Category
Departmental
Category
Surgical and Related Services
Category
Nursing Services
GI Laboratory Policy and Procedure Manual
GI Laboratory Policy and Procedure Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.
SECTION I - ETHICS, RIGHTS AND RESPONSIBILITIES
1001 - Patient Rights and Responsibilities1002 - Informed Consent1003 - Authorization for and Consent to Surgery or Special Diagnostic or Therapeutic Procedures Form1004 - Photographing/Videotaping Patients1005 - Authorization and Consent Form - Photograph and Publication1006 - Confidentiality of Information - General Issues1007 - Advance Directives1008 - Do Not Resuscitate (DNR)1009 - Patient Rights and Responsibilities for Pain Management1010 - Ethical Dilemmas in Patient Care1011 - Resolution of Potential Conflict with Staff Member's Cultural/Ethical/ Religious Belief System
SECTION II - PROVISION OF CARE, TREATMENT AND SERVICES
2001 - Patient Identification for Clinical Care and Treatment2002 - Outpatient Admission and Discharge2003 - Patient Assessment2004 - Assessment of the GI Laboratory Patient2005 - Reassessment2006 - Management of Patient Pain2007 - Pain Management Program - Initial Pain Assessment Form2008 - Pain Assessment in Children2009 - Pain Scale Examples2010 - Behavioral-Physiological Pain Scale for Nonverbal or Preverbal Patients2011 - Care of the Latex Sensitive Patient2012 - Latex Allergy Assessment Form2013 - Latex and Non-Latex Alternatives2014 - Suspected Child, Adult, Disabled Person or Elderly Abuse/Neglect/Exploitation2015 - Patient Requirements for Endoscopy with Laser Therapy2016 - Use of Clinical Alarms on Medical Equipment2017 - GI Laboratory Nursing Documentation2018 - GI Laboratory Nurses' Notes Form2019 - Anesthesia Services2020 - Sedation2021 - Sedation Monitoring Form2022 - Post Anesthesia Care of GI Laboratory Patients2023 - Postoperative GI Complications2024 - Discharge Instructions2025 - Outpatient Post-Op Instructions and Physician's Orders - GI Laboratory Patients2026 - Post Procedure Follow-up Evaluation2027 - Post Procedure Follow-up Evaluation Form2028 - Cardiopulmonary Resuscitation in the GI Laboratory2029 - Specimen Collection in the GI Laboratory2030 - Legal Evidence - Chain of Custody2031 - Waived Testing2032 - Patient Monitoring Equipment2033 - Invasive Procedure Site Identification2034 - Capsule Endoscopy2035 - Colonoscopy, Assisting with2036 - Colonoscopy with Polypectomy, Assisting with2037 - Biopsy, Assisting with2038 - Cytology, Assisting with2039 - BICAP® Coagulation/Heater Probe Unit2040 - Endoscopic Photography, Assisting with2041 - Endoscopic Retrograde Cholangiopancreatography (ERCP), Assisting with2042 - Endoscopic Sphincterotomy (Papillotomy), Assisting with2043 - Esophageal Dilatation with Mercury-Filled Dilators, Assisting with2044 - Esophageal Dilatation with Hydrostatic Balloon2045 - Esophageal Dilatation with Pneumatic Balloon2046 - Esophagogastroduodenoscopy (EGD or Upper GI Endoscopy), Assisting with2047 - Esophagogastroduodenoscopy with Sclerotherapy, Assisting with2048 - Endoscopy Through an Ostomy2049 - Flexible Sigmoidoscopy2050 - Fluoroscopy2051 - Foreign Body Removal2052 - Gastric Analysis with Pentagastrin Stimulation2053 - Hemorrhoid Ligation (Banding)2054 - Bernstein Test2055 - Bernstein Test - Documentation2056 - GI Laboratory - Bernstein Test Form (Sample)2057 - GI Laboratory - Bernstein Test Form2058 - Liver Biopsy, Assisting With2059 - Paracentesis2060 - Percutaneous Endoscopic Gastrostomy (PEG), Assisting with2061 - Proctosigmoidoscopy, Assisting with2062 - Tattooing or Tissue Staining2063 - GI Laboratory Charges2064 - GI Laboratory Charge Sheet2065 - GI Laboratory Pharmacy Sheet2066 - GI Laboratory Nursing Responsibilities
SECTION III - MEDICATION MANAGEMENT
3001 - Automated Dispensing Machines - Access to3002 - Automated Dispensing Machines - Stock Medication3003 - Automated Dispensing Machines - Controlled Substances3004 - Controlled Drug Management in the GI Laboratory3005 - Concentrated Electrolyte Solutions3006 - Medications for the GI Laboratory3007 - Emergency Crash Carts3008 - Emergency Crash Cart Security and Accountability3009 - Emergency Crash Cart and Defibrillator Checklist Signature Form3010 - Emergency Medications3011 - Emergency Medications List3012 - Prescribing/Ordering - General Practices3013 - Verbal and Written Orders - General3014 - Telephone, Verbal and Written Orders for Medications3015 - Pediatric Dosing - General Guidelines3016 - Pediatric Dosing Guidelines for Emergency Medications3017 - Automated Dispensing Machines - Emergency/STAT Medication Orders3018 - Medication Administration3019 - Automated Dispensing Machines - Removing Medications3020 - Safe Medication Practices3021 - Decreasing Medication Errors3022 - Adverse Drug Reaction Reporting3023 - Adverse Drug Reaction Reporting Form3024 - Medication Errors3025 - Medication Inadvertent Incident Report3026 - Medication Inadvertent Incident Report Form3027 - Medication Error Analysis Tool3028 - High-Risk/High Alert Medications3029 - Albumin Usage Record Form
SECTION IV - SURVEILLANCE, PREVENTION AND CONTROL OF INFECTION
4001 - GI Laboratory Attire4002 - Infection Control4003 - Standard Precautions4004 - Hand Hygiene4005 - Sharps Injury Protection Plan4006 - Sharps Injury Log4007 - Disposal of Sharps4008 - Management of Accidental Blood or Body Fluid Exposure/Contamination4009 - Definition of Biohazardous Waste4010 - Handling of Biohazardous Waste4011 - Event-Related Shelf Life - Sterile Storage4012 - High-Level Disinfection of Endoscopes4013 - Fiberoptic Endoscopes - Care and Cleaning4014 - Soak Disinfection System - Glutaraldehyde4015 - Glutaraldehyde Monitoring4016 - Glutaraldehyde Precautions
SECTION V - IMPROVING ORGANIZATION PERFORMANCE
5001 - Performance Improvement Plan5002 - GI Laboratory PI Monitoring and Evaluation Plan5003 - GI Laboratory PI Trending Sheet5004 - GI Laboratory PI Outcome Evaluation5005 - GI Laboratory PI Volume Measures/Statistics5006 - Performance Improvement Activities5007 - Utilization Review Functions5008 - Performance Improvement Indications and Notification Form - GI Lab - Surgery - Anesthesia - PACU5009 - GI Laboratory Patient Phone Questionnaire Form5010 - GI Laboratory Patient Satisfaction Survey Form5011 - Incident Reporting Staff Questionnaire Form5012 - Sentinel Event
SECTION VI - LEADERSHIP
SECTION VII - MANAGEMENT OF THE ENVIRONMENT OF CARE
7001 - GI Laboratory Safety7002 - Patient Safety in the GI Laboratory7003 - Monthly Radiation Exposure Monitoring (Dosimeter)7004 - Hazardous Materials and Waste - Training7005 - How to Read Safety Data Sheets (SDS)7006 - Fire Safety7007 - Fire Safety in an Oxygen Rich Environment - GI Laboratory7008 - Electrical Equipment Safety7009 - Maintenance and Repair of Patient Care Equipment7010 - Inspection of Mercury-Filled Dilators7011 - Endoscopic Equipment - Preparation and Inspection7012 - Leak Test7013 - Electrosurgical Cautery Unit Safety7014 - Electrosurgical Unit - Malfunction Checklist7015 - Laser Therapy in the GI Laboratory7016 - Laser Therapy - Safety Precautions7017 - Infusion Pumps: Equipment Inspection, Care and Maintenance
SECTION VIII - MANAGEMENT OF HUMAN RESOURCES
8001 - Position Description/ Performance Evaluation - GI Laboratory Head Nurse8002 - Performance Evaluation - Age-Related Competency - GI Laboratory Head Nurse8003 - Annual Competency Clinical Skills Assessment - GI Laboratory Head Nurse8004 - Position Description/ Performance Evaluation - GI Laboratory Registered Nurse8005 - Performance Evaluation - Age-Related Competency - GI Laboratory Registered Nurse8006 - Annual Competency Clinical Skills Assessment - GI Laboratory Registered Nurse8007 - Position Description/ Performance Evaluation - GI Laboratory LPN/LVN8008 - Performance Evaluation - Age-Related Competency - GI Laboratory LPN/LVN8009 - Annual Competency Clinical Skills Assessment - GI Laboratory LPN/LVN8010 - New Employee Orientation8011 - GI Laboratory Orientation Checklist8012 - Education and Training8013 - Education Profiles8014 - Staff Competency
SECTION IX - MANAGEMENT OF INFORMATION
SECTION X - MEDICAL STAFF