| Procedure Log | |||||||
| Last Update: 5/4/04 | |||||||
| *Procedures in yellow have been discontinued. | |||||||
| CHANGE LEGEND: Standards Update, Minor Change/Typo, Rework Procedure, Discountinued, Title Change, New Procedure | |||||||
| Procedure | Location | Origin Date | Change | Appr. Date | Upload Date | Version # | Contact |
| Absence Request/Report Form | 4/2/1987 | D | 4/23/1998 | 4/28/1998 | 4 | S. Orioli | |
| Abuse and/or Neglect Assessment Criteria | v2c3sB | 6/7/1999 | M | 11/5/2002 | 12/16/2002 | 5 | G. Gigax |
| Abuse and/or Neglect Assessment Responsibilities | v2c3sB | 6/7/1999 | M | 11/5/2002 | 12/16/2002 | 5 | G. Gigax |
| Abuse/Neglect/Exploitation Definitions | v2c1sC | 10/30/1991 | M | 10/1/2002 | 12/16/2002 | 8 | M. Moran |
| Abuse/Neglect/Exploitation Investigations | v2c1sC | 3/26/1997 | D | 6/6/2000 | 9/28/2000 | 3 | M. Moran |
| Access to Open Record Request form | v4 | 9/27/2002 | N | 4/1/2003 | 4/14/2003 | 2 | A. Oren |
| Accountability for Equipment | v1c5sA | 4/5/2002 | M | 8/2/2002 | 8/22/2002 | 2 | G. Herrejon |
| Accounting for Disclosing Patient Information | v2c1sE | 10/24/2002 | M | 3/26/2004 | 4/8/2004 | 2 | A. Oren |
| Accounts Payable | v1c3sA | 4/1/1988 | M | 7/2/2002 | 8/22/2002 | 8 | E. Williams |
| Accounts Receivable | v1c3sA | 4/1/1988 | M | 7/2/2002 | 8/22/2002 | 9 | E. Williams |
| Activity Therapy Food Preparation and Service | v1c6sC | 7/21/1988 | D | 10/4/1999 | 10/4/1999 | 6 | J. Norlund |
| Activity Therapy Kitchen Maintenance | v1c6sC | 7/21/1988 | D | 10/4/1999 | 10/4/1999 | 6 | J. Norlund |
| Acuity | 11/14/1997 | D | 4/14/2000 | 5/8/2000 | 2 | A. Mackey | |
| Addressograph Card | v2c2sB | 2/7/1991 | M | 1/8/2004 | 2/6/2004 | 7 | G. Gigax |
| Administration Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | L. Henry |
| Administration Fire Plan | v3c3sB | 10/31/1991 | M | 2/4/2003 | 3/26/2003 | 7 | L. Henry |
| Administrative Alert form | v4 | 8/1/1997 | M | 4/1/2003 | 4/14/2003 | 7 | D. Matthews |
| Administrative Alert-After Hours/Weekends | v1c7sB | 8/1/1997 | M | 10/1/2002 | 12/16/2002 | 6 | D. Matthews |
| Administrative and Medical Clearance | v2c2sB | 8/15/2000 | D | 1/16/2001 | 3/8/2001 | 2 | G. Gigax |
| Administrative and Medical Clearance form | v4 | 8/15/2000 | D | 1/16/2001 | 3/8/2001 | 2 | G. Gigax |
| Administrative Conference Room Scheduling | 2/18/1987 | D | 7/3/1997 | 7/28/1997 | 5 | L. Henry | |
| Administrative Leadership Hospital Process Review | v5c1sA | 2/26/1999 | D | 8/1/2000 | 9/14/2000 | 3 | D. Quick |
| Administrative Library | v1c8 | 10/31/1991 | D | 5/2/2000 | 8/23/2000 | 5 | D. Quick |
| Administrative Policies | v5c2 | 10/31/1991 | M | 1/8/2002 | 3/14/2002 | 4 | D. Quick |
| Administrative Policy and Procedure Review | 10/31/1991 | D | 2/26/1999 | 2/27/1999 | 6 | D. Quick | |
| Administrative Request for Court-Ordered Services | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 7 | S. Foster |
| Admission History and Physical - Initial Psychiatric Examination | v2c3sA | 2/28/1991 | M | 11/5/2002 | 12/16/2002 | 12 | R. Varner |
| Admission History and Physical and Psychiatric Evaluation | 2/28/1991 | D | 3/5/1999 | 3/28/1999 | 6 | R. Varner | |
| Admission to Inpatient Unit from Outpatient Services | v2c2sC | 7/9/1998 | M | 1/8/2004 | 2/6/2004 | 5 | G. DeJean |
| Admissions | v2c2sA | 6/20/1991 | D | 10/4/1999 | 10/4/1999 | 5 | G. Gigax |
| Adult Patient Care and Treatment Rights | v2c1sD | 1/15/1987 | M | 10/1/2002 | 12/16/2002 | 9 | M. Moran |
| Adult Patient Personal Rights and Confidentiality | v2c1sD | 1/15/1987 | M | 10/1/2002 | 12/16/2002 | 9 | M. Moran |
| Adult Patient Special Rights | v2c1sD | 1/15/1987 | M | 10/1/2002 | 12/16/2002 | 9 | M. Moran |
| Advance Directives | v2c2sB | 2/20/1992 | M | 1/8/2004 | 2/6/2004 | 12 | J. Gunn |
| Advance Directives form | v4 | 2/20/1992 | M | 4/1/2003 | 4/14/2003 | 10 | J. Gunn |
| Adverse Weather Response | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | T. Sikorski |
| Advocacy, Inc. Access to Patients | v2c1sB | 6/23/1995 | M | 10/1/2002 | 12/16/2002 | 6 | M. Moran |
| After Hour Warrant Applications | v2c2sB | 12/4/2000 | M | 1/8/2004 | 2/6/2004 | 3 | G. Gigax |
| Aftercare Referral Summary | 6/20/1991 | D | 10/4/1996 | 10/28/1996 | 3 | D. Morgan | |
| Age-Appropriate Toys | 10/3/2000 | D | 5/14/2003 | 5/19/2003 | 2 | A. Mackey | |
| Agency Staff - Orientation and Evaluation | 9/30/1994 | M | 5/14/2003 | 5/19/2003 | 6 | A. Mackey | |
| Alleged Victims of Abuse | 9/30/1994 | D | 7/17/1997 | 7/26/1997 | 2 | A. Mackey | |
| Ambulance Services | v3c2sA | 9/14/1992 | M | 1/7/2003 | 3/24/2003 | 7 | A. Mackey |
| Ancillary Services | 6/20/1991 | D | 8/5/1997 | 8/28/1997 | 3 | A. Mackey | |
| Annual Operating Budget | v1c3sB | 4/1/1988 | M | 7/2/2002 | 8/22/2002 | 8 | E. Williams |
| Anti-Infective Order Form | 6/20/1991 | D | 7/19/1996 | 7/29/1996 | 3 | D. Winkler | |
| Anti-Infective Utilization Review | 6/20/1991 | D | 7/19/1996 | 7/29/1996 | 3 | D. Winkler | |
| Application -Emergency Detention-Sec 28(a) (A20) | v4 | 12/4/2000 | M | 4/1/2003 | 4/14/2003 | 3 | J. Gunn |
| Application for Modification - Inpatient to Outpatient or Change of Programs | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 6 | S. Foster |
| Approved Abbreviations and Symbols for Charting | v4 | 2/28/1991 | R | 7/14/2003 | 7/15/2003 | 12 | R. Varner |
| Assent to Consideration of ECT | v4 | 6/20/1991 | D | 9/12/2001 | 9/21/2001 | 6 | R. Varner |
| Assignment for Admission | 1/6/1987 | D | 5/14/2003 | 5/21/2003 | 6 | A. Mackey | |
| Attendance and Punctuality | 4/23/1998 | D | 1/28/2000 | 1/28/2000 | 4 | S. Orioli | |
| Attendance and Punctuality Expectations | 4/28/1998 | D | 11/5/1999 | 11/8/1999 | 2 | S. Orioli | |
| Attendance and Punctuality Guidelines | 4/11/1991 | D | 4/23/1998 | 4/23/1998 | 3 | S. Orioli | |
| Attendance and Punctuality Incentive Program | 4/23/1998 | D | 11/5/1999 | 11/8/1999 | 2 | S. Orioli | |
| Attendance Award Plan | 4/28/1998 | D | 12/21/2001 | 6/21/2002 | 6 | S. Orioli | |
| Attendance of HCPC Staff | 1/30/1997 | D | 2/22/1999 | 2/26/1999 | 2 | S. Orioli | |
| Attending Physician Changes | v2c2sB | 1/5/1989 | M | 1/8/2004 | 2/6/2004 | 10 | R. Varner |
| Attending Physician's Tasks | v2c6 | 4/20/2001 | M | 5/6/2003 | 5/6/2003 | 2 | P. Averill |
| Authorization to Disclose Patient Information form | v4 | 4/22/1999 | M | 4/1/2003 | 4/14/2003 | 7 | G. Gigax |
| Authorization to Release Medical Record Information | v4 | 2/19/2002 | R | 4/8/2003 | 4/10/2003 | 2 | J. Carter-Smith |
| Bedpans/Urinals/Fireman's Caps | 10/1/1991 | M | 5/14/2003 | 5/19/2003 | 4 | A. Mackey | |
| Behavioral Objectives | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| Billing and Financial Obligations | v2c2sB | 11/30/1993 | M | 1/8/2004 | 2/6/2004 | 8 | E. Williams |
| Blood Culture Collection | 6/1/1988 | M | 4/7/2003 | 4/7/2003 | 7 | A. Mackey | |
| Blood or Body Fluid Exposures | 12/4/1987 | D | 10/4/1999 | 10/4/1999 | 6 | S. Parnell | |
| Blood or Body Fluid Spills | 12/4/1987 | D | 10/4/1999 | 10/4/1999 | 6 | S. Parnell | |
| Blood Transfusions | v1c6sB | 12/1/1986 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Blue Card Psychiatric Technicians | 2/23/1995 | M | 5/14/2003 | 5/19/2003 | 3 | A. Mackey | |
| Bomb Threat Report form | v4 | 11/6/1991 | M | 4/1/2003 | 4/14/2003 | 8 | T. Sikorski |
| Bomb Threat/Terrorism Response | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Brain Imaging Request | v4 | 9/9/1993 | M | 4/1/2003 | 4/14/2003 | 7 | R. Varner |
| Breakdown or Accident (UTHCPC Vehicles) | v1c5sB | 1/17/1997 | M | 8/6/2002 | 8/22/2002 | 5 | G. Herrejon |
| Brief Admission/Transfer Form | 4/4/1991 | D | 12/13/2001 | 12/20/2001 | 5 | A. Mackey | |
| Brief Initial Psychiatric Examination | v4 | 9/18/2002 | N | 4/1/2003 | 4/14/2003 | 2 | N. Gruber |
| Brief Psychiatric Rating Scale | v2c2cC | 12/8/1995 | D | 6/6/2000 | 9/28/2000 | 4 | D. Madrigal |
| Budget Modification Process | v1c3sB | 6/4/1993 | M | 7/2/2002 | 8/22/2002 | 6 | E. Williams |
| Budget Modification Request form | v4 | 6/4/1993 | M | 4/1/2003 | 4/14/2003 | 7 | E. Williams |
| Building Services Emergency Preparedness | 11/6/1991 | D | 7/7/1997 | 7/29/1997 | 3 | T. Sikorski | |
| Cardiopulmonary Resuscitation Certification | v1c2sB | 6/17/1991 | M | 7/2/2002 | 8/22/2002 | 8 | A. Tryals |
| Cardiopulmonary Resuscitation Certification | 6/17/1991 | D | 10/3/2000 | 10/4/2000 | 6 | A. Mackey | |
| Cardiopulmonary Resuscitation Evaluation Record | 12/1/1986 | D | 7/30/1997 | 7/30/1997 | 5 | A. Mackey | |
| Care of Patients Process (TX) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | G. Gigax |
| Case Management | v2c2sF | 6/20/1991 | D | 6/6/2000 | 9/28/2000 | 5 | B. Dybala |
| Cases Involving Property Damage | v3c5sD | 8/10/1995 | M | 2/4/2003 | 3/26/2003 | 6 | L. Moore |
| Categorization of Patients for Evacuation | v3c2sB | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Centrifuge | 4/7/2003 | N | 4/7/2003 | 4/7/2003 | 1 | A. Mackey | |
| Certificate of Least Restrictive Alternative form | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 5 | S. Foster |
| Certificate of Least Restrictive Alternative Treatment | v2c5 | 8/15/1988 | M | 12/16/2002 | 3/19/2003 | 5 | S. Foster |
| Certificate of Medical Examination - Modification to Inpatient - Section 53 | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 6 | S. Foster |
| Certificate of Medical Examination - Modification to Outpatient - Section 53 | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 5 | S. Foster |
| Certificate of Medical Examination with OPC - Extended - Section 33 | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 5 | S. Foster |
| Certificate of Medical Examination with OPC - Section 3.03 - Chemical Dependency | v4 | 12/3/1989 | M | 4/1/2003 | 4/14/2003 | 6 | S. Foster |
| Certificate of Medical Examination with OPC - Temporary - Section 33 | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 7 | S. Foster |
| Certificate of Return - Application and Affidavit to Magistrate | v4 | 10/24/2002 | N | 4/1/2003 | 4/14/2003 | 2 | J. Gunn |
| Certificate of Return - To Any Health or Peace Officer in the State of Texas | v4 | 8/15/1988 | R | 4/1/2003 | 4/14/2003 | 8 | J. Gunn |
| Changing Tracheostomy Ties | 11/16/1990 | D | 10/2/2001 | 10/11/2001 | 6 | S. Parnell | |
| Chaplain Assessment/Services | v2c3sC | 6/20/1991 | M | 11/5/2002 | 12/16/2002 | 7 | S. Hodges |
| Charge Description Master Update | v4 | 10/4/1999 | M | 4/1/2003 | 4/14/2003 | 4 | E. Williams |
| Chart Checks | 9/18/1998 | M | 9/25/2003 | 9/29/2003 | 5 | A. Mackey | |
| Chemical Dependency Addendum | 2/28/1991 | D | 6/21/1996 | 6/26/1996 | 3 | D. Morgan | |
| Child and Adolescent Admission Criteria | v2c2sA | 10/31/1991 | M | 1/8/2004 | 2/6/2004 | 11 | G. Gigax |
| Child and Adolescent Free Use Therapy Room | 7/2/1993 | D | 7/30/1997 | 7/30/1997 | 3 | J. Gunn | |
| Child and Adolescent Open Seclusion | 6/28/1993 | D | 7/30/1997 | 7/30/1997 | 3 | J. Gunn | |
| Child and Adolescent Psychosocial Assessment Dictation Format | 2/28/1991 | D | 6/21/1996 | 6/26/1996 | 3 | D. Morgan | |
| Child/Adolescent Admission Assessment Addendum | 1/14/1994 | D | 6/21/1996 | 6/26/1996 | 2 | D. Morgan | |
| Classes of Medication Requiring Consent | v2c3sH | 2/17/1994 | M | 11/5/2002 | 12/16/2002 | 10 | D. Winkler |
| Cleaning a Tracheostomy | 11/16/1990 | D | 11/5/2002 | 12/16/2002 | 7 | S. Parnell | |
| Cleaning a Tracheostomy Ties | 11/16/1990 | D | 11/5/2002 | 12/16/2002 | 7 | S. Parnell | |
| Cleaning and Disinfecting a Blood or Body Fluid Spill | v1c6sD | 12/4/1987 | M | 10/6/2003 | 10/6/2003 | 10 | S. Parnell |
| Cleaning Catheter and Urinary Meatus | v2c3sI | 11/16/1990 | M | 11/5/2002 | 12/16/2002 | 8 | S. Parnell |
| Clinical Chain of Command | 1/11/1988 | D | 7/16/1997 | 7/30/1997 | 5 | D. Morgan | |
| Clinical Services Emergency Management Plan | v4 | 12/16/2002 | M | 12/16/2002 | 1/30/2003 | 1 | S. Grice |
| Clinical Social Services | v2c2sF | 6/20/1991 | D | 10/4/1999 | 10/4/1999 | 4 | J. Norlund |
| Clinical Timeout | 2/21/1997 | M | 6/17/2003 | 6/17/2003 | 3 | A. Mackey | |
| Clinical Use of Electroconvulsive Therapy (ECT) | v2c3sC | 4/4/1991 | D | 10/4/1999 | 10/4/1999 | 4 | R. Varner |
| Closed Circuit Telecasting | v2c3sC | 9/12/2001 | N | 11/5/2002 | 12/16/2002 | 2 | S. Foster |
| Clozapine Therapy | v2c3sF | 12/15/1991 | M | 11/5/2002 | 12/16/2002 | 8 | D. Winkler |
| Code Blue Drill Policy | v1c2sB | 4/14/2000 | M | 4/1/2003 | 4/9/2003 | 5 | A. Mackey |
| Code Blue Evaluation form | v4 | 4/14/2000 | M | 4/1/2003 | 4/9/2003 | 3 | A. Mackey |
| Code Blue Medical Emergency Documentation Record | v4 | 4/8/2003 | N | 4/8/2003 | 4/9/2003 | 1 | A. Mackey |
| Code of Organizational Ethics | v4 | 2/3/2001 | M | 9/25/2003 | 9/25/2003 | 3 | P. Averill |
| Combative/Destructive Precautions | 9/13/1992 | M | 5/14/2003 | 5/19/2003 | 8 | A. Mackey | |
| Committees (PI Plan) | v1c7sA | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Communicable Disease Exposure of Transporters | 1/16/1990 | D | 10/4/1999 | 10/4/1999 | 5 | S. Parnell | |
| Communication of Patient Rights | v2c1sD | 4/29/1994 | M | 10/1/2002 | 12/16/2002 | 6 | M. Moran |
| Communications | v2c1sA | 6/20/1991 | D | 10/4/1999 | 10/4/1999 | 4 | G. Gigax |
| Communications Department Emergency Preparedness | v3c2sD | 11/6/1991 | D | 10/2/2001 | 10/9/2001 | 6 | G. Gigax |
| Community Admissions to Outpatient Services | v2c2sC | 7/9/1998 | R | 10/1/2002 | 12/16/2002 | 5 | G. DeJean |
| Competence Assessment | 10/13/1991 | D | 10/3/2000 | 10/4/2000 | 5 | A. Mackey | |
| Competency Plan | 2/23/1994 | M | 6/12/2003 | 6/17/2003 | 4 | A. Mackey | |
| Competency Requirements | v1c1sC | 8/31/1994 | M | 6/4/2002 | 6/5/2002 | 6 | A. Tryals |
| Completing the Competency Documentation Form | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| Confidentiality Cover Sheet | v4 | 2/19/2002 | N | 4/1/2003 | 4/14/2003 | 2 | J. Carter-Smith |
| Confidentiality Guidelines for Participants in Nursing Peer Review Process form | 9/6/1988 | M | 6/12/2003 | 6/17/2003 | 7 | A. Mackey | |
| Confidentiality of Patient Information | 1/26/1987 | D | 10/4/1999 | 10/4/1999 | 7 | M. Moran | |
| Confidentiality of Records and Files Pertaining to Medical Staff | v1c8sA | 10/14/1994 | M | 10/1/2002 | 12/16/2002 | 7 | L. Henry |
| Consent to Release Information to Referring Court | 9/19/1995 | D | 6/27/1997 | 6/27/1997 | 2 | H. Greenlee | |
| Consent to Treatment with Electroconvulsive Therapy (ECT) | v2c3sF | 4/4/1991 | D | 9/12/2001 | 9/21/2001 | 6 | R. Varner |
| Consent to Treatment with Psychoactive Medication | v2c3sH | 2/17/1994 | M | 11/5/2002 | 12/16/2002 | 10 | A. Mackey |
| Consent to Treatment with Psychoactive Medication form | v4 | 2/17/1994 | M | 4/1/2003 | 4/14/2003 | 11 | A. Mackey |
| Consult for Religiosity | v4 | 9/24/2001 | N | 4/1/2003 | 4/14/2003 | 2 | S. Hodges |
| Contact with an Unknown or Undocumented Substance (Hazardous Materials) | v3c4sC | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Contacting Legal Counsel | 11/12/1986 | D | 7/1/1997 | 7/28/1997 | 6 | D. Small | |
| Continuing Care Summary Form | 6/20/1991 | D | 4/22/1999 | 4/26/1999 | 5 | R. Varner | |
| Continuing Nursing Education - Approval of Educational Activities from Other Organza./Individuals | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 3 | D. Harris | |
| Continuing Nursing Education - Certificate of Successful Completion | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuing Nursing Education - Co-Providership Agreement | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuing Nursing Education - Educational Design Criteria | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuing Nursing Education - Electronic Record Storage | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 2 | D. Harris | |
| Continuing Nursing Education - Endorsement of Commercial Products | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 2 | D. Harris | |
| Continuing Nursing Education - Evaluation Plan | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 4 | D. Harris | |
| Continuing Nursing Education - Notifying TNA of Changes | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 2 | D. Harris | |
| Continuing Nursing Education - Record Confidentiality and Security System | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 2 | D. Harris | |
| Continuing Nursing Education - Record Keeping and Storage | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuing Nursing Education - Record Retention | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuing Nursing Education - Record Retrieval Policy | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuing Nursing Education - System of Awarding of Credit | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 2 | D. Harris | |
| Continuing Nursing Education - Use of Appropriate Language | 1/9/2002 | D | 5/21/2003 | 5/21/2003 | 2 | D. Harris | |
| Continuing Nursing Education - Verification of Participation and Successful Completion | 7/7/1995 | D | 5/21/2003 | 5/21/2003 | 5 | D. Harris | |
| Continuum of Care Flowchart (CC) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | J. Gunn |
| Continuum Referral Disposition Report | v4 | 7/23/2001 | M | 4/1/2003 | 4/14/2003 | 3 | D. Morgan |
| Contraband Precautions - Adolescent Unit | 2/6/1995 | M | 5/20/2003 | 5/20/2003 | 4 | A. Mackey | |
| Contract Agency Orientation | 9/30/1994 | D | 7/29/1997 | 7/29/1997 | 2 | A. Mackey | |
| Contract Renewal Process | v1c3sA | 7/8/1997 | M | 7/2/2002 | 8/22/2002 | 5 | Lily Gelrud |
| Contracted Clinical Services Review Process | v1c3sA | 11/27/1995 | M | 7/2/2002 | 8/22/2002 | 6 | Lily Gelrud |
| Controlled Drug Number/DEA# | v2c3sG | 6/20/1991 | M | 11/5/2002 | 12/16/2002 | 7 | D. Winkler |
| Controlled Substance Audit | 1/2/2002 | M | 5/14/2003 | 5/19/2003 | 2 | D. Harris | |
| Copying Medical Records | v2c1sE | 2/28/1991 | M | 3/26/2004 | 4/8/2004 | 9 | J. Carter-Smith |
| Cordless Phone for Patient Use | 10/3/2000 | M | 5/14/2003 | 5/19/2003 | 2 | A. Mackey | |
| Corrective Action | v1c1sA | 4/28/1998 | M | 6/4/2002 | 6/5/2002 | 6 | S. Orioli |
| Cost Reduction Program | v1c3sB | 7/14/2003 | N | 7/14/2003 | 7/15/2003 | 1 | S. Orioli |
| Cost Reduction Suggestion | v4 | 7/14/2003 | N | 7/14/2003 | 7/15/2003 | 1 | S. Orioli |
| Criminal Background Check | v1c1sC | 5/15/1996 | M | 6/4/2002 | 6/5/2002 | 6 | S. Orioli |
| Cross-Training of Nursing Personnel | 10/31/1991 | D | 7/30/1997 | 7/30/1997 | 3 | A. Mackey | |
| Daily Central Log | v4 | 1/5/2001 | N | 4/1/2003 | 4/14/2003 | 2 | G. Gigax |
| Daily Flow Sheet/Attendance Monitoring | v4 | 4/1/1994 | D | 8/1/2000 | 9/14/2000 | 6 | J. Norlund |
| Data Processing Service Request | v1c5sA | 10/30/1993 | M | 8/6/2002 | 8/22/2002 | 7 | R. Montayne |
| Data Processing Service Request form | v4 | 10/30/1993 | M | 4/1/2003 | 4/14/2003 | 7 | R. Montayne |
| Death/Post Mortem Care | 1/3/1987 | M | 5/14/2003 | 5/19/2003 | 7 | A. Mackey | |
| Death/Post Mortem Care Checklist form | 1/3/1987 | M | 5/14/2003 | 5/19/2003 | 7 | A. Mackey | |
| Dental Care Consults | 11/1/1987 | M | 4/7/2003 | 4/7/2003 | 7 | A. Mackey | |
| Department Manuals | v5c1 | 5/29/1987 | M | 6/3/2003 | 6/9/2003 | 10 | D. Quick |
| Department Participation Review and Report | v1c7sB | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Department/Unit Reviews (Safety Committee) | v3c1sB | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 8 | T. Sikorski |
| Departmental Meetings | v5c1 | 11/12/1986 | M | 6/3/2003 | 6/9/2003 | 11 | D. Quick |
| Departmental Performance Improvement form | v4 | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Detailed Summary of Peer Review Committee Findings form | 9/6/1988 | M | 6/12/2003 | 6/17/2003 | 7 | A. Mackey | |
| Direct Observation | 12/2/1994 | M | 5/14/2003 | 5/19/2003 | 5 | A. Mackey | |
| Director of Research Department Responsibilities | v2c6 | 4/20/2001 | M | 9/24/2003 | 9/30/2003 | 3 | P. Averill |
| Discharge Documentation | v2c4sA | 6/20/1991 | M | 12/16/2002 | 3/19/2003 | 9 | S. Foster |
| Discharge from Probable Cause Hearing | v2c4sA | 1/26/1987 | M | 12/16/2002 | 3/19/2003 | 9 | S. Foster |
| Discharge Instruction | 11/19/1990 | D | 2/27/2002 | 3/14/2002 | 6 | A. Mackey | |
| Discharge of a Patient from Inpatient Commitment Status | v2c4sA | 4/1/1988 | M | 12/16/2002 | 3/19/2003 | 9 | S. Foster |
| Discharge Summary Dictation Format | v2c4sA | 2/28/1991 | D | 10/4/1999 | 10/4/1999 | 4 | R. Varner |
| Discharge Under Special Circumstances | v2c4sA | 6/20/1991 | D | 11/24/2002 | 10/31/2002 | 8 | S. Foster |
| Discharges and Aftercare - Physician's Role | 6/20/1991 | D | 5/10/1999 | 5/28/1999 | 4 | R. Varner | |
| Discharges Plan Elements | v2c4sA | 6/20/1991 | M | 4/8/2004 | 5/4/2004 | 9 | S. Foster |
| Disinfection of Medical Equipment and Toys | v1c6sE | 9/7/2000 | M | 8/6/2002 | 8/22/2002 | 3 | S. Parnell |
| Disposable Items | 1/3/1987 | D | 10/4/1999 | 10/4/1999 | 6 | S. Parnell | |
| Disposable Razors | 4/27/1988 | M | 5/14/2003 | 5/19/2003 | 7 | A. Mackey | |
| Disruptive Visitors | v3c5sB | 11/14/1997 | M | 2/4/2003 | 3/26/2003 | 5 | G. Gigax |
| Distribution Center and Courier/Mail Services (1A87) Fire Plan | v3c3sC | 7/8/1997 | M | 2/4/2003 | 3/26/2003 | 5 | M. Lockett |
| Doctor's Mental Status Examination for Guardianship | v4 | 4/1/1999 | M | 4/1/2003 | 4/14/2003 | 4 | S. Foster |
| Dress Code - Staff | 1/10/1987 | D | 7/29/1997 | 7/29/1997 | 5 | A. Mackey | |
| Dress Code and Personal Appearance | 1/30/1997 | D | 10/4/1999 | 10/4/1999 | 5 | S. Orioli | |
| Drug Formulary | v2c3sG | 6/20/1991 | M | 11/5/2002 | 12/16/2002 | 7 | D. Winkler |
| Drug Use Evaluation Criteria | 6/20/1991 | D | 7/19/1996 | 7/28/1996 | 2 | D. Winkler | |
| DSM-IV Codes and Diagnoses | v4 | 2/28/1991 | D | 12/4/2001 | 12/21/2001 | 6 | D. Quick |
| ECT Information Sheet for Patients and Families | 4/4/1991 | D | 6/6/2000 | 9/28/2000 | 5 | R. Varner | |
| Education for Staff Regarding Research Responsibilities | v2c6sA | 8/21/1992 | D | 10/4/1999 | 10/4/1999 | 4 | J. Allen |
| EEG Department | v1c6sC | 5/1/1988 | M | 8/2/2002 | 8/22/2002 | 9 | A. Mackey |
| EEG Equipment | v1c6sC | 5/1/1988 | D | 5/2/2000 | 8/23/2000 | 7 | S. Parnell |
| EEG Request | v2c3sD | 4/22/1993 | M | 11/5/2002 | 12/16/2002 | 7 | A. Mackey |
| EEG Request form | v4 | 4/22/1993 | D | 10/2/2001 | 10/11/2001 | 6 | A. Mackey |
| EEG/Lab Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | A. Mackey |
| EEG/Lab Services Fire Plan | v3c3sC | 7/8/1997 | M | 2/4/2003 | 3/26/2003 | 5 | A. Mackey |
| EKG Patients and Equipment | v1c6sC | 5/1/1988 | D | 5/2/2000 | 8/23/2000 | 7 | S. Parnell |
| EKG Request | v2c3sD | 10/3/1988 | M | 11/5/2002 | 12/16/2002 | 9 | A. Mackey |
| EKG Result Generating Process | 3/24/2000 | D | 5/14/2003 | 5/19/2003 | 2 | A. Mackey | |
| Electroconvulsive Therapy (ECT) | v2c3sF | 4/4/1991 | M | 11/5/2002 | 12/16/2002 | 7 | R. Varner |
| Electroconvulsive Therapy Scheduling | 1/9/1990 | D | 5/14/2003 | 5/19/2003 | 5 | A. Mackey | |
| Elements of the Discharge Summary | v2c4sA | 6/20/1991 | M | 11/5/2002 | 12/16/l02 | 8 | S. Foster |
| Elevator Emergencies Response | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Elopement of Patients | v1c7sB | 10/1/1986 | R | 9/20/2002 | 10/2/2002 | 6 | A. Mackey |
| Elopement Precautions | 2/24/1987 | M | 4/1/2003 | 4/14/2003 | 8 | A. Mackey | |
| Emergencies Near HCPC | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Emergency Evacuation Preparation | v3c2sB | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Emergency Medical Supplies Verification | 10/31/1997 | M | 5/14/2003 | 5/19/2003 | 4 | A. Mackey | |
| Emergency Medical Supplies Verification Record form | 10/31/1997 | M | 5/14/2003 | 5/14/2003 | 4 | A. Mackey | |
| Emergency Notification of Nursing Personnel | 10/4/1988 | D | 9/2/2002 | 9/12/2002 | 6 | A. Mackey | |
| Emergency Oxygen Administration | 5/11/2000 | M | 4/7/2003 | 4/7/2003 | 3 | A. Mackey | |
| Emergency Pay/Staffing Policy | 4/7/2003 | N | 4/7/2003 | 4/7/2003 | 1 | A. Mackey | |
| Emergency Preparedness Management Plan | v3c2sC | 10/31/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Emergency Preparedness Plans - Activity Therapy | 11/6/1991 | D | 4/2/1999 | 4/28/1999 | 4 | J. Norlund | |
| Emergency Preparedness Plans - Admissions | 11/6/1991 | D | 2/22/1999 | 2/28/1999 | 4 | J. Gunn | |
| Emergency Preparedness Plans - Ancillary Services | 11/6/1991 | D | 7/8/1997 | 7/28/1997 | 4 | J. Carter-Smith | |
| Emergency Preparedness Plans - Building Services | v3 | 11/6/1991 | D | 7/7/1997 | 7/28/1997 | 3 | J. Carter-Smith |
| Emergency Preparedness Plans - Clinical Social Services | v3 | 11/6/1991 | D | 4/2/1999 | 4/28/1999 | 4 | P. Averill |
| Emergency Preparedness Plans - Dietary | 11/6/1991 | D | 3/8/1996 | 3/28/1996 | 2 | J. Crumrine | |
| Emergency Preparedness Plans - Operations | 11/6/1991 | D | 7/8/1997 | 7/28/1997 | 3 | J. Carter-Smith | |
| Emergency Preparedness Plans - Reimbursement Operations | 10/25/1993 | D | 10/4/1999 | 10/4/1999 | 6 | T. Deis | |
| Emergency Preparedness Plans - Staff Development | 11/6/1992 | D | 4/2/1999 | 4/27/1999 | 4 | D. Quick | |
| Emergency Preparedness Program | v3c2sC | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Emergency Supplies Availability | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Employee Checkout form | v4 | 10/4/1999 | M | 4/1/2003 | 4/14/2003 | 4 | S. Orioli |
| Employee Counseling and Supervision | v5c1sA | 1/20/1992 | M | 6/3/2003 | 6/9/2003 | 7 | S. Orioli |
| Employee Filing Charges Against a Patient | v3c5sD | 8/10/1995 | D | 11/6/2001 | 11/20/2001 | 5 | A. Mackey |
| Employee Health | v1c6sD | 9/30/1994 | M | 8/6/2002 | 8/22/2002 | 6 | S. Parnell |
| Employee Injury | 1/20/1988 | D | 8/27/2002 | 9/12/2002 | 7 | A. Mackey | |
| Employee Recognition | 8/1/1991 | D | 6/7/1999 | 6/26/1999 | 5 | D. Small | |
| Employee Termination Checkout Process | v5c1sA | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | S. Orioli |
| Employee Theft, Dishonest Acts, or Illegal Activities | v3c5sD | 7/28/1987 | M | 2/4/2003 | 3/26/2003 | 9 | L. Moore |
| Employee Use of the Gymnasium | v1c5sA | 4/3/1987 | M | 9/30/2003 | 10/2/2003 | 11 | J. Norlund |
| Employee, and Employee Visitor Entrance Screening | v3c5sA | 10/19/1995 | M | 2/14/2003 | 3/17/2003 | 8 | G. Gigax |
| Employees Salary and Job Change | v5c1sA | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 3 | S. Orioli |
| EMTALA Definitions | v2c4sB | 12/4/2000 | M | 12/16/2002 | 3/19/2003 | 3 | D. Matthews |
| EMTALA Flowchart | v4 | 12/4/2000 | M | 4/1/2003 | 4/14/2003 | 3 | R. McBride |
| Environmental Surveillance | 12/4/1997 | D | 10/4/1999 | 10/4/1999 | 2 | S. Parnell | |
| Equipment Management Plan | v3c1sC | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 7 | T. Sikorski |
| Ethical Issues - Nursing Staff | 9/30/1994 | D | 10/3/2000 | 10/4/2000 | 3 | A. Mackey | |
| Ethics Committee | v2c1sB | 8/4/1999 | M | 1/6/2003 | 1/6/2003 | 5 | P. Averill |
| Evacuation Plan of Persons with a Mobility Impairment | v3c2sB | 8/31/1994 | M | 1/7/2003 | 3/24/2003 | 6 | T. Sikorski |
| Evaluation of Agency Staff | 2/23/1994 | D | 7/29/1997 | 7/29/1997 | 2 | A. Mackey | |
| Events and Seminars Sponsored by HCPC | 7/15/1996 | D | 10/4/1999 | 10/4/1999 | 3 | G. Konigsberg | |
| Exclusion Criteria Checklist | v4 | 6/29/2002 | M | 4/1/2003 | 4/14/2003 | 3 | G. Gigax |
| Executive Discharge Planning Board | 1/15/1987 | D | 7/1/1997 | 7/29/1997 | 5 | R. Varner | |
| Executive Quality Council | v1c7sA | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Exposure to Blood or Body Fluids | v1c6sF | 12/4/1987 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Facilities Management Fire Plan | v3c3sB | 1/1/1991 | M | 2/4/2003 | 3/26/2003 | 9 | R. Villaneda |
| Facilities Management General Emergency Preparedness | v3c2sG | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | R. Villaneda |
| Facilities Management Hurricane Emergency Preparedness | v3c2sG | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | R. Villaneda |
| Fall Precautions | 2/14/1994 | D | 4/7/2003 | 4/7/2003 | 6 | A. Mackey | |
| Fall Prevention/Intervention Strategies | v1c7sB | 8/7/2003 | N | 8/7/2003 | 8/12/2003 | 2 | A. Mackey |
| Fall Prevention/Management Program | v1c7sB | 8/7/2003 | N | 8/7/2003 | 8/12/2003 | 2 | A. Mackey |
| Fall Variance Report | v4 | 6/23/2003 | N | 9/3/2003 | 9/8/2003 | 2 | A. Mackey |
| Fast Evacuation of Patients During Internal Emergency | v3c2sB | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Faxing Patient Health Information | v2c1sE | 2/19/2002 | M | 3/26/2004 | 4/8/2004 | 3 | J. Carter-Smith |
| Fecal Occult Blood Monitoring Log form | 3/24/2000 | M | 4/7/2003 | 4/7/2003 | 2 | A. Mackey | |
| Fecal Occult Blood Testing | 3/24/2000 | M | 4/7/2003 | 4/7/2003 | 2 | A. Mackey | |
| Filming, Photography, and Interviews | v1c4sC | 5/14/1987 | M | 7/2/2002 | 8/22/2002 | 10 | G. Konigsberg |
| Financial Data Control Forms | v1c3sA | 10/4/1999 | M | 7/2/2002 | 8/22/2002 | 4 | E. Williams |
| Financial Services Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | E. Williams |
| Financial/Confidential Considerations | v2c6 | 8/21/1992 | M | 9/24/2003 | 9/30/2003 | 9 | P. Averill |
| Fingernail Policy for Direct Care Staff | v1c6sE | 9/18/2002 | N | 9/18/2002 | 10/31/2002 | 1 | S. Parnell |
| Fire Alarm System | v3c3sA | 9/1/1987 | M | 2/4/2003 | 3/26/2003 | 10 | T. Sikorski |
| Fire Drill | v3c3sA | 8/1/1989 | M | 2/4/2003 | 3/26/2003 | 9 | T. Sikorski |
| Fire Emergency General Preparation | v3c3sA | 9/1/1987 | M | 2/4/2003 | 3/26/2003 | 10 | T. Sikorski |
| Fire Plan | v3c3sA | 9/1/1987 | M | 2/4/2003 | 3/26/2003 | 10 | T. Sikorski |
| Fire Plans - Activity Therapy | 5/1/1987 | D | 4/2/1999 | 4/28/1999 | 6 | J. Norlund | |
| Fire Plans - Admissions | 10/17/1988 | D | 4/2/1999 | 4/28/1999 | 6 | J. Gunn | |
| Fire Plans - Building Services | 1/1/1991 | D | 7/24/1997 | 7/27/1997 | 4 | T. Sikorski | |
| Fire Plans - Clinical Social Services | 5/5/1988 | D | 4/2/1999 | 4/28/1999 | 6 | P. Averill | |
| Fire Plans - Dietary | 2/1/1991 | D | 1/25/1996 | 1/28/1996 | 3 | J. Crumrine | |
| Fire Plans - Housekeeping | 11/12/1986 | D | 7/8/1997 | 7/27/1997 | 5 | J. Carter-Smith | |
| Fire Plans - Medical Records | 11/21/1988 | D | 7/24/1997 | 7/27/1997 | 5 | J. Carter-Smith | |
| Fire Plans - Pastoral Services | 5/1/1988 | D | 4/2/1999 | 4/28/1999 | 6 | G. Perrine | |
| Fire Plans - Staff Development | 10/31/1991 | D | 4/2/1999 | 4/28/1999 | 5 | D. Quick | |
| Flood Response | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | T. Sikorski |
| Food and Nutrition Department | v1c6sC | 9/17/1991 | M | 8/6/2002 | 8/22/2002 | 8 | D. Beer |
| Food and Nutrition Services | v2c2sF | 6/20/1991 | D | 10/4/1999 | 10/4/1999 | 5 | F. Austin |
| Food and Nutrition Services Disaster Menu | v3c2sE | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | D. Beer |
| Food and Nutrition Services Emergency Preparedness | v3c2sE | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | D. Beer |
| Food and Nutrition Services Fire Plan | v3c3sB | 2/1/1991 | M | 2/4/2003 | 3/26/2003 | 8 | D. Beer |
| Food and Nutrition Services Non-Evacuation Plan | v3c2sE | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | D. Beer |
| Food Brought to Patients from Outside HCPC | v2c6sE | 9/30/1994 | M | 8/6/2002 | 8/22/2002 | 5 | A. Mackey |
| Forensic Staff Orientation | v1c2sB | 9/8/2003 | N | 9/19/2003 | 9/23/2003 | 1 | D. Harris |
| Forms Approval Process | v1c4sB | 3/18/1996 | D | 6/2/2000 | 6/28/2000 | 4 | D. Quick |
| Forms Standardization | 5/1/1988 | D | 7/16/1997 | 7/29/1997 | 6 | D. Quick | |
| Formulary | v4 | 9/4/2002 | M | 9/4/2002 | 9/18/2002 | 1 | D. Winkler |
| General Accounting and Financial Reporting | v1c3sA | 4/1/1988 | M | 7/2/2002 | 8/22/2002 | 9 | E. Williams |
| General Adult Admission Criteria | v2c2sA | 10/31/1991 | M | 1/8/2004 | 2/6/2004 | 12 | G. Gigax |
| General Performance Evaluation Information | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| General Spill Information | v3c4sA | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Geri-Chair | 6/19/1991 | M | 4/7/2003 | 4/7/2003 | 6 | A. Mackey | |
| Gifts and Fundraising | 11/19/1987 | D | 10/4/1999 | 10/4/1999 | 6 | G. Konigsberg | |
| Glucose Monitoring System | v2c3sI | 6/7/1999 | M | 11/5/2002 | 12/16/2002 | 5 | A. Mackey |
| Governing Body (GO) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | L. Henry |
| Guidelines for Contract Services | v1c3sA | 5/1/2001 | M | 04/01/03/ | 4/14/2003 | 2 | E. Williams |
| Guidelines for Writing Department Policies and Procedures | v1c4sB | 10/31/1991 | M | 7/2/2002 | 8/22/2002 | 9 | D. Quick |
| Guns | v3c5sA | 5/7/1987 | D | 10/4/1999 | 10/4/1999 | 6 | T. Sikorski |
| Gym Supplies | v1c6sC | 11/8/1988 | D | 10/4/1999 | 10/4/1999 | 6 | J. Norlund |
| Hand Hygiene (aka hand washing) | v1c6sD | 1/7/1987 | M | 10/6/2003 | 10/6/2003 | 10 | S. Parnell |
| Handling and Disposal (Hazardous Materials) | v3c4sB | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Handling Suspicious Mail | v3c2sA | 12/16/2002 | N | 12/16/2002 | 1/30/2003 | 1 | D. Matthews |
| Hazardous Material Spill Inside HCPC | v3c4sC | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Hazardous Material Spills Outside HCPC | v3c4sC | 11/6/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Hazardous Materials Management Plan | v3c1sC | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 7 | T. Sikorski |
| HCPC Hazardous Material Spill Report form | v4 | 11/1/1991 | M | 4/1/2003 | 4/14/2003 | 7 | T. Sikorski |
| HCPC Research Budget Proposal: Additional Years | v4 | 8/21/1992 | M | 4/1/2003 | 4/14/2003 | 7 | P. Averill |
| HCPC Research Budget Proposal: First Year | v4 | 8/21/1992 | M | 4/1/2003 | 4/14/2003 | 7 | P. Averill |
| HCPC Research Information Request form | v4 | 8/21/1992 | M | 4/1/2003 | 4/14/2003 | 8 | P. Averill |
| HCPC Research Information Request Routing Sheet form | v4 | 8/21/1992 | M | 4/1/2003 | 4/14/2003 | 8 | P. Averill |
| HCPC Research Philosophy | v2c6sA | 8/21/1992 | D | 10/4/1999 | 10/4/1999 | 3 | J. Allen |
| HCPC Vehicle Usage | 1/17/1997 | D | 10/4/1999 | 10/4/1999 | 2 | G. Herrojon | |
| HCPI Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | J. Gunn |
| Head Circumference Measurement (Children and Adolescents) | 9/7/1995 | D | 10/3/2000 | 10/4/2000 | 3 | A. Mackey | |
| Health Information Dictation | 2/28/1991 | D | 10/1/2002 | 12/16/2002 | 7 | J. Carter-Smith | |
| Health Information Management Fire Plan | v3c3sB | 11/21/1988 | M | 2/4/2003 | 3/26/2003 | 9 | J. Carter-Smith |
| Heightened Alert and Code Gray | v3c2sA | 12/16/2002 | N | 12/16/2002 | 1/30/2003 | 1 | D. Matthews |
| HIV Test Request and Consent form | v4 | 6/20/1991 | M | 4/9/2003 | 4/9/2003 | 7 | S. Parnell |
| HIV/Aids (and Other Blood-Borne Pathogens) Testing of Patients | v1c6sG | 7/27/1987 | D | 10/4/1999 | 10/4/1999 | 6 | S. Parnell |
| Holiday Coverage | v1c2sA | 4/2/1997 | M | 7/2/2002 | 8/22/2002 | 5 | S. Grice |
| Housekeeping Department | v1c6sC | 12/15/1988 | M | 8/6/2002 | 8/22/2002 | 9 | G. Washington |
| Housekeeping/Linen (2D44) Fire Plan | v3c3sC | 1/1/1991 | M | 2/4/2003 | 3/26/2003 | 9 | G. Washington |
| Housekeeping/Linen Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | G. Washington |
| How Research Occurs at UTHCPC | v2c6 | 8/21/1992 | M | 5/6/2003 | 5/6/2003 | 4 | P. Averill |
| How the Investigator Obtains Informed Consent | v2c6 | 8/21/1992 | M | 9/24/2003 | 9/30/2003 | 12 | P. Averill |
| How the Investigator Prepares the Informed Consent Form | v2c6 | 8/21/1992 | M | 9/24/2003 | 9/30/2003 | 11 | P. Averill |
| Hurricane Response | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | T. Sikorski |
| Ice Machine Cleaning | v1c6sE | 9/7/2000 | M | 1/15/2003 | 1/30/2003 | 4 | S. Parnell |
| ID Badge Replacement Authorization form | v4 | 4/29/2003 | N | 4/29/2003 | 5/6/2003 | 1 | D. Matthews |
| Identification Badges | v1c1sB | 4/29/2003 | N | 4/29/2003 | 5/6/2003 | 1 | D. Matthews |
| Identifying and Prioritizing Quality Issues | v1c7sB | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Infection Control Committee | v1c6sA | 11/30/1990 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Infection Control Measures | v1c6sH | 1/28/1988 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Infection Control Practitioner's Responsibilities | v1c6sA | 11/30/1990 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Infection Control Practitioner's Surveillance Responsibilities | v1c6sD | 10/31/1997 | M | 8/6/2002 | 8/22/2002 | 5 | S. Parnell |
| Infection Control Procedures | v1c6sA | 11/30/1990 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Infection Control Program | 11/30/1990 | D | 5/21/1997 | 5/28/1997 | 4 | J. Roberson | |
| Infection Control Studies | v1c6sF | 1/28/1988 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Infection Control Surveillance flowchart (IC) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | S. Parnell |
| Infection Control Surveillance System | 10/31/1997 | D | 10/4/1999 | 10/4/1999 | 2 | S. Parnell | |
| Information Management Plan | v1c8sB | R. Montayne | |||||
| Information to Include on Job Descriptions | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| Informational Material | v1c4sC | 3/27/1987 | M | 7/2/2002 | 8/22/2002 | 9 | G. Konigsberg |
| Informed Consent Checklist | v4 | 8/21/1992 | M | 4/1/2003 | 4/14/2003 | 11 | P. Averill |
| Informed Consent Information | v2c6 | 8/21/1992 | M | 5/6/2003 | 5/6/2003 | 8 | P. Averill |
| Initial Nursing Assessment form | v4 | 2/28/1991 | R | 6/10/2003 | 6/10/2003 | 14 | A. Mackey |
| Initial Psychiatric Examination form | v4 | 2/28/1991 | M | 2/6/2004 | 2/6/2004 | 17 | N. Gruber |
| Inpatient Referral Process to Outpatient Services | v2c2sC | 7/23/2001 | M | 1/8/2004 | 2/6/2004 | 3 | D. Morgan |
| Insertion and Maintenance of Peripheral Intravenous Infusion | 1/7/1987 | M | 6/12/2003 | 6/17/2003 | 6 | A. Mackey | |
| Instructions for Writing in Charts | v2c1sE | 2/28/1991 | D | 10/4/1999 | 10/4/1999 | 5 | R. Varner |
| Insurance Master Update form | v4 | 10/4/1999 | M | 4/1/2003 | 4/14/2003 | 5 | E. Williams |
| Intensive Supervision | 9/30/1994 | D | 9/2/2002 | 9/12/2002 | 3 | A. Mackey | |
| Interdisciplinary Patient Assessment | v2c3sA | 5/15/1996 | M | 2/12/2004 | 4/3/2004 | 9 | R. Varner |
| Interdisciplinary Patient Assessment form | v4 | 5/15/1996 | R | 6/10/2003 | 6/10/2003 | 14 | A. Mackey |
| Interim Fire Life Safety Measures | v3c3sA | 4/17/1997 | M | 2/4/2003 | 3/26/2003 | 6 | T. Sikorski |
| Internal Transfers | 6/20/1991 | D | 7/14/1997 | 7/29/1997 | 3 | H. Greenlee | |
| Inter-Office Mail Delivery | 9/11/1991 | D | 8/6/2002 | 8/22/2002 | 7 | M. Lockett | |
| Interpretation Services | v2c3sC | 6/20/1991 | M | 9/10/2003 | 10/2/2003 | 8 | S. Foster |
| Introduction to Adult Patient's Bill of Rights | v2c1sD | 1/15/1987 | M | 10/1/2002 | 12/16/2002 | 9 | M. Moran |
| Introduction to Attendance | v1c1sA | 4/28/1998 | M | 6/4/2002 | 6/5/2002 | 8 | S. Orioli |
| Introduction to Disposable Items | v1c6sD | 1/3/1987 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Introduction to General Surveillance | v1c6sD | 10/31/1997 | M | 8/6/2002 | 8/22/2002 | 5 | S. Parnell |
| Introduction to Hazardous Material Management | v3c4sA | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Introduction to Infection Control | v1c6sA | 11/30/1990 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Introduction to Job Descriptions and Performance Evaluations | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| Introduction to Safety Committee | v3c1sB | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 8 | T. Sikorski |
| Introduction to Standard Precautions | v1c6sB | 12/4/1987 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Introduction to the Performance Improvement Plan | v1c7sA | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Introduction to UTHCPC Vehicles | v1c5sB | 1/17/1997 | M | 8/6/2002 | 8/22/2002 | 5 | G. Herrejon |
| Inventory and MSDS | v3c4sB | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Investigational Drugs Research Documentation | v2c6 | 8/21/1992 | M | 9/24/2003 | 9/30/2003 | 9 | P. Averill |
| Investigational Drugs Study Requirements | v2c6 | 2/19/1987 | M | 5/6/2003 | 5/6/2003 | 9 | P. Averill |
| Job Description Processes | v5c1sB | 6/1/1987 | M | 6/3/2003 | 6/9/2003 | 9 | S. Orioli |
| Job Descriptions and Performance Evaluations | v5c1sB | 10/4/1999 | D | 10/4/1999 | 10/4/1999 | 1 | S. Orioli |
| Job-Related Training and Education: Employee Request form | v4 | 9/1/1988 | M | 4/1/2003 | 4/14/2003 | 10 | S. Orioli |
| Judicial Communications | 1/9/1987 | D | 7/9/1997 | 7/29/1997 | 5 | H. Greenlee | |
| Jury Duty | v1c2sA | 4/2/1987 | M | 7/2/2002 | 8/22/2002 | 9 | S. Orioli |
| Key Request | 11/18/1988 | D | 1/23/1997 | 1/28/1997 | 5 | J. Carter-Smith | |
| Keys | v1c5sA | 4/18/1996 | M | 8/6/2002 | 8/22/2002 | 7 | Q. Jenkins |
| Lab Corp Services | 9/15/1988 | M | 4/7/2003 | 4/7/2003 | 8 | A. Mackey | |
| Labeling (Hazardous Materials) | v3c4sB | 11/1/1991 | M | 2/4/2003 | 3/26/2003 | 7 | T. Sikorski |
| Labeling and Storage of Patient Property | 10/24/1997 | M | 5/14/2003 | 5/19/2003 | 2 | A. Mackey | |
| Laboratory | v1c6sC | 12/4/1987 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Language Competency Pay Application | v4 | 1/31/2000 | M | 4/1/2003 | 4/14/2003 | 5 | S. Orioli |
| Language Competency Pay Program | v1c1sC | 1/31/2000 | M | 9/10/2003 | 10/2/2003 | 6 | S. Orioli |
| Leadership Flowchart (LD) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | S. Grice |
| Legibility | v2c1sE | 8/7/2003 | M | 3/26/2004 | 4/8/2004 | 2 | R. McBride |
| Lesson Plan Cover Sheet | v1c2sB | 1/8/1992 | M | 7/2/2002 | 8/22/2002 | 7 | A. Tryals |
| Lesson Plan Cover Sheet form | v4 | 1/8/1992 | M | 4/1/2003 | 4/14/2003 | 7 | A. Tryals |
| Letter of Bona Fide Job Offer | v4 | 9/18/2002 | M | 4/1/2003 | 4/14/2003 | 2 | S. Orioli |
| Letter of Retraction for Release from Voluntary Admission | v4 | 8/15/1988 | M | 4/1/2003 | 4/14/2003 | 7 | S. Foster |
| Letter of Understanding Precinct One | v4 | 11/6/1991 | M | 4/1/2003 | 4/14/2003 | 7 | T. Sikorski |
| Liability Committee | 3/1/1989 | D | 7/1/1997 | 7/29/1997 | 4 | D. Small | |
| Licensing and Certification | v1c1sC | 11/12/1986 | M | 6/4/2002 | 6/5/2002 | 9 | S. Orioli |
| Licensure - Registered Professional Nurse and Licensed Vocational Nurse | 1/8/1987 | D | 7/29/1997 | 7/29/1997 | 5 | A. Mackey | |
| Licensure Verification Process | 9/30/1994 | M | 4/7/2003 | 4/7/2003 | 5 | A. Mackey | |
| Life Safety Management Plan | v3c1sC | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 7 | T. Sikorski |
| LifeGift Organ Donation Notification of Death form | 1/3/1987 | M | 5/14/2003 | 5/19/2003 | 7 | A. Mackey | |
| Linen Services | v1c6sC | 5/16/1989 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Lost and Found | v3c5sC | 1/15/1997 | M | 2/4/2003 | 3/26/2003 | 9 | G. Gigax |
| Lumbar Punctures | 6/25/1991 | D | 11/5/2002 | 12/16/2002 | 8 | R. Varner | |
| Magistrate's Order for Emergency Apprehension and Detention-Sec 28(e) (A19) | v4 | 12/4/2000 | M | 4/1/2003 | 4/14/2003 | 3 | J. Gunn |
| Mail Pick-up and Delivery | v1c5sA | 11/6/2003 | N | 11/14/2003 | 12/3/2003 | 1 | R. Villaneda |
| Maintenance Employees | v1c6sC | 7/7/1987 | D | 10/4/1999 | 10/4/1999 | 6 | S. Parnell |
| Management of Human Resources (HR) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | S. Orioli |
| Management of Information (IM) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | R. Montanye |
| Management of Information Systems Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | R. Montanye |
| Management of Information Systems Fire Plan | v3c3sB | 9/1/1988 | M | 2/4/2003 | 3/26/2003 | 9 | R. Montanye |
| Management Plans (links only, text is responsibility of others) | v1c8sB | - | - | - | D. Quick | ||
| Managing the Environment of Care (EC) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | R. Villaneda |
| Master Problem/Strength List | 2/28/1991 | D | 11/1/1996 | 11/28/1996 | 3 | A. Mackey | |
| Master Treatment Plan | 2/9/1987 | D | 9/19/1997 | 9/27/1997 | 5 | R. Varner | |
| Master Treatment Plan (Nursing) | 10/3/1991 | D | 11/13/1996 | 11/28/1996 | 3 | J. Gunn | |
| Master Treatment Plan Cover Sheet form | v4 | 2/28/1991 | M | 12/4/2001 | 12/4/2001 | 9 | R. Varner |
| Master Treatment Plan Goal Sheet | 2/28/1991 | D | 11/1/1996 | 11/28/1996 | 3 | A. Mackey | |
| Master Treatment Plan Review form | v4 | 9/9/1994 | M | 3/18/2003 | 3/19/2003 | 8 | R. Varner |
| Master Treatment Plan Reviews | v2c1sE | 9/9/1994 | D | 3/1/2001 | 3/27/2001 | 7 | R. Varner |
| Master Treatment Planning/Review Process | v2c3sA | 10/10/1994 | R | 11/5/2002 | 12/16/2002 | 9 | A. Mackey |
| Media Relations | v1c4sC | 5/14/1987 | M | 7/2/2002 | 8/22/2002 | 10 | G. Konigsberg |
| Media Request/Query form | v4 | 5/14/1987 | M | 4/1/2003 | 4/14/2003 | 9 | G. Konigsberg |
| Medical Aid | v3c2sA | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Medical Care Consultations | 6/20/1991 | D | 7/30/1997 | 7/30/1997 | 3 | A. Mackey | |
| Medical Emergencies | 6/20/1991 | D | 10/3/2000 | 10/4/2000 | 6 | A. Mackey | |
| Medical Emergencies/Cardiopulmonary Resuscitation | v1c7sB | 6/20/1991 | M | 4/8/2003 | 4/9/2003 | 11 | R. Varner |
| Medical Emergencies/Cardiopulmonary Resuscitation (CPR) | v3s2cA | 1/9/1990 | D | 1/5/2001 | 3/8/2001 | 8 | G. Gigax |
| Medical Equipment | 10/3/2000 | M | 4/7/2003 | 4/14/2003 | 3 | A. Mackey | |
| Medical Record Amendment Request | v2c1sE | 9/26/2002 | M | 3/26/2004 | 4/8/2004 | 1 | A. Oren |
| Medical Record Amendment Request form | v4 | 9/26/2002 | N | 4/1/2003 | 4/14/2003 | 2 | A. Oren |
| Medical Record Documentation | v2c1sE | 2/28/1991 | M | 3/26/2004 | 4/8/2004 | 11 | R. Varner |
| Medical Staff (MS) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | L. Henry |
| Medication Administration | 1/2/1987 | M | 3/25/2002 | 4/1/2002 | 7 | A. Mackey | |
| Medication Error Report form | v4 | 6/28/1993 | M | 4/1/2003 | 4/14/2003 | 7 | A. Mackey |
| Medication Error Reporting Process | v1c7sB | 6/28/1993 | M | 10/1/2002 | 12/16/2002 | 5 | A. Mackey |
| Medication Order Processing Variance Report (procedure and form) | 6/28/1993 | D | 8/3/2001 | 8/13/2001 | 4 | A. Mackey | |
| Medication Orders Automatic Stop | v2c3sG | 6/20/1991 | M | 11/5/2002 | 12/16/2002 | 8 | D. Winkler |
| Medication Policy | v1c7sB | 9/22/2003 | M | 9/30/2003 | 10/2/2003 | 2 | A. Mackey |
| Medication Usage Evaluation | v2c3sG | 6/20/1991 | M | 11/5/2002 | 12/16/2002 | 7 | D. Winkler |
| Medication Usage Evaluation (Appendix) | v4 | 6/20/1991 | R | 9/8/2003 | 9/12/2003 | 10 | D. Winkler |
| Medication Variances | 1/7/1987 | D | 7/24/2001 | 8/13/2001 | 6 | A. Mackey | |
| Meetings and Reports (Safety Committee) | v3c1sB | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 8 | T. Sikorski |
| Members and Responsibilities (Safety Committee) | v3c1sB | 10/31/1991 | M | 1/7/2003 | 3/20/2003 | 8 | T. Sikorski |
| Memorandum of Transfer form | v4 | 1/28/1987 | M | 4/1/2003 | 4/14/2003 | 14 | G. Gigax |
| Memorandum of Transfer Process | v2c4sB | 12/4/2000 | M | 12/16/2002 | 3/19/2003 | 3 | D. Matthews |
| Merit Plan | v1c1sB | 4/23/1998 | M | 9/6/2002 | 9/18/2002 | 7 | S. Orioli |
| Methadone Detoxification Program | v2c3sF | 6/20/1991 | D | 11/5/2002 | 12/16/2002 | 7 | K. Krajewski |
| MHMRA Court Liaison Department | v2c5 | 6/20/1991 | M | 12/16/2002 | 3/19/2003 | 7 | J. Gunn |
| Microwave Oven | 4/23/1987 | D | 8/27/2002 | 9/12/2002 | 6 | A. Mackey | |
| Microwave Oven Use | v1c6sE | 4/23/1987 | M | 10/24/2002 | 10/31/2002 | 7 | S. Parnell |
| Milieu Management | 3/25/1994 | M | 4/7/2003 | 4/7/2003 | 6 | A. Mackey | |
| Minimum Training Reference Guide and Competency Curriculum | v4 | 1/6/1992 | R | 12/4/2001 | 3/19/2002 | 7 | A. Tryals |
| Minimum Training Requirements | v1c2sB | 1/6/1992 | M | 4/1/2003 | 4/14/2003 | 8 | A. Tryals |
| Missing or Stolen Property Report | v4 | 4/5/2002 | N | 4/1/2003 | 4/14/2003 | 2 | G. Herrejon |
| Monetary Gifts | v1c4sC | 11/19/1987 | M | 7/2/2002 | 8/22/2002 | 9 | G. Konigsberg |
| Most Appropriate Treatment Alternative (Recommendation) | v2c5 | 4/1/1988 | D | 10/4/1999 | 10/4/1999 | 6 | J. Gunn |
| Move Assistance | v1c5sA | 1/1/1989 | M | 8/6/2002 | 8/22/2002 | 11 | G. Herrejon |
| Move Request form | v4 | 1/1/1989 | M | 4/1/2003 | 4/14/2003 | 11 | G. Herrejon |
| MPA, Integrated Summary, and MTP | v4 | 3/8/2001 | M | 2/12/2004 | 2/16/2004 | 4 | A. Mackey |
| Multidisciplinary Chart Documentation Schedule | v2c1sC | 11/1/1991 | D | 10/4/1999 | 10/4/1999 | 5 | R. Varner |
| Multidisciplinary Problem Aggregate (MPA) and Master Treatment Plan (MTP) | v4 | 10/10/1994 | D | 3/8/2001 | 3/27/2001 | 8 | A. Mackey |
| Multiple-Use Sterile Drugs | v1c6sD | 7/1/2000 | N | 8/6/2002 | 8/22/2002 | 4 | S. Parnell |
| Music Therapy Assessment | v2c3sC | 7/14/1997 | R | 11/5/2002 | 12/16/2002 | 9 | J. Norlund |
| Music Therapy Assessment form | v4 | 7/14/1997 | D | 12/4/2001 | 3/19/2002 | 6 | J. Norlund |
| Music Therapy Initial Note | 2/28/1991 | D | 5/23/1997 | 5/28/1997 | 3 | J. Norlund | |
| Needle and Syringe Disposal | v1c6sD | 12/4/1987 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Neurological Check | 1/8/1987 | M | 4/7/2003 | 4/7/2003 | 7 | A. Mackey | |
| Neurological/Vital Sign Check | 1/8/1987 | M | 4/7/2003 | 4/7/2003 | 7 | A. Mackey | |
| New Employee Orientation | v1c2sB | 12/1/1989 | M | 7/2/2002 | 8/22/2002 | 10 | A. Tryals |
| New Forms Request | 5/1/1988 | D | 7/16/1997 | 7/30/1997 | 5 | D. Quick | |
| News Media Relations | v1 | 5/14/1987 | D | 10/4/1999 | 10/4/1999 | 7 | G. Konigsberg |
| Non-Employee Filing Charges Against a Patient | v3c5sD | 8/10/1995 | D | 11/6/2001 | 11/20/2001 | 5 | A. Mackey |
| Non-Formulary Drugs for HCPC Patients | v2c3sD | 6/20/1991 | D | 10/4/1999 | 10/4/1999 | 4 | D. Winkler |
| Non-Monetary Gifts | v1c4sC | 11/19/1987 | M | 7/2/2002 | 8/22/2002 | 9 | G. Konigsberg |
| Notice of Receipt of Report form | 9/6/1988 | M | 6/12/2003 | 6/17/2003 | 7 | A. Mackey | |
| NOW Orders for Involuntary Emergency Administration of Psychoactive Medication form | v4 | 7/17/2000 | M | 9/10/2003 | 9/11/2003 | 5 | A. Mackey |
| Nuclear Medicine Testing | v2c3sD | 9/9/1993 | M | 11/5/2002 | 12/16/2002 | 7 | R. Varner |
| Nurse's Tasks | v2c6 | 2/19/1987 | M | 9/24/2003 | 9/30/2003 | 10 | P. Averill |
| Nursing Administration Emergency Preparedness | v3c2sD | 9/17/1992 | M | 1/7/2003 | 3/24/2003 | 8 | A. Mackey |
| Nursing Admission Assessment | 6/6/1997 | D | 11/5/2002 | 12/16/2002 | 9 | A. Mackey | |
| Nursing Assessment Addendum - Child/Adolescent form | v4 | 1/10/2001 | N | 4/1/2003 | 4/14/2003 | 2 | A. Mackey |
| Nursing Assessment Form | 2/28/1991 | D | 6/21/1996 | 6/28/1996 | 3 | D. Morgan | |
| Nursing Assessment/Reassessment | 12/31/1986 | M | 5/21/2003 | 5/21/2003 | 10 | A. Mackey | |
| Nursing Assignment Sheet | 1/6/1987 | M | 5/21/2003 | 5/21/2003 | 9 | A. Mackey | |
| Nursing Assignments | 1/6/1987 | M | 5/21/2003 | 5/21/2003 | 9 | A. Mackey | |
| Nursing Discharge Summary | 11/19/1990 | D | 12/3/2001 | 12/20/2001 | 5 | A. Mackey | |
| Nursing Documentation | 1/6/1987 | D | 7/30/1997 | 11/7/2001 | 8 | A. Mackey | |
| Nursing Fire Plan | v3c3sB | 2/3/1987 | M | 2/4/2003 | 3/26/2003 | 9 | A. Mackey |
| Nursing Flowsheet/Progress Notes | 1/6/1987 | R | 5/21/2003 | 5/21/2003 | 11 | A. Mackey | |
| Nursing Flowsheet/Progress Notes form | 1/6/1987 | M | 6/11/2003 | 6/16/2003 | 12 | A. Mackey | |
| Nursing Inter-Unit Transfer | 4/4/1991 | D | 12/13/2001 | 12/20/2001 | 5 | A. Mackey | |
| Nursing Policy and Procedure Acknowledgement | 9/7/1994 | D | 8/27/2002 | 9/12/2002 | 3 | A. Mackey | |
| Nursing Policy and Procedures Committee | 2/1/1989 | M | 5/21/2003 | 5/21/2003 | 8 | A. Mackey | |
| Nursing Progress Notes | 2/28/1991 | D | 10/4/1999 | 10/4/1999 | 4 | A. Mackey | |
| Nursing Scheduling Guidelines | 5/20/2003 | N | 5/20/2003 | 5/21/2003 | 1 | A. Mackey | |
| Nursing Staff Meetings | 10/24/1991 | D | 8/27/2002 | 9/12/2002 | 4 | A. Mackey | |
| Nursing Unit Rounds Guidelines form | 1/3/1987 | M | 5/21/2003 | 5/27/2003 | 10 | A. Mackey | |
| Nutritional Assessment | 7/22/1997 | D | 8/27/2002 | 9/12/2002 | 2 | D. Lomax | |
| Nutritional Assessment/Services | v2c3sC | 4/18/1996 | M | 11/5/2002 | 12/16/2002 | 10 | D. Hardy |
| Nutritional Screening | 6/23/1995 | D | 6/21/1996 | 6/28/1996 | 2 | D. Morgan | |
| Observers or Volunteers on the Units | 6/4/1999 | D | 10/4/1999 | 10/4/1999 | 2 | G. Konigsberg | |
| Occupational Therapy Assessment | v2c2sE | 02/28/91 | D | 6/6/2000 | 9/28/2000 | 7 | J. Norlund |
| Occupational Therapy Assessment form | v4 | 02/28/91 | D | 8/1/2000 | 9/14/2000 | 7 | J. Norlund |
| Occupational, Recreational, and Music Therapy Screenings | 6/30/1994 | D | 5/23/1997 | 5/30/1997 | 2 | J. Norlund | |
| Occurrence Report form | v4 | 3/1/1989 | R | 4/1/2003 | 4/14/2003 | 10 | R. McBride |
| Occurrence Reporting Process | v1c7sB | 3/1/1989 | R | 1/24/2003 | 1/30/2003 | 10 | R. McBride |
| One-to-One Review PI Monitoring Tool | 4/7/2003 | N | 4/7/2003 | 4/7/2003 | 1 | A. Mackey | |
| One-to-One Supervision | 3/14/1991 | M | 5/22/2003 | 5/22/2003 | 9 | A. Mackey | |
| On-the-Job Training (OJT) | 1/6/1992 | D | 10/4/1999 | 10/4/1999 | 4 | A. Tryals | |
| Operations Responsibility During Administrator's Absence | v5c1sA | 1/15/1987 | M | 6/3/2003 | 6/9/2003 | 9 | L. Moore |
| Orange Card Registered Nurses | 6/1/1989 | M | 4/7/2003 | 4/7/2003 | 5 | A. Mackey | |
| Order of Discharged Patient Medical Records | 1/30/1991 | D | 10/4/1996 | 10/30/1996 | 4 | P. Williams | |
| Orientation | 11/12/1991 | D | 8/27/2002 | 9/12/2002 | 4 | A. Mackey | |
| Orientation Guidelines | v1c2sB | 6/2/1994 | M | 7/2/2002 | 8/22/2002 | 7 | A. Tryals |
| Other Areas (Pharmacy, EKG, Maintenance, Gym) | v1c6sC | 11/8/1988 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Outbreak Investigation | v1c6sH | 12/3/1997 | M | 8/6/2002 | 8/22/2002 | 5 | S. Parnell |
| Overtime | v1c2sA | 9/1/1990 | M | 7/2/2002 | 8/22/2002 | 9 | S. Orioli |
| Overtime (Nursing) | 7/1/1991 | M | 4/7/2003 | 4/7/2003 | 6 | A. Mackey | |
| Pain Management | v2c3sA | 8/23/2001 | M | 11/5/2002 | 12/16/2002 | 3 | A. Mackey |
| Pain Management Guidelines/Modalities | v4 | 8/23/2001 | M | 4/1/2003 | 4/14/2003 | 2 | A. Mackey |
| Pain Management Plan | v1c8sB | A. Mackey | |||||
| Passes for Patients | 2/27/1987 | D | 7/30/1997 | 7/30/1997 | 6 | J. Gunn | |
| Pastoral Care | 6/20/1991 | D | 7/14/1997 | 7/30/1997 | 3 | G. Perrine | |
| Pastoral Care - Religious Ideation Assessment | 10/1/1986 | D | 7/14/1997 | 7/30/1997 | 6 | G. Perrine | |
| Pastoral Care Consult form | v4 | 9/24/2001 | N | 4/1/2003 | 4/14/2003 | 2 | S. Hodges |
| Pastoral Care Consults | v2c2sF | 10/1/1986 | D | 10/4/1999 | 10/4/1999 | 7 | J. Norlund |
| Patient Access to Open Records | v2c1sE | 9/27/2002 | M | 3/26/2004 | 4/8/2004 | 1 | A. Oren |
| Patient Acuity | 11/14/1997 | M | 6/12/2003 | 6/17/2003 | 4 | A. Mackey | |
| Patient Admissions | v2c2sA | 2/8/1991 | M | 1/8/2004 | 2/6/2004 | 8 | G. Gigax |
| Patient and Family Education | 12/31/1986 | D | 7/30/1997 | 7/30/1997 | 5 | J. Gunn | |
| Patient and Family Education Assessment | v2c3sA | 7/22/1997 | M | 2/12/2004 | 4/3/2004 | 6 | D. Matthews |
| Patient and Family Education Flowchart (PF) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | D. Matthews |
| Patient and Family Education Program | v2c1sD | 7/22/1997 | M | 10/1/2002 | 12/16/2002 | 6 | D. Matthews |
| Patient Assessment (Children & Adolescent) | 9/30/1994 | D | 7/30/1997 | 7/30/1997 | 2 | A. Mackey | |
| Patient Assessment Flowchart (PE) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | G. Gigax |
| Patient Billing | v1c3sA | 11/30/1993 | M | 7/2/2002 | 8/22/2002 | 8 | E. Williams |
| Patient Care Variance Report form | v4 | 3/1/1989 | R | 6/23/2003 | 7/2/2003 | 11 | A. Mackey |
| Patient Care Variance Reporting Process | v1c7sB | 3/1/1989 | M | 10/1/2002 | 12/16/2002 | 11 | A. Mackey |
| Patient Clinical Programming Daily Flow Sheet for Monitoring Attendance | v2c3sC | 4/1/1994 | D | 8/1/2000 | 9/14/2000 | 6 | J. Norlund |
| Patient Discharge | v2c4sA | 1/26/1987 | M | 4/8/2004 | 5/4/2004 | 11 | S. Foster |
| Patient Discharge Refusal | v2c4sA | 1/10/2003 | N | 9/22/2003 | 11/14/2003 | 1 | A. Mackey |
| Patient Dressing/Undressing | 10/3/2000 | M | 4/7/2003 | 4/7/2003 | 3 | A. Mackey | |
| Patient Evacuation | v3c2sB | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | T. Sikorski |
| Patient Identification | 4/7/2003 | N | 4/7/2003 | 4/7/2003 | 1 | A. Mackey | |
| Patient Medical Chart | v2c1sE | 2/28/1991 | M | 3/26/2004 | 4/8/2004 | 10 | R. Varner |
| Patient Medical Emergencies/Cardiopulmonary Resuscitation | v2c3sA | 6/20/1991 | D | 1/5/2001 | 3/8/2001 | 7 | G. Gigax |
| Patient Medical Transfer (Non-Emergency) | v2c4sB | 1/28/1987 | D | 1/16/2001 | 3/8/2001 | 11 | G. Gigax |
| Patient Outings | 11/8/1988 | D | 10/4/1999 | 10/4/1999 | 6 | J. Breckinridge | |
| Patient Pass | 2/27/1987 | R | 4/15/2003 | 4/16/2003 | 8 | A. Mackey | |
| Patient Reassignment During Physician Absence/Leave | 12/3/1993 | D | 7/8/1997 | 7/30/1998 | 3 | R. Varner | |
| Patient Registration | v1c6sC | 11/3/1986 | M | 8/6/2002 | 8/22/2002 | 9 | G. Gigax |
| Patient Registration Department | v2c2sB | 10/3/1986 | M | 1/8/2004 | 2/6/2004 | 10 | G. Gigax |
| Patient Registration Emergency Preparedness | v3c2sD | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 8 | G. Gigax |
| Patient Registration Fire Plan | v3c3sB | 4/2/1999 | M | 2/4/2003 | 3/26/2003 | 5 | G. Gigax |
| Patient Relations | 6/20/1991 | D | 10/4/1999 | 10/4/1999 | 4 | M. Moran | |
| Patient Relations - Introduction | 10/30/1991 | D | 10/4/1999 | 10/4/1999 | 4 | M. Moran | |
| Patient Relations Consultation Process | v2c1sB | 1/26/1987 | M | 10/1/2002 | 12/16/2002 | 9 | M. Moran |
| Patient Relations Contact Procedures | 10/30/1991 | D | 10/4/1999 | 10/4/1999 | 4 | M. Moran | |
| Patient Relations Investigative Consultation (Patient/Family) | v4 | 10/30/1991 | M | 4/1/2003 | 4/14/2003 | 8 | M. Moran |
| Patient Relations Investigative Consultation (Staff) | v4 | 10/30/1991 | M | 4/1/2003 | 4/14/2003 | 8 | M. Moran |
| Patient Relations Program | v2c1sB | 10/30/1991 | M | 10/1/2002 | 12/16/2002 | 7 | M. Moran |
| Patient Request for Physician Change | v2c3sF | 11/22/1996 | M | 11/5/2002 | 12/16/2002 | 7 | M. Moran |
| Patient Research Bill of Rights | v2c6 | 8/21/1992 | M | 5/6/2003 | 5/6/2003 | 7 | P. Averill |
| Patient Responsibilities | v2c1sD | 1/15/1987 | M | 10/1/2002 | 12/16/2002 | 9 | M. Moran |
| Patient Rights and Organization Ethics (RI) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | P. Averill |
| Patient Rights for Court-Ordered Psychoactive Medication Treatment | v2c3sH | 2/17/1994 | M | 10/2/2001 | 10/11/2001 | 8 | A. Mackey |
| Patient Rights Notification - Adolescents | 4/1/1994 | D | 6/17/2003 | 6/17/2003 | 3 | A. Mackey | |
| Patient Rights Notification - Children | 4/1/1994 | D | 6/17/2003 | 6/17/2003 | 3 | A. Mackey | |
| Patient Rights Signature form | v4 | 4/29/1994 | M | 4/1/2003 | 4/14/2003 | 6 | G. Gigax |
| Patient Rights, Protection of | 10/30/1991 | D | 10/4/1999 | 10/4/1999 | 5 | M. Moran | |
| Patient Safety | 5/27/1994 | M | 4/7/2003 | 4/7/2003 | 3 | A. Mackey | |
| Patient Safety Plan | v1c8sB | A. Mackey | |||||
| Patient Supervision for Off-Campus Appointments | 8/27/2002 | M | 5/21/2003 | 5/22/2003 | 2 | A. Mackey | |
| Patient Supervision for Off-Unit Activities | 2/21/1997 | M | 6/12/2003 | 6/17/2003 | 4 | A. Mackey | |
| Patient Transfer Agreements | v2 | 1/28/1997 | D | 7/9/1997 | 7/30/1997 | 5 | H. Greenlee |
| Patient, and Patient Visitor Entrance Screening | v3c5sA | 10/19/1995 | R | 3/10/2003 | 3/17/2003 | 10 | G. Gigax |
| Patient/Family Education Sheet | v4 | 7/22/1997 | R | 9/18/2003 | 9/22/2003 | 14 | D. Matthews |
| Patient's Bill of Rights (Adult) | v4 | 1/15/1987 | D | 10/4/1999 | 10/4/1999 | 6 | M. Moran |
| Patients to Exclude from Research | v2c6 | 8/21/1992 | M | 5/6/2003 | 5/6/2003 | 9 | P. Averill |
| Pediculosis (Lice) | 1/17/1991 | D | 7/14/1997 | 7/30/1997 | 4 | C. Griffiths | |
| Pediculosis (Lice) | v1c6sH | 9/7/1990 | M | 8/6/2002 | 8/22/2002 | 8 | S. Parnell |
| Pediculosis (Lice) Screening and Documentation | v1c6sG | 12/8/1987 | M | 8/6/2002 | 8/22/2002 | 9 | S. Parnell |
| Pediculosis Exposure | 9/17/1991 | D | 10/4/1999 | 10/4/1999 | 4 | S. Parnell | |
| Peer Review | 9/6/1988 | M | 6/12/2003 | 6/17/2003 | 7 | A. Mackey | |
| Peer Review Committee's Final Report to Administration form | 9/6/1988 | M | 6/12/2003 | 6/17/2003 | 7 | A. Mackey | |
| Per Diem Registered Nurses | 5/15/1989 | D | 6/24/1998 | 6/28/1998 | 4 | A. Mackey | |
| Per Diem Staff | 5/15/1989 | M | 4/7/2003 | 4/7/2003 | 9 | A. Mackey | |
| Performance Evaluation Processes | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| Performance Improvement Evaluation | v1c7sB | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Performance Improvement Flowchart (PI) | v5c2 | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 4 | R. McBride |
| Performance Improvement Measure Form | v1c7sB | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Performance Improvement Plan | v1c7sA | R. McBride | |||||
| Performance Improvement Summary Report form | v4 | 4/18/1988 | D | 5/2/2000 | 1/9/2001 | 11 | H. Greenlee |
| Performance Rewards | v5c1sB | 10/4/1999 | M | 6/3/2003 | 6/9/2003 | 5 | S. Orioli |
| Personal Appearance and Dress Code | v1c1sB | 1/30/1997 | M | 9/24/2003 | 10/2/2003 | 11 | S. Orioli |
| Personnel Action form | v4 | 10/4/1999 | M | 4/1/2003 | 4/14/2003 | 4 | S. Orioli |
| Personnel Actions | 8/14/1998 | D | 10/4/1999 | 10/4/1999 | 2 | S. Orioli | |
| Personnel File Centralization | v5c1sA | 1/5/2001 | M | 6/3/2003 | 6/9/2003 | 3 | S. Orioli |
| Pet Visitation Program | v2c3sC | 12/6/2000 | M | 9/9/2003 | 9/9/2003 | 4 | S. Parnell |
| Petition for Outpatient Commitment-Notification/Acknowledgment | v4 | 4/6/2001 | N | 4/1/2003 | 4/14/2003 | 3 | S. Foster |
| Petty Cash | v1c3sC | 10/31/1991 | M | 9/30/2003 | 10/2/2003 | 7 | S. Rodriguez |
| Pharmacist's Tasks | v2c6 | 2/19/1987 | M | 5/6/2003 | 5/6/2003 | 9 | P. Averill |
| Pharmacy | 4/3/1987 | D | 10/4/1999 | 10/4/1999 | 6 | D. Winkler | |
| Pharmacy Access | v3c2sF | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | D. Winkler |
| Pharmacy Department Security | v3c2sF | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | D. Winkler |
| Pharmacy Fire Plan | v3c3sB | 8/15/1988 | M | 2/4/2003 | 3/26/2003 | 9 | D. Winkler |
| Pharmacy Non-Evacuation Plan | v3c2sF | 11/6/1991 | M | 1/7/2003 | 3/24/2003 | 7 | D. Winkler |
| Pharmacy Security System Daily Log | v4 | 11/6/1991 | M | 4/1/2003 | 4/14/2003 | 7 | D. Winkler |
| Pharmacy Services | v2c3sC | 11/30/1993 | M | 11/5/2002 | 12/16/2002 | 7 | D. Winkler |
| Philosophy of Care | v2c1sA | 4/6/1995 | D | 8/21/2001 | 8/22/2001 | 5 | D. Matthews |
| Philosophy of Limiting Seclusion/Restraint Use | v1c3sF | 9/25/2003 | N | 9/26/2003 | 10/1/2003 | 1 | A. Mackey |
| Philosophy of Research | v2c6 | 8/21/1992 | M | 5/6/2003 | 5/6/2003 | 7 | P. Averill |
| Phone Outage Policy | v3c2sA | 11/4/2003 | N | 12/2/2003 | 12/4/2003 | 1 | R. Montanye |
| Physician On-Call Schedule | v1c2sA | 3/18/1987 | M | 7/2/2002 | 8/22/2002 | 9 | E. Reilly |
| Physician Progress Notes | 2/26/1991 | D | 7/7/1997 | 7/30/1997 | 5 | R. Varner | |
| Physician's Affidavit Supporting Mental Status Exam | v4 | 4/1/1999 | M | 12/4/2001 | 12/4/2001 | 3 | S. Foster |
| Physician's Order for Seclusion/Restraint | v4 | 5/19/1997 | M | 4/1/2003 | 4/14/2003 | 5 | A. Mackey |
| Physician's Orders | v2c3sE | 2/28/1991 | M | 4/1/2003 | 4/14/2003 | 13 | R. Varner |
| Physician's Orders - Psychology Services Request | v4 | 6/18/1993 | D | 10/4/1999 | 10/4/1999 | 4 | J. Hayes |
| Physician's Orders (Admitting) | v4 | 8/15/1988 | M | 11/6/2003 | 11/6/2003 | 18 | A. Mackey |
| Physician's Orders for Admitting Provisional Diagnosis | v4 | 12/6/2000 | M | 4/1/2003 | 4/14/2003 | 4 | R. Varner |
| Physician's Orders for Ancillary Services | v4 | 9/12/2001 | N | 4/1/2003 | 4/14/2003 | 2 | A. Mackey |
| Physician's Orders for Clinical Social Services and Activity Therapy | 5/24/1992 | D | 7/16/1997 | 7/30/1997 | 3 | J. Norlund | |
| Physician's Orders for Diagnostic Procedures and Consultations | 6/20/1991 | M | 5/21/2003 | 5/21/2003 | 5 | A. Mackey | |
| Physician's Orders for Transfer to Another Unit | 11/1/1991 | D | 4/22/1999 | 4/28/1999 | 4 | R. Varner | |
| Physician's Orders form | v4 | 2/28/1991 | M | 12/4/2001 | 12/4/2001 | 10 | R. Varner |
| Physician's Tasks | v2c6 | 2/19/1987 | M | 5/6/2003 | 5/6/2003 | 9 | P. Averill |
| Planning Other Events and Seminars | v1c4sA | 7/15/1996 | M | 7/2/2002 | 8/22/2002 | 6 | G. Konigsberg |
| Policies and Procedure Checklist | v4 | 11/3/1986 | M | ||||