Table of Contents: Supporting Documents

The policies in this section have been vetted through the review and approval process in accordance with The University of Texas Medical Branch at Galveston’s Institutional Handbook of Operating Procedures (IHOP), established under the guidelines of The University of Texas System, Board of Regent’s Rules.
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IHOP  -  Supporting Documents
02.06.07 - Fundraising Project Proposal Form
09.01.28 Examples of hospital areas that are not open to the public
10 2 1 Flow Diagram of New Program Approval
2.6.6 Institutional Bulletin Boards--Guidelines and Procedures
2.6.7 - Copy of Fundraising Projects Budget Worksheet
2.7.2 - Research Policy attachment to Space Mngmt Amendment
6.2.1 Authorization
6.2.1 Elements
7.1.10 Accident and Injury Report Form
7.1.20 SHP Student Grievance Steps
9.2.21 Medical Record Number Assignment tips
9.2.7 Discharge Needs Assessment Factors
9.2.8 Forms Management Guidelines
9.3.9 Assessment Criteria
9.9.1 Security Associated with Offender Correctional Patients
Above Ceiling Work Permit
Accounting treatment for Cost Sharing
Acknowledgement Form Student Health Insurance
Activating the Alert System
Addendum A
Adult Primary Care Prescription Refill Guidelines for Ambulatory Services
Alternative Process for Site Marking
Anti-coagulation Follow-Up (26015)
Anti-coagulation Initial (26014)
ANTICOAGULATION DISCHARGE ORDERS (3004003)
Anticoagulation for ACS ORDER SET-No Renal Failure (CrCl greater than 30ml min) (522)
Anticoagulation for ACS ORDER SET-No Renal Failure (CrCl LESS than 30ml min) (521)
Anticoagulation for DVT PE Order Set - Renal Failure (CrCl less than 30 mL min) (524)
Anticoagulation for DVT PE ORDER SET-No Renal Failure (CrCl LESS than 30ml min) (523)
Appendix A
Appendix B
Appendix C
Appendix D
Appendix E
Asset Procedure
Authorization for Photography
Autopsy Services
BUSINESS CONTINUITY PLAN
Cellular Lease
Competent
Cover sheet re misdirected fax new logo
CRC -Log of Procedures (Muscle Biopsy)
CRC -Privilege Delineation Form (Muscle Biopsy)
Crime Prevention and Education Programs
Definitions
Definitions - Abuse Neglect and Exploitation of Elderly or Disabled Persons
Definitions of Child Abuse and Neglect
Departmental Certifications 10-10-11
Designated Operative and Invasive Procedure
Details IHOP 6.3.9 Outpatient ABN
Disposable Income Worksheet
Do's and Don'ts of Scanning
DOT behavior sheet
DSHS Clean 11032009-Texas_HIV Testing in Pregnancy Recommendations
Email Agreement
Email Tracking Tool
Enteral feedings for Adults (9.13.37)
entertainment chart
expenditure
Express in-service - Falls-IHOP 2-3
Facsimile Cover Letter new logo
Faculty CV template
FACULTY OMBUDSPERSON POSITION DESCRIPTION
Faculty or Staff Organization Registration Form
FAIR USE definition
Federal Poverty Index
FINANCIAL CLASSIFICATION OF P AND V
Financial Indigent Requirements and Application Process
Fire Alarm Response
Fire Drills
Fluid Warming Guidelines
FOAM Guidelines re Signage
GNL Photography Policy
Guidelines for copying pasting attachment (IHOP - 9 2 15 - Medical Record Documentation)
Guidelines for Registered Faculty or Staff Organizations
GYN ONC Clinical Trials
HBConfirmation
HBsAg_screening
Health System Departmental Certifications
Hotel Tax Exempt Certificate
Humpty Dumpty Fall Assessment Scale
IBS definition
ICC Repeal Request
IHOP 5 7 5 Assessment, Inquiry and Investigation Procedures Manual
IHOP - 9 2 15 - Medical Record Documentation - style guide
IHOP 03.07.08 - LACTATION ROOM Guidelines
IHOP 05.03.08 Grievance Panel Hearing Procedures
IHOP 07.01.01 Student Request for Accommodations
IHOP 09.1.32 Process for Testing Dr. Pink System
IHOP 10 1 1 Critical Thinking
IHOP 2.17.7 Wikipedia Examples
IHOP 6 2 1 Authorization Validation Checklist
IHOP 6 2 24 Form- Request for Use of PHI Offsite
IHOP 7 1 13 Documentation of Non Academic Concerns Form
IHOP 7 1 20 SHP Grading and Evaluation
IHOP 7.1.1 - School of Nursing Essential Functions
IHOP 7.1.3 Documentation of Non Academic Concerns
IHOP 9 13 10 - Changing Patient Identifiers - Attachment A
IHOP 9 13 10 - Changing Patient Identifiers - Attachment B
IHOP 9 13 10 - Changing Patient Identifiers - Attachment C
IHOP 9 13 10 - Changing Patient Identifiers - Attachment D
IHOP 9.11.4 Standing Delegated Order Flow Diagram
IHOP 9.13.10 Changing Patient Identifiers
IHOP 9.13.22 Medical Equipment Plan (EOC) Master_Plan
IHOP 9.13.32 Admission Decision Tree
IHOP 9.13.32 Exclusion Criteria1
IHOP 9.13.32 Inclusion Criteria
IHOP 9.13.36 OSA Screening Tool
IHOP 9.13.4 POCT Responsibilities
IHOP 9.2.20 Email Agreement
IHOP 9.2.8 Medial Record Forms Management Guidelines doc 2007
IHOP 9.3.32 SBS Medical_Disclosure_English
IHOP 9.3.32 SBS Medical_Disclosure_Spanish
IHOP 9.3.4 Law Enforcement Request for Records (SANE)
IHOP 9.3.4 Texas Department of Family and Protective Services p1
IHOP 9.3.9 Assessment Criteria
IHOP 9.3.9 Examples LINK
IHOP Policies that delineate professional behavior
IHOP process
IHOP Process Diagram-Visio
IHOPdiagram
Illegal Drugs and Alcohol Use and Abuse
IncomeCalculationDocWorksheet
IncomeTaxProc
Inpatient Nursing Admission Assessment- Criteria for further assessment (4)
Intraosseous (IO) Overview
IP HEM ARGATROBAN WEIGHT-BASED DOSING FOR HIT (3000090)
LD Access Request Form
Longevity Pay Schedule
MED-REQ9.2.6
MediaAuthorization
MediaAuthorizationSpan
Medical Examiner
Medical Indigency worksheet
Medically Indigent Notification Letter
Month income calculation
Morse Fall Assessment Scale
OCRLetterviolence-1
Off unit log
OGG feedback re IHOP 8.1.2 Safe Patient Handling
Outbreak of Hep A
Pager Lease
PASS
Patient dismissal letter A14
Patient Owned Medical Equipment CES form
PATIENT PLACEMENT FORM
Patient Services Complaint Process 2009
PG-Priority Index Definition
Policy Template
Postmortem Anatomical Gifts
PP COBRA Premiums Paid by UTMB
Pre-existing Conditions of Primary Interest
Procedure for Clinical Assessment of Brain Death
Professionalism Agree Final
RACE
Reduction in Force Guidelines
Registration for Eligibility of 3rd party Resources
Release of Forensic Photographs
Request for Dual Employment
Request for Non-IHOP Review
Request for Policy Review
Request for Use of PHI Offsite
research request form9.2.6
Resource Conservation Guidelines
Restraint Comparison Table
Restraint Algorithms
Reversal of Anticoagulation-No indications for SQ adminisration of Vitamin K (525)
RIF Criteria
RIF Guidelines
RIFGuidelines
RMCHP 13. 7 Domestic Violence
Roles and Responsibilities - Deceased Patients
RTOG Active and Pending Protocols CAMPUS
Screening Criteria for Communicable Diseases
Sexual Assault Prevention and Response
Space Planning Process (2013)
Space Request Process and Form
Style Guide (IHOP - 9 2 15 - Medical Record Documentation)
SUBCHAPTER C Texas Public Information Act Exceptions
Supervisor's Observation Report
Sutainability Steering Committee ReportJune 30REVISED (2)
TDP3 4BDonorVerificationForm
Telecommunications Services Request
Texas Administrative Code CHAPTER 21 Student Services
The certification process
Timely Warnings, Emergency Notifications and Evacuations
Tips for Social Media
Toluidine Blue Dye
TRAUMA TEAM ACTIVATION GUIDELINES
UT SYSTEM POLICY ON SUSTAINABILITY PRACTICES-Assignments
UTMB Campaign Counting Guidelines
UTMB Health authorization for the release of photos
UTMB Health consent to photograph for TPO
UTMB Healthcare Buildings
UTMB Patient Absence Request Form 05PA
UTMB SPACE GUIDELINES
Vendor Procedures
Vendor Release Form
Vendor Visitation Form
Verification Letter Various Scrubs
Verifying Treatment Relationship Checklist
Victory Lakes Surgical Center Consent Form
Violation of Policy paragraph
Who Are UTMBs Campus Security Authorities
Witnesses

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