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UF Health Jacksonville Policies and Procedures

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Topic Overview	Related Documents and Links
Patient Safety	Discharge Medications National Patient Safety Goals - Joint Commission Website See also: Guidelines for Writing Medication Orders* - UF Health Jacksonville Policy Medication Reconciliation* - UF Health Jacksonville Policy
ADT (Admission/Discharge/Transfer)	Admission of Patients Against Medical Advice Beds: Obtaining and Assigning Patients Transfers See also: Admission to Critical Care Units* - UF Health Jacksonville Policy Direct Admissions* - UF Health Jacksonville Policy Discharge Planning and Process* - UF Health Jacksonville Policy Refusal of Treatment/Hospitalization Against Medical Advice* - UF Health Jacksonville Core Policy & Procedure Transfers from Other Acute Care Hospitals* - UF Health Jacksonville Policy Transfers from Skilled Nursing Facilities* - UF Health Jacksonville Policy
Deaths	Autopsy Diagnosis (Provisional Gross Autopsy Diagnosis) Autopsy Permission Autopsy Reports and Bereavement Conferences Death Certificates Death Conference Guidelines Medical Examiner Cases Organ & Tissue Donor Program See also: Care of the Deceased Patient* - UF Health Jacksonville Policy
Medical Records	Dictation of Medical Records Dictation Policy Update Medical Records - Overview Medical Records Information, Release of See also: Content of Medical Record* - UF Health Jacksonville Policy Confidentiality and Release of Information* - UF Health Jacksonville Core Policy Dictation Instruction Card - UF Dictation Instruction Card - UF Health Jacksonville Dictation Signing Reference Card - Allscripts Practitioner Delinquent Medical Record Notification* - UF Health Jacksonville Policy Physician Orders* - UF Health Jacksonville Policy Procedure for Requesting Medical Records for Non Patient Care/Patient Care* - UF Health Jacksonville Policy
Patient Information	The Basics of Informed Consent The Capacity to Consent The Essentials of Informed Consent Care of the Prisoner (''Forensic'') Patient See also: Advance Directives* - UF Health Jacksonville Policy Confidentiality of Patient Information* - UF Health Jacksonville Policy Consultations* - UF Health Jacksonville Policy Do Not Resuscitate Decisions (DNR)* - UF Health Jacksonville Policy Do Not Resuscitate Decisions (DNR) Order FAQs* - UF Health Jacksonville Policy Ethics Consultations* - UF Health Jacksonville Core Policy Informed Consent* - UF Health Jacksonville Core Policy Patient Medical Record Management and Disclosure of Patient Information* - UF Health Jacksonville Core Policy & Procedure Patient Privacy – Patient Information Passcode* - UF Health Jacksonville Core Policy Withholding or Withdrawing Life-Prolonging Procedures or Measures* - UF Health Jacksonville Core Policy & Procedure
Safety and Security	Abuse and Neglect Adults* Disaster Policy Emergency Codes and Numbers/Fire Alarms and Evacuation Indicators of Abuse and Neglect Police Notification Restraints Prisoner-Patient-Resident-Manual Restraints The START 2 Finish Response Model for Mass Casualties See also: Abused, Neglected or Abandoned Children & Adults* - UF Health Jacksonville Core Policy & Procedure Bomb Threats* - UF Health Jacksonville Policy Control of a Violent Patient* - UF Health Jacksonville Policy Emergency Preparedness Management Plan* - UF Health Jacksonville Policy Fires and Alarms* - UF Health Jacksonville Policy Internal Disaster Plan* - UF Health Jacksonville Policy MCI Response Plan (external)* - UF Health Jacksonville Policy Restraints and Seclusion* - UF Health Jacksonville Policy
General Information	CDC Website Disclosure of Adverse Events (Serious Incidents) Incident Reporting Brochure (SIP) Incident Reporting Involving Visitors Incident Reporting, Serious Infection Control Interpreter Services Media, Release of Information to* Moderate Sedation Guidelines Moderate Sedation Post Test Moderate Sedation Training Set Pain Management Guidelines Pocket Reference Card Pain Management, Principles of Strategy for Disclosure of Adverse Events Brochure The Basics of Disclosure Brochure See also: Cardiopulmonary Resuscitation Team* - UF Health Jacksonville Policy Certified/Screened Sign Language Interpreter for the Hearing Impaired* - UF Health Jacksonville Policy Disclosure of Unanticipated Outcomes* - UF Health Jacksonville Guideline Exposure Control Plan for Bloodborne Pathogens* - UF Health Jacksonville Policy Hand Hygiene* - UF Health Jacksonville Policy In-house Stroke Alert* - UF Health Jacksonville Policy Interpreter Services for Non-English Speaking Patients* - UF Health Jacksonville Policy Isolation Precautions* (HICPAC) Isolation Precautions - UF Health Jacksonville Policy Moderate Sedation* (aka conscious sedation) - UF Health Jacksonville Guideline Modes and Risk of Transmission by Specific Disease Agent* - UF Health Jacksonville Guideline Needlestick injuries topic in Section I Pain Assessment and Management* - UF Health Jacksonville Guideline Standard Precautions* - UF Health Jacksonville Policy
General Information - Lab	CDC Website — HIV/AIDS Critical Diagnostic Test Results* Lab Services Overview* Blood Alcohol Testing Microbiology Specimen Collection Manual
General Information - Pharmacy	Adverse Drug Reaction Reporting Formulary of Approved Drugs* Pharmacy Information Prescribing Controlled Substances Prescribing Tips Prescription Writing Guidelines Safe Prescribing UF Health Jacksonville Pharmacy Department* See also: Prescription Blanks* - UF Health Jacksonville Policy Adverse Drug Reaction Reporting* - UF Health Jacksonville Policy Drug Information Newsletter* - UF Health Jacksonville Policy Medication Bulletin* - UF Health Jacksonville Policy
General Information - Transfusion	Apheresis* Blood Administration* Blood Transfusion Protocol* (Massive Tx) Circular for Transfusion Services Emergency Release of Blood Products* Physician Transfusion Orders Specimen Collection for Transfusion* Transfusion Indications for Adults Transfusion Indications for Peds

IMPORTANT: Files marked with are Adobe PDF (portable document format) files. Most modern browsers will open PDF files directly in your browser's window, however, software such as Adobe Acrobat Reader DC may be required if you're opening these files on an older browser. Additionally, some are located on the Infonet* (UF Health Jacksonville's Intranet), which can only be accessed from a computer on the UF Health Jacksonville campus or by utilizing the employee VPN.