Johns Hopkins Policies Online (3.1.6)

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Johns Hopkins Policies Online (3.1.6)
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Interdisciplinary Clinical Practice Manual
Wilmer Clinical Practice & Organization Manual Vol I: Administrative [
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Wilmer Clinical Practice & Organization Manual Vol II: Clinical Practice [
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Emergency/Safety (EMR)
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Cardiopulmonary Resuscitation (EMR
001)
Review Date
N/A
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Shortness of Breath (SOB), Chest Pain,
N/A
Loss of Consciousness, Management of
Patients Having... (EMR 002)
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Emergency Equipment in Nursing Units N/A
(EMR 003)
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Air Handling System Failure in Wilmer
Operating Rooms (EMR 004)
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10/01/2012
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Same/Similar (Spelled-Sounding) Name 10/01/2012
Alert (GEN 201)
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Visual Acuity Determination Test (GEN
202)
10/01/2012
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Orientation of Visually Impaired Patient 10/01/2012
to Unit Environment and Room (GEN 203)
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Guiding the Visually Impaired (GEN
204)
10/01/2012
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10/01/2012
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Traffic Pattern, Bendann Surgical
Pavilion (GEN 206)
10/01/2012
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Service and Hours of Operation (GEN
207)
10/01/2012
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On Call Policy, Wilmer Nursing Staff and 08/11/2013
Hopkins Access Line Personnel (GEN 208)
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10/01/2012
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N/A
General Policies & Procedures (GEN)
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Ophthalmic Abbreviations (GEN 200)
Facilities (GEN 205)
Posting Policies (GEN 209)
Review Date
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Johns Hopkins Policies Online (3.1.6)
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10/01/2012
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Communication of Delays/Cancellations 10/01/2012
on Day of Surgery (GEN 212)
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Guidelines for Patients Without
Transportation Home (GEN 213)
N/A
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Case Overruns in Wilmer OR (GEN
214)
10/01/2012
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Activities for Emergency Ophthalmic
Surgery, Coordination of (GEN 215)
10/01/2012
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Change in Patient Status (GEN 216)
N/A
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Admission of Pediatric Patients (GEN
217)
N/A
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Straight Local Patient, Care of (GEN
218)
10/01/2012
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Report of Operating Room Statistics
(GEN 219)
N/A
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Patients Undergoing Surgery at the
Wilmer Bendann Surgical Pavilion,
Management of (GEN 220)
10/01/2012
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Retrobulbar or Peribulbar Anesthesia,
Management of Patients Undergoing (GEN 10/01/2012
221)
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Patient Undergoing Diode Laser
Procedure, Management of (GEN 222)
10/01/2012
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Management of the Adult Diabetic
Patient Undergoing Ophthalmic Surgical
Procedures (GEN 223)
N/A
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Intravenous Infusion of Mannitol,
Management of the Patient Receiving (GEN N/A
224)
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Patient Receiving Prostigmin or Tensilon 10/01/2012
Injection (GEN 225)
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Tissue Transmitted Disease, Product
Recall/Withdrawal and Adverse Reaction
Process for Tissue Implants (GEN 226)
11/19/2013
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Management of Chemical Eye Injury
(GEN 227)
N/A
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10/01/2012
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10/01/2012
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Receiving Corneal/Scleral Tissue (GEN 10/01/2012
230)
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Completion of Documents on Use of
Corneal/Scleral Tissue (GEN 231)
10/01/2012
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Returning Unused Cornea/Scleral Tissue 10/01/2012
(GEN 232)
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Specimen Handling for Pathology Exam 10/01/2012
(GEN 233)
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Interfacility Patient Transport (GEN 210) N/A
Elective Case Cancellation due to
Delays (GEN 211)
DVT Prophylaxis (GEN 228)
Procedure for Ordering Corneal/Scleral
Tissue (GEN 229)
Handling of Drugs Classified as
10/01/2012
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Johns Hopkins Policies Online (3.1.6)
Hazardous (GEN 234)
Investigational Drugs Kept in the WOR
(GEN 235)
10/01/2012
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Preparation and Handling of
Intraoperative Injectables (GEN 236)
10/01/2012
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Eyelid Margin, Cleaning of (GEN 237)
10/01/2012
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Eye Shield, Application of (GEN 238)
10/01/2012
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Eye Patch, Application of (GEN 239)
10/01/2012
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Eye Drops, Instillation of (GEN 240)
10/01/2012
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Eye Ointment, Instillation of (GEN 241) 10/01/2012
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Ocular Prosthesis, Insertion and
Removal of (GEN 242)
10/01/2012
Infection Control/Cleaning, Decontamination, and Sterilization (IFC)
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WOR Biological Indicator Test Results
Documentation (IFC 008)
N/A
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Management of Positive Biological
Indicator Test Results (IFC 009)
N/A
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Maintenance/Repair of Equipment (IFC N/A
010)
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Equipment Cleaning and Maintenance
(IFC 011)
N/A
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Cleaning of AVI Lenses and Landers
Wide Field Intraocular and Equatorial
Vitrectomy Lens (Autoclavable AVI) (IFC
012)
N/A
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Cleaning of Biom and SDI Lenses (IFC N/A
013)
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Cleaning Hall Drills and Saw (IFC 014) N/A
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Cleaning of Endoscope (IFC 015)
N/A
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Maintenance of Instruments (IFC 016)
N/A
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Packaging and Storage of Supplies (IFC N/A
017)
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Standard Precautions in the
Perioperative Setting (IFC 600)
N/A
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Cleaning Operating Rooms Utilizing
Standard Precautions (IFC 601)
N/A
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Steam Sterilizers Biological Test and Air 10/01/2012
Removal Test, Monitoring of (IFC 602)
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Flash Sterilization Procedure in Wilmer
OR (IFC 609)
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N/A
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N/A
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N/A
Intraoperative (INT)
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Nursing Management of the Patient in
the Supine Position During Surgery (INT
011)
Setting up Air Blower System for
Review Date
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Johns Hopkins Policies Online (3.1.6)
Patients Undergoing Eye Surgery (INT 012)
Use of Electrosurgical Unit (ESU) Valley N/A
Lab Cautery Unit (INT 014)
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Protocol for Electroretinography (ERG)
Performed Under General Anesthesia in the N/A
Wilmer Operating Room (INT 016)
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Preparation and Assisting with Minor
Procedure (INT 024)
N/A
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Operative Eye and Time Out Policy;
Patient, Procedure, Verification and Marking N/A
of the... (INT 400)
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Verification Procedure for Intraocular
Lens (IOL) Impantation (INT 401)
08/01/2012
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Aseptic Technique, Principles of... (INT 10/01/2012
402)
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Surgical Scrub of Hands and Arms (INT 10/01/2012
403)
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Drying of Hands and Arms Following
Surgical Scrub (INT 404)
10/01/2012
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Donning of Surgical Gloves (INT 405)
10/01/2012
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Surgical Gowning (INT 406)
10/01/2012
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Skin Preparation (Ophthalmic) (INT 407) 10/01/2012
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Principles of Draping in Eye Surgery
and Removal of Drapes Postoperatively
(INT 408)
10/01/2012
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Positioning of Patients for Ophthalmic
Surgery or Procedure (INT 409)
10/01/2012
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Use of Mentor Cautery Units (INT 412) 10/01/2012
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10/01/2012
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10/01/2012
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Sponges, Sharps and Instrument Counts 10/01/2012
(INT 417)
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Instrument Count and Management
Policy (INT 418)
10/01/2012
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Case Cart, Standard Cart and Specialty 10/01/2012
Cart System (INT 419)
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Updating Surgeon Preference Lists for
Surgery (INT 420)
10/01/2012
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Procedure for Daily Instrument Count
and Tracking Record (INT 421)
N/A
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Maintenance of the Sterile Core (INT
422)
10/01/2012
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Scrub Nurse/Surgical Technician, Duties 10/01/2012
of (INT 424)
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10/01/2012
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Aspiration 100% Gas for Fluid Gas
Exchange Procedure (INT 414)
Laser Safety (INT 416)
Circulating Nurse, Duties of (INT 425)
Miscellaneous (MISC)
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Product Support for Indigent Care—
Review Date
N/A
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Johns Hopkins Policies Online (3.1.6)
Alcon Humanitarian Program (MISC 007)
Postoperative/PACU (POST)
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Postoperative Care for Ambulatory
Surgery Patients (POST 001)
N/A
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Criteria for Admission, Length of Stay
and Discharge from the Wilmer Post
Anesthesia Care Unit (POST 002)
N/A
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Recovering from Anesthesia, Nursing
Management of the Adult Patient in the
First Stage Recovery (POST 003)
N/A
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Recovering from Anesthesia, Nursing
Management of the Pediatric Patient...
(POST 004)
N/A
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Discharge from the Wilmer Post
Anesthesia Care Unit (POST 008)
N/A
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Reporting of Postoperative Patient
Condition to Receiving Unit (POST 009)
N/A
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Controlled Substance (POST 011)
N/A
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Medications (POST 012)
N/A
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Checking Emergency Equipment (POST N/A
013)
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Standard for Supply Storage and
Location (POST 014)
N/A
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Visitors and Traffic Control in the Post
Anesthesia Care Unit (POST 504)
10/01/2012
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PACU Documentation of Nursing Care
(POST 505)
10/01/2012
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Patient Discharge from Wilmer Post
Anesthesia Care Unit (POST 507)
10/01/2012
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Patient Discharge/Follow-up for
Ambulatory Surgery Patients (POST 509)
10/01/2012
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Pre and Post Operative Guidelines for
Patients Undergoing Surgery In the Wilmer N/A
Operating Room (PRE 001)
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Pre-op Screening for Ambulatory
Surgery Patients (PRE 002)
N/A
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Preoperative Laboratory Guidelines for
Ambulatory Surgery (PRE 003)
N/A
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Guidelines for Pre-Operative History &
Physical and Related Labwork (PRE 004)
N/A
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Patient Preparation and Admission to
the Operating Room (PRE 005)
N/A
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Admission to the Wilmer Eye Care
Pavilion of Ambulatory Surgery Patients
(PRE 006)
N/A
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Preoperative (PRE)
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Patient Assessment/Care in the
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Operating Room Holding Area (PRE 007)
N/A
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Wilmer Surgery Center at Green Spring Station Clinical Practice & Organization Manual [
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Johns Hopkins Policies Online (3.1.6)
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