Policies Manual

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12.1	Acknowledgment of Receipt of Notice of Privacy Practices
43	Advanced Procedures by ED Registered Nurse
34.6	Admission of Hip Fracture Patients from the Emergency Department
34.8	Admission of Patients with Diabetes Mellitus and Foot Ulceration or Infection
34.3	Admissions to Medicine
34	Admitting Policy
42.3	AER Asthma Protocol and Standing Orders
49	Alcoholism Protocol
50	Animal Bites and Wounds

25.1	Blood Bank Specimen Handling
25.2	Blood Sample Collection and Labeling
51	Burns - Initial Managment

57	Care of Dialysis Patients in the ED
56	Care of the Diabetic Patient
4	Community Emergency Services - Relationship to ED
12	Confidentiality of Patient Information
54	Conscious Sedation for the Adult and Pediatric Patient
14	Consent, Adults
14.1	Consent, Minors
23.2	Constant Observation of Patients
20	Consults
20.2	Consults - General Surgery
20.3	Consults - Hand Injuries and Infections in Adults
20.4	Consults - OB/GYN
2	Credentials for Staff

28	Death Management Protocol
67.2	Discharge Against Medical Advice
67	Discharge of Patient from the ED
67.3	Discharge of Undomiciled Patients
41.1	Dispensing Outpatient Medication to ED Patients
16	DNR
26.3	Domestic Violence

34.1	ED Attending Authority to Admit
26.5	ED Policy for Digital Photography
10	ED Referrals to OPD Clinics for Follow-up
47	EKG Request and Performance of 12 Lead EKG's
47.1	EKG Transmission and Interpretation
26.2	Elder/Institutional Abuse
3	Emergency Care Services at Mount Sinai - General Statement
11	Emergency Department Registration Log
67.1	Emergency Discharge Policy
5	Emergency Preparedness Plan (EPP)
5.1	Emergency Response for Medical Center
6	Employee Health Service Referrals
7.2	EMS Diversion Protocol (Diversion Form)
7.1	EMS Exchange Requirements with Pre-Hospital Personnel
58.1	Endoscopy in the PER
58	Endoscopy, Adult
33.1	Equipment Maintenance
59.1	Exposure to Hazardous Materials

24.4	Gem 3000 Point of Care Blood Analysis
40.1	Guidelines for Nursing Orders on Admitted Patients

15	Health Care Proxy
53	Hyperbaric Oxygen Treatment for Carbon Monoxide Poisoning

34.5	ICU Consults and Admissions
44	Immunizations-Pediatric Emergency Room
60.1	Infection Control - Tuberculosis Identification/Management
60	Infection Control Guidelines
34.7	Initial Care of Pregnant Patients Presenting to the Hospital
4.2	Interhospital Transfers
4.3	Inter-Institutional Transfer of Patient
29	Interpreteam
52	Ischemic Chest Pain Protocol

19.1	Job Description - Administrator
19.12	Job Description - Charge Nurse
19.15	Job Description - Child Life Specialist
19.14	Job Description - Clinical Coordinator
19.4	Job Description - Clinical Nurse
19.2	Job Description - Clinical Nurse Manager
19	Job Description - Director, Emergency Department
19.3	Job Description - ED Operations Coordinator
19.6	Job Description - ED/EKG Technician
19.9	Job Description - Education Specialist
18.3	Job Description - House Staff
19.8	Job Description - Operations Coordinator
19.5	Job Description - Nurse Practitioner
19.11	Job Description - Patient Care Volunteer
19.55	Job Description - Physician Assistant
19.7	Job Description - Registrar
19.10	Job Description - Social Worker
19.13	Job Description - Support Associate

24.1	Laboratory Alert Values
24	Laboratory Services
24.3	Laboratory Services for Poisoning Overdose Ingestion
33	Location, Storage and Procurement of Supplies in the ED
25	Location, Storage and Procurement of Blood Supplies

2.1	Maintenance of Departmental Personnel Files
13.2	Maintenance of Medical Record
59	Management of Exposure to Blood/Body Fluids
61.1	Management of Mother and Newborn in ED
37.1	Management of Patients in the ED Holding Area
63	Management of Poisonings
26.1	Management of Suspected Child Abuse or Neglect
13	Medical Record and Reports
13.1	Medical Record Forms - Other
41	Medication Administration by ED Personnel
50.1	Monkey Bite Protocol
64.1	Multiple Trauma - Early Management

39.3	Nursing Triage Assessment Guidelines

41.2	Obtaining Narcotics / Controlled Drugs from AER for Radiology
62	Ocular Emergencies
35	OR Availability
17	Organ Donor Policy
5.2	Overcrowding and SURGE Management Plan

54.2	Pain Management in the Emergency Department
27	Patient Grievance Mechanism
31	Patient Property, Care of
42.2	PER Asthma Protocol and Standing Orders
55	Pharmacologic Adjuncts for Adult Endotracheal Intubation
7	Pre-Hospital Care from EMS and Others
45	Procedures Which May Not Be Performed in the ED
52.1	Protocol for the Initial Evaluation and Management of Patients with Ischemic or Hemorrhagic Stroke
40	Protocol for Nurse Initiated Laboratory Studies in Treatment Area
21	Psychiatric Evaluation in the Emergency Department
21.1	Psychiatric Patient Transport from Psych Clinic to ED

22	Radiology Services
48.1	Recall of Patients with Missed Fractures / X-Ray Interpretation
48	Recalls and Reportable Diseases
10.1	Referral to Clinics for Initial Treatment
61.3	Registration and Handling of Stillborns in the ED
61.2	Registration of Mother and Live Newborns in ED
4.1	Relationship with Specialized Referral Center - EMS Advisory
34.2	Responsibility of ED Attending to Primary Attending
23	Restraints and Locked Seclusion
8	Return of a Discharged Patient by a Placement Facility
18	Role of Emergency Department Attending

46	Saline Locks
30	Security-Police Intervention
26.4	Sexual Assault Protocol (Code 11)
26	Social Work Services in the ED
38	Standards for Nursing Care and Vital Signs
42.1	Standing Antipyretic Orders (PER)
42	Standing Orders - Registered Nurses in AER
43.1	Standing Orders for Radiation Injury or Contamination
24.2	Surgical Specimen Handling

1	Table of Organization
10.2	Telephone Advice in the ED
10.3	Telephone Tree for ED Registrars
65	Tetanus Prophylaxis
6.1	Toxicology Testing of Employees in the ED
39	Triage and Retriage of AER and PER Patients
39.2	Triage of Direct Admission
39.1	Triage of Psychiatric Emergency Patients

32	Visiting Policy