Sample policy for reporting an incident or accident in the clinic.
Sample policy stating that the clinic will categorize job classifications based on Risk of occupational exposure.
Download Resource
Sample policy stating that the clinic will ensure that all laundry is properly handled and cleaned thoroughly.
Download Resource
- Laundry.doc (19 KB)
Sample policy stating that the clinic will maintain a current procedural list where employees are at risk of occupational exposure.
Download Resource
- ProcedureExposureList.doc (19.5 KB)
Sample policy stating that the clinic will follow universal precautions as required by OSHA and provide staff with the necessary Personal Protective Equipment to safely perform job duties.
Download Resource
- ProtectiveEquipment.doc (21.5 KB)
Sample policy stating that the clinic will comply with the relevant State Right To Know Program by educating its employees on the impact of chemicals used within the work place.
Download Resource
- RighttoKnow.doc (19.5 KB)
Sample policy stating that the clinic will make all employees aware of the work practice controls and ensure compliance with universal precautions.
Download Resource
- WorkPracticeControls.doc (19.5 KB)
Sample policy for proper instrument sterilization.
Download Resource
- SterilizationofInstruments.doc (21 KB)
A p addressing all unexpected occurrences involving death or serious physical and/or psychological injury (including loss of limb or function) or the risk thereof are responded to, investigated and reported to appropriate entities immediately.
Download Resource
- SentinelEventManagement.doc (44 KB)
A more comprehensive policy addressing all unexpected occurrences involving death or serious physical and/or psychological injury (including loss of limb or function) or the risk thereof are responded to, investigated and reported to appropriate entities immediately.
Download Resource
- SentinelEventPolicy2.doc (95 KB)
Sample clinic policy stating that the clinic will take precautions to avoid/limit the risk of the transmission of tuberculosis.
Download Resource
- TBSuspects.doc (19.5 KB)
Sample clinic policy to to provide tracking of all nosocomial infections and to alert the health center of any potential problems.
Download Resource
- NosocomialInfections.doc (19 KB)
Download Resource
To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.
Download Resource
- 2004+immunization+protocol.doc (35 KB)
An encounter between a nurse and a patient in which the nurse acts as an independent provider of medical services, under the delegation and supervision of a physician, nurse practitioner, or physician’s assistant, who has no direct contact with the patient during that visit.
Download Resource
- Nursing+Visit.doc (62 KB)
To establish a procedure by which a patient may have a throat culture performed and strep throat treated without a provider visit.
Download Resource
- Throat culture.doc (28 KB)
To provide for pertussis prophylaxis by the Registered Nurse to avoid pertussis infection and spread of clinical disease in patients served by the LSCHC.
Download Resource
To establish guidelines by which the RN may diagnose and manage a patient with pinworms.
Download Resource
- Pinworms Protocol.doc (29.5 KB)
To provide guidelines by which the registered nurse may provide Nicotine Replacement Therapy (NRT) to patients who are attempting smoking cessation. Research shows that NRT generally increases the rates of smoking cessation, therefore, except in the presence of serious medical precautions, NRT should be encouraged in smokers interested in quitting.
Download Resource
To establish guidelines by which the registered nurse may diagnose and manage a patient with cerumen impaction.
Download Resource
- Cerumen Removal Protocol.doc (30 KB)
Policy statement for clinics to use for injectable contraceptive medications given to female patients at risk of pregnancy.
Download Resource
Clinic policy to improve assessment of treatment goals for diabetic patients.
Download Resource
- StandingOrders-Diabetes.doc (22 KB)
Sample policy describing the procedure for physician on call.
Download Resource
- PhysicianonCall.doc (19 KB)
Sample policy on Early Preventative Screening Detection Tests.
Download Resource
- EPSDTPolicy.doc (20.5 KB)
Sample clinic policy on the treatment of minors.
Download Resource
- Treatment_of_minors.pdf (69.44 KB)
Sample clinic policy for pediatric immunizations
Download Resource
- PediatricImmunizationPolicy.doc (24.5 KB)
Sample clinic policy to assure that pregnant women receive thorough and consistent care throughout pregnancy and postpartum
Download Resource
- OngoingMaternityAssessment.doc (25 KB)