CHS Administrative/Organizational Policies and Procedures
Rehabilitation Hospital

Signature Page

Case Management

  1. ACADEMIC EDUCATION FOR CHILDREN AND YOUTH
  2. CASE MANAGEMENT ASSESSMENT
  3. CASE MANAGEMENT SERVICES
  4. CERTIFICATE OF INCAPACITY
  5. COMMUNICATION OF ADVANCE DIRECTIVES STATUS
  6. COMPETENCY / CAPACITY EVALUATION POLICY
  7. CONFIDENTIALITY
  8. CONTINUED STAY REVIEW
  9. COORDINATION OF OUTPATIENT SERVICES
  10. DISCHARGE PLANNING
  11. DOCUMENTATION/MEDICAL RECORDS
  12. DOMESTIC VIOLENCE ASSESSMENT AND REPORTING
  13. ELDER/DEPENDENT ADULT ABUSE ASSESSMENT AND REPORTING
  14. EXTERNAL REVIEWERS
  15. GRIEVANCE PROCESS
  16. GRIEVANCE/COMPLAINT LOG
  17. GUARDIANSHIP
  18. HOME HEALTH CARE REFERRALS
  19. IMPORTANT MESSAGE FROM MEDICARE
  20. MANAGED CARE PROCEDURES
  21. PERSONS SERVED/FAMILY CONFERENCES
  22. PROTOCOL FOR CASE MANAGEMENT DOCUMENTATION IN THE MEDICAL RECORD
  23. PSYCHOSOCIAL ASSESSMENT
  24. REFERRALS TO COMMUNITY RESOURCES
  25. RELEASE OF MEDICAL INFORMATION
  26. Restriction of Communication
  27. TEAM CONFERENCE
  28. TRANSFER TO OTHER FACILITIES

Engineering EOC

  1. FIRE SAFETY MANAGEMENT PLAN
  2. HAZARDOUS MATERIALS AND WASTE MANAGEMENT PLAN
  3. Medical Equipment Mangement Plan
  4. SAFETY MANAGEMENT PLAN
  5. SECURITY MANAGMENT PLAN
  6. UTILITIES MANAGEMENT PLAN

Environmental Services

  1. BODY MECHANICS
  2. BODY MECHANICS – STAFF EDUCATION HANDOUT
  3. CARPET CLEANING
  4. CHANGING CUBICLE CURTAIN AND DRAPE
  5. CHEMICAL DISPENSING
  6. CLEAN LINEN ROOM CLEANING
  7. CLEAN UTILITY ROOM CLEANING
  8. CLEANING BASEBOARDS
  9. CLEANING BLINDS
  10. CLEANING CART SET-UP
  11. CLEANING DINING ROOM
  12. CLEANING DOORS AND DOOR JAMBS
  13. CLEANING ELEVATORS
  14. CLEANING EXAMINATION AND TREATMENT ROOMS
  15. CLEANING EXTERIOR ENTRANCE AREAS
  16. CLEANING GLASS AND PLEXIGLAS (PICTURES, MIRRORS)
  17. CLEANING INSIDE OF WASHERS AND DRYERS
  18. CLEANING INTERIOR ENTRANCE AREAS
  19. CLEANING ISOLATION PATIENT ROOM – DISCHARGE/TRANSFER
  20. CLEANING ISOLATION PATIENT ROOM – OCCUPIED
  21. CLEANING LIGHT FIXTURES
  22. CLEANING NURSES’ STATION
  23. CLEANING OF LAUNDRY CONTAINERS
  24. CLEANING OFFICES
  25. CLEANING OUTSIDE OF DRYERS
  26. CLEANING OUTSIDE OF WASHERS
  27. CLEANING PAPER TOWEL DISPENSERS
  28. CLEANING PATIENT ROOM – DISCHARGE/TRANSFER
  29. CLEANING PATIENT ROOM – OCCUPIED
  30. CLEANING REHABILITATION SERVICES DEPARTMENT
  31. CLEANING SOAP DISPENSERS
  32. CLEANING STAIRWELLS
  33. CLEANING SUPPLIES AND CHEMICALS
  34. CLEANING TOILET TISSUE DISPENSERS
  35. CLEANING WALLS AND CEILINGS
  36. CLEANING WASTE CONTAINERS
  37. CLEANING WATER FOUNTAINS
  38. CONDUCT TO MINIMIZE VIOLENCE
  39. DAMP DUSTING
  40. DEFINITION OF BIOHAZARDOUS WASTE
  41. DISPOSAL OF SHARPS
  42. DUST MOPPING
  43. ELECTRICAL SAFETY
  44. EMERGENCY CALL-BACK LIST
  45. Environmental Services PI Monitoring and Evaluation Plan
  46. Environmental Services PI Outcome Evaluation
  47. Environmental Services PI Trending Sheet
  48. Environmental Services PI Volume Measures/Statistics
  49. EQUIPMENT CONDITION
  50. EQUIPMENT SAFETY
  51. EQUIPMENT SAFETY – PREVENTIVE MAINTENANCE OPERATOR
  52. FIRE PREVENTION
  53. FIRE SAFETY
  54. FLOOR FINISHING
  55. FLOOR SEALING
  56. FLOOR STRIPPING
  57. FURNITURE CLEANING
  58. GENERAL CLEANING AND SANITATION
  59. GOALS AND OBJECTIVES OF THE LAUNDRY DEPARTMENT
  60. HAND HYGIENE
  61. HANDLING CLEAN LINEN
  62. HANDLING SOILED LINEN
  63. HAZARD SURVEILLANCE DETECTION SURVEY – ENVIRONMENTAL SERVICES
  64. HAZARD SURVEILLANCE DETECTION SURVEY – LAUNDRY
  65. HAZARDOUS CHEMICAL COMMUNICATION PROGRAM
  66. HAZARDOUS MATERIALS AND WASTE – DEPARTMENTAL MANAGEMENT
  67. HAZARDOUS MATERIALS AND WASTE – DIRECTOR’S RESPONSIBILITIES
  68. HAZARDOUS MATERIALS AND WASTE – EMPLOYEE INJURY
  69. HAZARDOUS MATERIALS AND WASTE – NOTEBOOK
  70. HAZARDOUS MATERIALS AND WASTE – SPILLS
  71. HAZARDOUS MATERIALS AND WASTE – STORAGE
  72. HAZARDOUS MATERIALS AND WASTE – TRAINING
  73. HAZARDOUS MATERIALS AND WASTE DEPARTMENTAL REPORTING FORM
  74. HAZARDOUS MATERIALS AND WASTE MANAGEMENT PLAN HANDLING
  75. HOW TO READ THE MSDS
  76. INCIDENT REPORT PROTOCOL
  77. INFECTION CONTROL
  78. INFECTION CONTROL – LAUNDRY
  79. ISOLATION LINEN
  80. ISOLATION PRECAUTIONS
  81. KEY CONTROL
  82. LAUNDRY AREA CLEANING
  83. LAUNDRY FLOW CHART
  84. LAUNDRY SECURITY
  85. LAUNDRY SORTING
  86. LOADING AND UNLOADING DRYERS
  87. LOST AND FOUND
  88. MANAGEMENT OF ACCIDENTAL BLOOD OR BODY FLUID EXPOSURE/CONTAMINATION
  89. MISSION
  90. NEW TECHNICAL PROCEDURES
  91. PERFORMANCE IMPROVEMENT PLAN
  92. PERSONAL HYGIENE
  93. PERSONAL PROTECTIVE EQUIPMENT
  94. RECOGNIZING INAPPROPRIATE BEHAVIOR
  95. REPORT OF EXPOSURE TO BLOODBORNE PATHOGENS
  96. RESTROOM CLEANING
  97. RULES AND REGULATIONS
  98. SAFETY
  99. SAFETY – LAUNDRY
  100. SCOPE OF SERVICES
  101. SELECTION OF EQUIPMENT
  102. SHARPS INJURY LOG
  103. SHARPS INJURY PROTECTION PLAN
  104. SOILED LINEN ROOM CLEANING
  105. SOILED UTILITY ROOM CLEANING
  106. SPRAY BUFFING FLOOR
  107. STAFFING PLAN
  108. STAINLESS STEEL OR METAL CLEANING
  109. STANDARD PRECAUTIONS
  110. STORAGE OF LAUNDRY SUPPLIES
  111. STORAGE, COLLECTION AND TRANSPORTATION OF LINEN
  112. VACUUMING
  113. VENT CLEANING
  114. VIOLENCE MANAGEMENT
  115. WASHING MACHINE LOADING AND UNLOADING
  116. WET MOPPING
  117. WET VACUUMING
  118. WORK ASSIGNMENTS

Food and Nutrition

  1. ADAPTIVE EATING EQUIPMENT
  2. CALORIE COUNT`
  3. CLINCAL NUTRITION LOG – MONTHLY STATUS REPORT
  4. COMMENT CARDS
  5. CONSULTANT DIETITIAN
  6. DEPARTMENT TOURS
  7. DIET ORDERS & OTHER PATIENT/RESIDENT INFORMATION
  8. DISCHARGE PLANNING FOR NUTRITION SERVICES
  9. DISPOSABLE MEAL SERVICE
  10. DOCUMENTATION IN THE MEDICAL RECORD
  11. ENTERAL NUTRITION – TUBE FEEDING
  12. EVENING SNACKS
  13. FOOD BROUGHT IN FROM THE OUTSIDE
  14. FOOD PREFERENCES
  15. FOOD PREFERENCES
  16. GUEST MEALS
  17. HYDRATION
  18. INTERDISCIPLINARY CARE PLANS
  19. MEAL ASSEMBLY PROCEDURES
  20. MEAL IDENTIFICATION
  21. MEAL PICK-UP & DELIVERY
  22. MEAL ROUNDS
  23. MEAL SERVICE TIMES
  24. MEAL TEMPERATURE RECORD
  25. MENU DEVELOPMENT, APPROVAL & REVISION
  26. MENU POSTING
  27. NOURISHMENTS, PATIENT SPECIFIC SNACKS, MED PASS PROGRAM
  28. NPO / CLEAR LIQUIDS
  29. NUTRITIION CARE MONITORS
  30. NUTRITIION INTERVENTIONS
  31. NUTRITIION RISK COMMITTEE
  32. NUTRITION CARE PROTOCOLS
  33. NUTRITION FILE SYSTEM
  34. NUTRITION SCREENING AND ASSESSMENT
  35. PARENTERAL NUTRITION – TPN/ PPN
  36. PARENTERAL/ENTERAL PRODUCTS: RESPONSIBILITIES FOR HANDLING
  37. PATIENT AND FAMILY EDUCATION
  38. PATIENT RIGHTS – NUTRITION CARE
  39. PATIENT/RESIDENT MEAL SERVICES
  40. PATIENT/RESIDENT VISITATION: CONNECTING WITH OUR CUSTOMERS
  41. POLICY AND PROCEDURE MANUAL-REVIEW AND APPROVAL OF NUTRITION CARE SERVICES
  42. POTENTIAL FOOD/MEDICATION INTERACTION – EVALUATION AND EDUCATION
  43. RELATIONSHIP-BUILDING COMMUNICATION
  44. RENAL INTERVENTIONS
  45. SHOWTIME
  46. SMALL/LARGE PORTIONS
  47. SPECIAL FOOD REQUESTS
  48. SURVEYS
  49. TEST MEAL EVALUATION
  50. THERAPEUTIC/MODIFIED DIETS
  51. THICKENED LIQUIDS
  52. UNIT PANTRY STOCK

Pastoral Care

  1. Availability of Pastoral Care
  2. Death of a Person Served
  3. Distribution of Religious Material
  4. Eucharistic Ministers
  5. Hurricane/Disaster
  6. Ministry to Families and Visitors
  7. Orientation to Pastoral Care
  8. PASTORAL CARE DEPARTMENT POLICIES – TABLE OF CONTENTS
  9. Pastoral Care to Staff
  10. Pastoral Care Volunteers
  11. Philosophy of Pastoral Care
  12. Referrals to Pastoral Care
  13. Sacraments – Reconciliation
  14. Sacraments – Anointing of the Sick
  15. Sacraments – Baptism
  16. Sacraments – Confirmation
  17. Sacraments – Eucharist
  18. Sacraments – Eucharist as Viaticum
  19. Spiritual Care Assessment
  20. Use of the Chapel
  21. Visiting Ministers from Area Churches, etc.
  22. Worship Services

Outpatient Rehab

  1. ACCIDENT/BREAKDOWN OF FACILITY VEHICLES: OUTPATIENT
  2. AUTHORIZATION FOR CHANGE IN TREATMENT PLAN: OUTPATIENT
  3. AUTOCLAVE MACHINE
  4. AUTOCLAVE MACHINE – COMPETENCY CHECKLIST
  5. BILLING: OUTPATIENT
  6. Blood Transfusions
  7. CERTIFICATION-RECERTIFICATION FOR THE PLAN OF TREATMENT OF OUTPATIENT THERAPY SERVICES
  8. CHANGES IN TRANSPORTATION SERVICES: OUTPATIENT
  9. Discharge Planning: OUTPATIENT
  10. ELIGIBILITY FOR TRANSPORTATION SERVICES: OUTPATIENT
  11. Evaluation and Management Documentation Guidelines: OUTPATIENT
  12. FACSIMILE (FAX) OF PHYSICIAN ORDERS: OUTPATIENT
  13. FAMILY CONFERENCE: OUTPATIENT
  14. HOURS OF OPERATION/LOCATION OF SERVICE PROVISION: OUTPATIENT
  15. MCO/HMO Non-covered services: OUTPATIENT
  16. Medication Reconciliation: Outpatient
  17. OPENING OF BUSINESS OFFICE FOLDER: OUTPATIENT
  18. OUTPATIENT DOCUMENTATION
  19. OUTPATIENT MEDICAL RECORDS
  20. Outpatient Program Services
  21. OUTPATIENT REGISTRATION PROCESS
  22. OUTPATIENT REGISTRATION:COMMUNITY REFERRALS: OUTPATIENT
  23. OUTPATIENT WITH CASE MANAGEMENT INVOLVEMENT: OUTPATIENT
  24. PERSON SERVED AND CAREGIVER EDUCATION: OUTPATIENT
  25. PERSON SERVED IDENTIFICATION: OUTPATIENT
  26. SCHEDULING FOR TRANSPORTATION SERVICES: OUTPATIENT
  27. Therapist of Record, Hand Off Communication, Primary Therapist Responsibilities – Outpatient
  28. TREATMENT PROCESS: OUTPATIENT
  29. VEHICLE MAINTENANCE: OUTPATIENT
  30. VERBAL ORDERS: OUTPATIENT
  31. VERIFICATION OF PAYOR SOURCE: OUTPATIENT

Speech

  1. Clinical Bedside Dysphagia Assessment
  2. Clinical Bedside Dysphagia Orders
  3. Diet Consistency Definitions used by Speech Therapy
  4. Modified Barium Swallow Policy and Procedure
  5. PAssy-Muir Spreaking Valves
  6. SCOPE OF SPEECH-LANGUAGE AND PATHOLOGY
  7. SPEECH PATHOLOGY AND AUDIOLOGY CODE OF ETHICS
  8. Speech/Language Assessment/Discharge Form

Therapy

  1. Accident/Breakdown of Facility Vehicles
  2. Admission, Continued Stay And
  3. Aquatic Program Agreement
  4. Aquatic Screening Policy
  5. AQUATIC THERAPY CONTRAINDICATIONS AND PRECAUTIONS
  6. Authorization for Changes in Treatment
  7. BILLING PROCEDURES
  8. BLIND OR VISUALLY IMPAIRED PERSON SERVED
  9. Cleaning Therapy Treatment Areas
  10. Clinical Bedside Dysphagia Assessment
  11. Communication of Aspiration Precautions
  12. COMPETENCIES AND SKILLS APPRAISAL/CHECKLIST
  13. Definitions of Therapy Scales and Terms
  14. Department Maintenance
  15. DEPARTMENT STATEMENT OF INTENT
  16. DEPARTMENT STATEMENT OF PURPOSE
  17. Departmental Responsibilities
  18. Diet Consistency Definitions used by Speech Therapy
  19. Discharge Summary
  20. Documentation of Delivery of Services (in-patient services)
  21. Driver Orientation and Training
  22. education of the person served
  23. Emergency Action Plan – Aquatic/Pool Area
  24. Emergency Action Plan – Aquatic/Pool Area
  25. Emergency and Rescue Equipment in
  26. Equipment and Supplies
  27. Equipment Maintenance
  28. Fecal Accident in the Pool
  29. General Operations
  30. GUIDELINES FOR CHARGE INPUT
  31. Holiday Operation
  32. Home Evaluation
  33. HOURS OF OPERATION/LOCATION OF SERVICE PROVISION
  34. Hydrocollator Cleaning
  35. Hydrotherapy with Powerspray
  36. INITIATING REHABILITATION THERAPY SERVICES
  37. Initiation of Services/Evaluation
  38. Internal Continuity of Care
  39. Job Descriptions
  40. Kitchen Use and Monitoring of Refrigerators
  41. Lightning (Aquatic)
  42. Linen Changing
  43. Management of Medications used by the Rehabilitation Department
  44. Missed therapy sessions
  45. Modified Barium Swallow Policy and Procedure
  46. Occupational Therapy Assessment/Discharge Form
  47. OCCUPATIONAL THERAPY CODE OF ETHICS
  48. Off Site Therapy Treatment Protocol
  49. Ordering Orthotics and/or Prosthetics from Vendors (Protocol)
  50. ORIENTATION AND TRAINING
  51. orientation for new rehabilitation team members and interns
  52. Pain Management- Rehabilitation Services Team
  53. PAssy-Muir Spreaking Valves
  54. PATIENT IDENTIFICATION
  55. PATIENT REFERRALS
  56. Patient Transportation – Safety Restraining Devices
  57. Patient Treatment Priorities
  58. Patient/Resident/Family Education Content
  59. PERSON SERVED TREATMENT PROCESS
  60. PERSONNEL MEMBER EDUCATION
  61. PHYSICAL THERAPIST’S CODE OF ETHICS and STANDARDS OF CONDUCT FOR THE PHYSICAL THERAPIST ASSISTANT
  62. Physical Therapy Assessment/Discharge Form
  63. PHYSICIAN’S ORDERS
  64. Policy and Procedure Manual Responsibilities
  65. Pool Chemistry and Cleaning – Daily Monitoring of
  66. Pool Security
  67. Pool Temperature, Air Temperature &
  68. Prevention / Reduction of Germ Contamination
  69. Purpose and Philosophy of Rehabilitation Services
  70. Quality Control Logs
  71. Referrals for Orthotic/Prosthetic Services
  72. Referrals to Vocational Rehabilitation Services
  73. REHAB/CONGREGATE DINING
  74. Rehabilitation Department Goals
  75. Rehabilitation Services Dress Code
  76. Rehabilitation Services Mission
  77. Rehabilitation Services Objectives
  78. Rehabilitation Therapy Safety Procedures
  79. Scheduling for Service
  80. SCOPE OF OCCUPATIONAL THERAPY
  81. SCOPE OF PHYSICAL THERAPY
  82. SCOPE OF SPEECH-LANGUAGE AND PATHOLOGY
  83. Serial Casting
  84. SPEECH PATHOLOGY AND AUDIOLOGY CODE OF ETHICS
  85. Speech/Language Assessment/Discharge Form
  86. STAFF RELIEF
  87. Staffing and Time in Pool
  88. STORAGE OF EQUIPMENT AND SUPPLIES
  89. student/INTERN affiliation responsibilities
  90. SUBJECT: HOLIDAY OPERATION
  91. Supervision of Patients in Clinic
  92. Termination of Therapy Services
  93. Therapist of Record, Hand Off Communication, Primary Therapist Responsibilities,
  94. THERAPIST/STAFF TRAVEL TO OTHER CHS FACILITIES
  95. Therapy Referrals at Discharge
  96. Therapy Services Provision of Care
  97. Therapy Services Supervision and Direction
  98. Therapy Treatment Areas
  99. TRIAGE OF PATIENT CARE DURING TIME OF PRIORITIZED NEEDS
  100. Vehicle Maintenance
  101. Vomit & Blood Contamination in the Pool
  102. Weekly Reassessments/Documentation

PPS

  1. ADMISSION POLICY
  2. ANALYSIS OF OUTCOMES
  3. CNA Functional Daily Assessment
  4. CONTINUED STAY
  5. Discharge Policy
  6. FIMS
  7. FOLLOW-UP SATISFACTION SURVEY
  8. FOLLOW-UP SATISFACTION SURVEY FOR SPINAL CORD INJURY
  9. INTERRUPTED STAY
  10. PATIENT ASSESSMENT INSTRUMENT
  11. PATIENT RIGHTS RELATIVE TO THE PATIENT ASSESSMENT INSTRUMENT
  12. PROSPECTIVE PAYMENT SYSTEM FOR INPATIENTS

Respiratory