Policies & Procedures


Policies & Procedures

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Institutional Handbook of Operating Procedures (IHOP)

Table of Contents
Official Governance
General Administrative
Employee Related
Fiscal Related
Faculty Related
Compliance Related
Student Policies
Health, Safety and Security

About IHOP
Description of the IHOP Process
Committee Members
Goals of the IHOP Committee
Process Diagram

Policy Guidelines
Policy Definitions
Policy Template
Violation of Policy Paragraph
Understanding the CMS

Other Policies and Procedures

Departmental
• Healthcare Epidemiology Policies

Section: UTMB On-line Documentation

Subject: Healthcare Epidemiology Policies and Procedures

Topic: Hospital Visitation

1.15 - Policy

2009 - Revised

1982 - Author

1.15 Hospital Visitation

Purpose

To develop guidelines for visitors to UTMB for the purpose of decreasing transmission of communicable diseases from visitors to patients

Audience

All employees of UTMB hospitals and clinics, contract workers, volunteers, and students

Policy

• Staff nurses shall discourage visitation by persons with any evidence of an acute infection.

• Visitors shall be instructed on handwashing and other guidelines before they visit a patient in isolation.

• Nursing personnel are responsible for instructing visitors and patients in proper isolation techniques and monitoring compliance with specified techniques.