Hospital Policy Manual

Policy Number: 2.12

Effective Date: 7/01/07

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER -

SHREVEPORT

APPROVED GUIDELINES AND MANUALS

Purpose:

To provide a listing of approved source documents, which may be

referenced for specific policies and procedures regarding institutional
operations.

Policy:

The following documents are recognized as approved guidelines and

policies.

1. Hospital Policy Manual *

2. Chancellor’s Memoranda *
3. Safety Manual *
4. Pathology (Clinical Laboratory Guidelines) *
5. Dietary Manual
6. Hospital Formulary *
7. Infection Control Manual *
8. Prohibited Abbreviations and Symbols *
9. Employee Handbook (Family and Medical Leave Act) **
10. Administrative Directives *
11. House Staff Manual *
12. Medical Staff Bylaws & Regulations *
13. Nursing Policy & Procedures Manual *
a. Nursing Standards of Care *
b. Wound, Ostomy, Continence Nursing Department
14. Information Management Plan *
15. Ambulatory Care Division Policy and Procedure Manual *
16. Compliance Program ***

* Access via the LSUHSC website at http://www.sh.lsuhsc.edu/adm.html

select Hospital Policy Manuals

1
 Hospital Policy Manual
Policy Number: 2.12
Effective Date: 7/01/07

** Access via the LSUHSC website at http://www.sh.lsuhsc.edu/adm.html

select Employee Handbook

*** Access via the LSUHSC website at http://www.sh.lsuhsc.edu/adm.html

select Compliance Office

_______________________
Administrator

__6/22/07_______________
Date

Approved by Clinical Board: 5/15/01, 6/15/04, 6/19/07

Written: 4/95
Reviewed: 9/97, 5/04, 5/07
Revised: 3/98, 5/01, 5/04, 5/07