screen

8.07.    Reporting Information to the National Practitioner Data Bank of the Texas Medical Board

8.10      Risk Management Plan

8.11     Termination of Physician & Patient Relationship

8.11A.  Sample Patient Termination Letter (English)

8.11B   Sample Confirmation of Patient Decision to Transfer or Terminate Care (English)

8.11C.  Sample Patient Termination Letter (Spanish)

8.11D.  Sample Confirmation of Patient Decision to Transfer or Terminate Care (Spanish)

8.12      Management of Sentinel Event

8.12A.   Sentinel Event Root Cause Analysis and Action Plan

8.13      Missed Appointments/No Show Triage

8.13A    Clinic No-Show Physician Triage, Pink Sheet

8.13B    Missed Appointments Sample Letters (English)

8.13C    Missed Appointments Sample Letters (Spanish)


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El Paso Campus Policies

EP 8.1    Performance Improvement Plan

EP 8.1A  Reporting Schedule

EP 8.1E  Terminology



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9. Management of Human Resources

All Campus Policies

9.10    Student Guidelines for Patient Care

9.21    Nursing Service Purpose, Philosophy and Objectives

9.23    Nursing Service Organizational Description and Standardization

9.24    License Verification:  Registered Nurse, Licensed Vocational Nurse

9.25    Definitions and Limitations for GN, GVN & NA's

9.28    Clinical Personnel Dress Code

9.30    Resources Pool Staff

9.31    Nursing Budget Responsibilities

9.31A  Annual Evaluation Format for Unit-Specific Staffing Plans

9.31B  Nursing Management Report

9.50    Volunteer Program Philosophy, Objectives & Organizational Structure

9.50A  Volunteer Rights and Responsibilities

9.50B  Greeter

9.50C  Clerical Assistant

9.50D  Lab Assistant

9.50E  Red Raider Reader

9.50F  Clinic Assistant

9.50G  Observer

9.50H  Animal Therapy Program



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10. Environment of Care

All Campus Policies

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El Paso Campus Policies

EP 10.1 Station on Emergency Eye Wash Shower and Flushing Stations Safety Standard Practice and Policy

EP 10.2 Fire Extinguisher Monthly Inspection - Off site Clinics

EP 10.3 Hazardous Material Emergency Plan

EP 10.4 Formaldehyde Safety Program

EP 10.5 Facility Use Committee

EP 10.6 Strange Ordor Procedure

EP 10.7 Catering Safety



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