Medical Group Policy and Procedure Manual for Clinical Departments

The Medical Group Policy and Procedure Manual for Clinical Departments contains policies and procedures for nursing, radiology, urgent care and infection control program, and provides nursing staff competency standards

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Table of ContentsCopyrightDisclaimer
SECTION 01 - NURSING
General Policies
10001 - Signature Page10002 - Organizational Chart10003 - Medical Record Standards10004 - Patient Problem List10005 - Prescription Medication Record10006 - Medical Office Documentation10007 - Emergency Supplies - Offices10008 - Emergency Supplies Check Sheet10009 - Patient Care Emergencies10010 - Phone Triage10011 - Documentation of Phone Calls10012 - Pharmaceuticals10013 - Medication Error Classification Form10014 - Refrigerator / Freezer Temperature Checklist10015 - Expired Drug Log10016 - Controlled Substance Documentation10017 - Narcotic Drug Dispensation Record10018 - Narcotic Count Record10019 - Staffing During Invasive Procedures10020 - Labeling and Transporting of Biopsy Specimens10021 - Reporting of Injuries Related to Criminal Conduct10022 - Reporting Patient Abuse - Child10023 - Reporting Patient Abuse - Adult10024 - Appointment Follow-Up Procedure10025 - Appointment Failure Notification10026 - Reschedule Notification Form - Exhibit A10027 - Reschedule Notification Form - Exhibit B10028 - Reschedule Notification Form - Exhibit C10029 - Reschedule Notification Form - Exhibit D10030 - Reschedule Notification Form - Exhibit E10031 - Physician Acknowledgment of Diagnostic Results and Consultations10032 - Patient Notification of Abnormal Lab / X-Ray Results10033 - Sterilization of Instruments10034 - Translator Referral List10035 - Personnel Competency10036 - Nursing Department Orientation Checklist10037 - Nursing Department Competency Tool10038 - Confidentiality10039 - Confidentiality Statement10040 - Refusal of Treatment10041 - Refusal to Permit Medical Treatment Form10042 - Safety / Disaster Preparedness10043 - Scope of Practice - Medical Assistants10044 - Scope of Practice - Licensed Vocational / Practical Nurses10045 - Scope of Practice - Registered Nurses
SECTION 02 - URGENT CARE
Quality Management / Quality Control
20801 - Urgent Care Center Guidelines for Operation20802 - Supplies and Equipment20803 - Crash Cart Checklist20804 - Pharmaceuticals20805 - Quality Management Plan20806 - Quality Management Review20807 - Quality Management Work Plan - Medical20808 - Urgent Care - Medical Trending Sheet20809 - Urgent Care Medical Staff Quality Assessment Review - Lacerations20810 - Urgent Care Medical Staff Quality Assessment Review - Chest Pain20811 - Urgent Care Medical Staff Quality Assessment Review - Abdominal Pain20812 - Urgent Care Medical Staff Quality Assessment Review - Orthopedic Injuries20813 - Urgent Care Medical Staff Quality Assessment Review - Respiratory Distress20814 - Urgent Care Medical Staff Quality Assessment Review - Sepsis20815 - Urgent Care Medical Staff Quality Assessment Review - Seizures20816 - Urgent Care Medical Staff Quality Assessment Review - Pediatric Fever20817 - Urgent Care Medical Staff Quality Assessment Review - Pediatric Gastroenteritis20818 - Urgent Care Medical Staff Quality Assessment Review - Eye Pain, Injury20819 - Urgent Care Medical Staff Quality Assessment Review - Generic Chart Review20820 - Urgent Care Medical Staff Quality Assessment Review - Code Blue20821 - Urgent Care Medical Staff Quality Assessment Review - Return to Clinic Within 72 Hours (Not Routine Follow-up)20822 - High Risk Call Back Questionnaire20823 - Quality Management Work Plan - Nursing20824 - Trending Sheet20825 - Nursing Staff Quality Assessment Review - Documentation20826 - Nursing Staff Quality Assessment Review - AMA20827 - Nursing Staff Quality Assessment Review - Left Without Being Seen20828 - Nursing Staff Quality Assessment Review - Elopement20829 - Definitions20830 - Follow-Up Care for Patients Being Discharged Home20831 - Infection Control Worksheet20832 - Patient Satisfaction Questionnaire
SECTION 04 - INFECTION CONTROL