|







 | | Policy and Procedures
Why re-create the wheel. Most policies and procedures that we develop have already
been developed before. This page will allow you to view other policies and procedures that
are already in use at other hospitals and Ambulatory Surgical Centers. Please use these
policies and procedures as a basis for developing your own institutions policies.
Remember, what works in one institution may or may not work in another.

Here is the disclaimer:
 | These policies may or may not have what you need!
|
 | These policies may or may not meet the current local/state/federal guidelines! |
 | These are free policies and procedures, you may or may not get more than you paid for!
:) |
 | Use them as a basis for creating you institutions own policies and procedures! |
 | The San Antonio Chapter of AORN, AORN, nor the web master of this site do not warrant
these policies and procedures. |
 | The San Antonio Chapter of AORN, AORN, nor the web master of this site are responsible
for the content or ultimate use of these policies and procedures! |
 | Use these policies and procedures at your own risk! |
I have placed a new sign by all new policies when this page is updated.

To view a policy or procedure, just click on "Text" across from the title. To
download a policy or procedure, move the mouse to the desired policy or procedure, click
the right button, highlight "Save Target As_" (Internet Explorer) or "Save
Link As_" (Netscape) , choose the place on your hard drive to store the file to, give
the file a good name, click OK, and there you have it. For you folks using a Mac, click on
the underlined word "Text" and a window will appear with the prompt "Save
this document as." Select a meaningful title and where you want to save it (desktop
or a file folder) and press "Save." (Thanks to Mary Ritchie, Alameda County AORN
web manager for the MAC instructions.)

You can search the page for a key word by using the "Find" choice under your
Edit menu choices. Go to Edit, point your cursor at "Find", type in the key word
and then click on "Find Next". If you find the word but not what you're looking
for, click on find Next" until you do.

Please go to this page for submitting policies or procedures.

You can be notified of any change to this page by NetMind.
Click here to register
.

Policies
|
Policy Title
|
Use in ASC, GI Clinic, Hospital |
Submitted By |
Date Submitted |
Formatted / Text |
Admission to Day Surgery |
ASC, Hospital |
Jim Easter |
3/24/98 |
Text |
Admission to Day Surgery/Hospital |
ASC, Hospital |
Mary Easter |
3/24/98 |
Text |
Age Specific Case Studies |
ASC, GI Clinic, Hospital |
Sophia Mikos-Schild |
1/26/99 |
Rich Text Format |
Age Specific Case Studies Answers |
ASC, GI Clinic, Hospital |
Sophia Mikos-Schild |
3/1/99 |
Text |
Age Specific Competencies
The only difference I can see between 1 and 2 is who can sign the form. |
ASC, GI Clinic, Hospital |
Melanie McKennett,
Boone, North Carolina |
1/25/99 |
# 1 W4W 6
# 1 Text
# 2 W4W 6
# 2 Text |
Age Specific Competencies Test |
ASC, GI Clinic, Hospital |
Melanie McKennett,
Boone, North Carolina |
1/25/99 |
Test Only W4W 6
Test Only Text
W4W 6 w/ Answers
Text w/ Answers |
Anesthesia Technician
Competency |
All |
Bob Baxter |
6/1/02 |
W4W |
Aseptic Technique in the OR |
ASC, GI Clinic, Hospital |
Mary Easter |
3/24/98 |
Text |
Assessment/Reassessment of Patient |
ASC, Hospital |
Mary Easter |
3/24/98 |
Text |
Block Scheduling |
ASC, Hospital |
Brenda Munns
Flagstaff AZ |
10/11/98 |
W4W
Text |
Block Scheduling |
ASC, Hospital |
Janet Dysart
North Vancouver, British Columbia, Canada |
3/1/99 |
W4W
Text |
|
Bone: Handling of Autologous Bone For Future Reimplantation
|
ASC, Hospital |
Kathryn Ammon |
12/05/01 |
W4W |
Booking Guidelines
Block Scheduling |
ASC, Hospital |
Sharon Abramson
Sault Ste. Marie, Canada |
10/2/98 |
W4W 6.0
Text |
Block
Scheduling |
ASC, Hospital |
Bob Baxter |
4/24/01 |
Text |
Call Pay - Compensation |
Hospital |
Mary Easter |
3/24/98 |
Text |
Children and Anesthesia |
ASC, Hospital |
Karen Whittaker,
Adelaide, S. Australia |
9/30/98 |
W4W 6.0
Text |
Cleaning Procedures - Day Surgery |
ASC, Hospital |
Mary Easter |
3/24/98 |
Text |
| Clinical Advancement Program |
All |
Christina Flynn |
1/27/02 |
Word |
| Clinical Advancement Program
Verification |
All |
Christina Flynn |
1/27/02 |
Word |
| Clinical
Educator Job Description |
All |
Kathleen Mack |
1/27/02 |
Word |
| Clinical
Ladder RN |
All |
Monica
Jones Alexandria, LA. |
9/20/01 |
Word 7.0 |
| Clinical
Ladder ORT/LPN |
All |
Monica
Jones Alexandria, LA. |
9/20/01 |
Word 7.0 |
Conscious Sedation |
ASC, GI Clinic, Hospital |
Beth Gasson
|
2/12/99 |
W4W 6.0
Text |
Conscious Sedation |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
3/24/98 |
Text |
| Conscious Sedation
H&P |
ASC, GI Clinic, Hospital |
Amy Crouse |
12/15/01 |
W4W |
| Conscious Sedation
Permit |
ASC, GI Clinic, Hospital |
Amy Crouse |
12/15/01 |
W4W |
| Conscious Sedation
Record 1 |
ASC, GI Clinic, Hospital |
Amy Crouse |
12/15/01 |
W4W |
| Conscious Sedation
Record 2 |
ASC, GI Clinic, Hospital |
Amy Crouse |
12/15/01 |
W4W |
| Conscious Sedation
Policy |
ASC, GI Clinic, Hospital |
Amy Crouse |
12/15/01 |
W4W |
Counts |
ASC, Hospital |
Jill Bleming |
3/24/98 |
Text |
Count Policy |
ACS, Hospital |
Karen Whittaker,
Adelaide, S. Australia |
9/30/98 |
W4W 6.0
Text |
Count Policy |
All |
Rachel Baron |
4/24/01 |
Text |
| Creuztfeldt Jacobs Disease |
All |
Marcy McKay |
3/28/00 |
Word 7.0 Text |
| Creuztfeldt Jacobs Information |
All |
Chip Moore Getinge
Castle |
4/12/00 |
Rich Text Format |
| Creuztfeldt Jacobs Disease |
All |
Chip Moore Getinge
Castle |
4/12/00 |
Word 7.0 |
|
Creuztfeldt Jacobs Disease
|
All |
|
9/7/01 |
Word 7.0 |
C-Sections |
Hospital |
Karen Whittaker,
Adelaide, S. Australia |
9/30/98 |
W4W 6.0
Text |
Discharge From PACU |
ASC, Hospital |
Jill Bleming |
3/24/98 |
Text |
Discharge Criteria |
ASC,Hospital |
D. Grunwald
Colorado |
5/26/98 |
Text |
Discharge Instructions |
ASC,Hospital |
D. Grunwald
Colorado |
5/26/98 |
Text |
Discharge Planning / Patient Education |
ASC,Hospital |
D. Grunwald
Colorado |
5/26/98 |
Text |
Discharge Planning |
ASC, Hospital |
Jill Bleming |
3/24/98 |
Text |
|
Disruptive Behavior Policy |
All |
|
9/7/01 |
Word 7.0 |
E-Mail Policy |
ASC, Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
10/4/98 |
Text |
Evidence, Chain of Custody |
ASC, Hospitsl |
Kurt Remmert
San Antonio, TX |
10/4/98 |
Text |
Flash Sterilization |
ASC, GI Clinic, Hospital |
Jill Bleming |
3/24/98 |
Text |
General Personnel Policies |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
3/24/98 |
Text |
Gloving Procedure |
ASC, GI Clinic, Hospital |
Jill Bleming |
3/24/98 |
Text |
Gowning Procedure |
ASC, GI Clinic, Hospital |
Jill Bleming |
3/24/98 |
Text |
HEPA Filter Masks |
ASC, GI Clinic, Hospital |
Jill Bleming |
3/24/98 |
Text |
Infection Control in the OR |
ASC, GI Clinic, Hospital |
Jill Bleming |
3/24/98 |
Text |
Infection Control in PACU |
ASC, Hospital |
Jill Bleming |
3/24/98 |
Text |
Infection Control - VRE |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
4/28/98 |
Text |
Infection Control - Multiple Drug Resistant Organisms |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
4/28/98 |
Text |
Job Descriptions and stuff |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
3/24/98 |
Text |
Job Descriptions and stuff |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
3/24/98 |
Text |
Job Descriptions and stuff |
ASC, GI Clinic |
Kurt Remmert
San Antonio, TX |
3/24/98 |
Text |
Laser: Mask / Gloves Used |
ASC, Hospital |
Lynn Vanhamp |
3/24/98 |
Text |
Latex Allergy Patient Protocol |
ASC, Clinic, Hospital |
Pat Davidson
Sandpoint, Idaho |
10/2/98 |
Text |
| Latex Screening Tool |
All |
Karen DesJardin Rochester,
NY |
3/28/00 |
Word 7.0 Text |
Malignant Hyperthermia |
ASC, GI Clinic, Hospital |
Mark Javas |
3/24/98 |
Text |
| MRSA/VRE |
All |
Marcy McKay |
3/28/00 |
Word 7.0 Text
(rtf) |
| Medication
Labeling |
All |
Ron Macleod |
1/27/02 |
Word |
| Medication
Test |
All |
Marianne Savela |
4/24/01 |
Test
Answer |
| Neutral Zone Policy |
All |
Marcy McKay |
3/28/00 |
Word 7.0 Text |
Nursing Documentation in Surgery |
ASC, GI Clinic, Hospital |
Mark Javas |
3/24/98 |
Text |
Orientation in Surgery |
ASC, Hospital |
Mark Javas |
3/24/98 |
Text |
O. R. Utilization Guidelines |
ASC, Hospital
|
Sharon Abramson
Sault Ste. Marie, Canada |
10/2/98 |
W4W 6.0
Text |
| ORT/LPN Clinical Ladder |
All |
Monica J. Jones |
9/7/01 |
Word 7.0
|
Orientation
Pathways |
ASC, Hospital |
Victor
Convertino |
8/7/02 |
XLS File |
Perioperative Orientation |
Hospital |
Melanie McKennett,
Boone, NC |
9/27/98 |
WP 7.0
Text
W4W 6.0 |
Patient Identification |
ASC, Hospital, Clinic |
Karen Whittaker, Adelaide, S. Australia |
9/30/98 |
W4W 6.0
Text |
Patient Rights |
ASC, GI Clinic, Hospital |
Mark Javas |
3/24/98 |
Text |
Pharmacy Policies |
ASC, GI Clinic |
Mark Javas |
3/24/98 |
Text |
Pharmacy Policies |
ASC, GI Clinic |
Mark Javas |
3/24/98 |
Text |
|
ASC, Hospital |
Kurt Remmert
San Antonio, TX |
9/27/98 |
Text
|
Post-op Calls - Infection Control |
ASC, GI Clinic, Hospital |
Mark Javas |
3/24/98 |
Text |
Post-op Calls Follow-up |
ASC, GI Clinic, Hospital |
Mark Javas |
3/24/98 |
Text |
Post-op Calls |
ASC, GI Clinic, Hospital |
Kurt Remmert
San Antonio, TX |
3/24/98 |
Text |
Post-op Calls |
ASC,Hospital |
D. Grunwald
Colorado |
5/26/98 |
Text |
Post-op Minimum Stay |
ASC,Hospital |
D. Grunwald
Colorado |
5/26/98 |
Text |
| Preparation
of Surgical Patient |
All |
Debbie Joplin |
1/4/02 |
Text |
Pre-op Preparations |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |
Preceptor's Role in the OR |
ASC, Hospital |
Mike Camper |
3/24/98 |
Text |
Private Scrub |
ASC, Hospital |
Melanie McKennett |
11/15/98 |
W4W 6.0
Text |
Procedures - GI #-1 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-2 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-3 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-4 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-5 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-6 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-7 |
ASC, GI Clinic, Hospital |
Kurt Remmert
Texas |
3/24/98 |
Text |
Procedures - GI #-8 |
GI Clinic |
Kurt Remmert
Texas |
3/24/98 |
Text |
|
Product
Evaluation Worksheet |
ASC, GI Clinic, Hospital |
Beverly
Anglin |
3/22/02 |
JPG |
Reprocessing Disposables |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |
| Release of Responsibility |
All |
Melanie McKennett |
3/28/00 |
Word 7.0 Text (rtf) |
RNFA RN First Assistant |
ASC, Hospital |
Melanie McKennett |
11/7/98 |
W4W 6.0
Text |
Sharps - Safe Handling |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |
Single Use Items |
ASC, Hospital, Clinic |
Karen Whittaker, Adelaide, S. Australia |
9/30/98 |
W4W 6.0
Text |
Sterilization of Implants |
ASC, Hospital |
Mike Camper |
3/24/98 |
Text |
| Sterile
Processing Orientation |
ASC, GI Clinic, Hospital |
Betty
Vande
Slunt
Fond du Lac,
WI |
10/10/01 |
Word 7 |
Steris Competencies |
ASC, GI Clinic, Hospital |
Sophia Mikos-Schild |
3/1/99 |
W4W 6.
Text |
Surgical Assistant (Not RNFA) |
ASC, Hospital |
Melanie McKennett |
11/15/98 |
W4W 6.0
Text |
Surgical Site Marking |
ASC, Hospital |
Name Witheld |
11/7/98 |
W4W 6.0
Text |
| Surgical Site Identification |
All |
Renee Khalar |
4/24/01 |
Text |
| Surgical Site Identification |
All |
Robin Vedders
|
9/7/01 |
Word 7 |
|
Surgical
Side/Site Identification
|
All |
Deb
Spratt |
1/3/02 |
Word 7 |
| Surgical
Site Verification Policy |
All |
Debbie Joplin |
1/4/02 |
Word
372 KB |
| Surgical
Site Verification Checklist |
All |
Debbie Joplin |
1/4/02 |
Word |
| Surgical
Site - Wrong Side Checklist |
ASC, Hospital |
Debbie Galante |
3/22/02 |
JPG |
Surgical Skin Preps |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |
Traffic Control in PACU |
ASC, Hospital |
Mike Camper |
3/24/98 |
Text |
Traffic Control in the OR |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |
Transfer of Patients in the OR |
ASC, Hospital |
Mike Camper |
3/24/98 |
Text |
Transfer Patients Under Anesthesia |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |
|
Warmed
Storage of IV and Irrigation Solution |
ASC, GI Clinic, Hospital |
Lori Debes |
4/21/01 |
Text |
Wound Classification |
ASC, GI Clinic, Hospital |
Mike Camper |
3/24/98 |
Text |

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