IHOP | Clinical Table of Contents

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.

Policy Title Category
IHOP - 09.01.02 - Management of Patient Belongings SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.04 - Patient Transportation SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.08 - Inpatient Absence for Personal or Therapeutic Reasons SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.09 - Delayed Discharge of Newborns SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.10 - Admission, Discharge, and Transfer - Neonatal Nurseries SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.12 - Interfacility Transfer of Patients from UTMB SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.13 - Discharge Planning SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.14 - Patient Discharge SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.15 - Adoption from the Nurseries SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.16 - Admission of Interfacility Transfer Patients SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.17 - Medicare Discharge Appeal Process SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.18 - Letter of Financial Responsibility for Continued Care for Non-Medicare and Non-Medicaid Patients SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.21 - Examination and Treatment for Emergency Medical Conditions and Women in Labor SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.22 - Determining Hospital and Emergency Department Saturation Status SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.23 - MICU CCU Admission Criteria SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.24 - Admission Discharge Criteria for Day Surgery Unit (DSU) SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.25 - Admission, Discharge, and Transfer - NCCU SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.26 - Admission Discharge Transfer Criteria to SICU SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.27 - Admission Discharge Criteria for the Chronic Home Dialysis Program SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.01.29 - Admission, Discharge, and Transfer Criteria- PACU SECTION 9.1: Clinical - Admission, Discharge and Transfer 20 System.Byte[]
IHOP - 09.02.01 - Management of UTMB's Protected Health Information (PHI) SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.03 - Retiring Incomplete Records SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.06 - Medical Record Access SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.07 - Use and Disclosure of Inpatient Protected Health Information SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.08 - Medical Record Forms Management SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.09 - Delinquent Medical Record Management SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.13 - UTMB Medical Record Policy SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.14 - Medical Record Retention SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.15 - Medical Record Documentation SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.16 - Scanning Protected Health Information to Epic SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.18 - Processing Specimens Without a Medical Record SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.20 - Physician-Patient Email Communication SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.02.21 - Medical Record Number Assignment SECTION 9.2: Clinical - Patient Records 21 System.Byte[]
IHOP - 09.03.01 - Resources Available for Patients with Disabilities SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.02 - Use of Photograph, Video Audio Recordings and or Televising Patients SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.03 - Telephone Consent for Treatment Procedures SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.04 - Patient Family Education SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.05 - Patient Grievance Policy SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.09 - Reporting Suspected Abuse, Neglect, and Exploitation of Children, the Elderly and or Disabled Persons SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.10 - Consent for HIV Antibody Testing and for Disclosure of Results SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.13 - Patient Rights and Responsibilities SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.14 - Service Animals SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.16 - Refusal of Consent or Treatment SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.17 - Consent - Overview and Basic Requirements SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.18 - Consent - Treatment of a Minor SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.20 - Universal Childhood and Adolescent Immunizations SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.21 - Consent for Sterilization SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.32 - Abandoned Infant (Baby Moses) Policy SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.34 - Sexual Assault Examination and Collection of Forensic Evidence for the Adult, Adolescent or Pediatric Patient SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.03.35 - Patient-Centered Communication SECTION 9.3: Clinical - Patient Rights 22 System.Byte[]
IHOP - 09.07.01 - Hospital and Ambulatory Services Visitation SECTION 9.7: Clinical - Visitor Information 23 System.Byte[]
IHOP - 09.07.02 - Vendor Visitation UTMB Clinical Enterprise SECTION 9.7: Clinical - Visitor Information 23 System.Byte[]
IHOP - 09.08.02 - UTMB Health Charity Care and Financial Assistance Policy SECTION 9.8: Clinical - Financial 24 System.Byte[]
IHOP - 09.11.01 - Licensure Certification Registration of Healthcare Professionals SECTION 9.11: Clinical - Personnel Issues 26 System.Byte[]
IHOP - 09.11.02 - Employee Conflict with Prescribed Patient Treatment SECTION 9.11: Clinical - Personnel Issues 26 System.Byte[]
IHOP - 09.11.03 - Dress Code and Uniform Policy SECTION 9.11: Clinical - Personnel Issues 26 System.Byte[]
IHOP - 09.11.04 - Standing Delegation Orders SECTION 9.11: Clinical - Personnel Issues 26 System.Byte[]
IHOP - 09.11.05 - Physician Orders SECTION 9.11: Clinical - Personnel Issues 26 System.Byte[]
IHOP - 09.11.06 - Criteria for Visitors from Agencies or Non-Affiliated Educational Institutions to Visit, Observe and or Participate in Patient Care at UTMB Hospitals SECTION 9.11: Clinical - Personnel Issues 26 System.Byte[]
IHOP - 09.13.01 - Cardiopulmonary Resuscitation (CPR) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.02 - Governance of Provider Performed Microscopy Procedures (PPMP) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.03 - Patient-Owned Medical Equipment Devices SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.04 - Governance of Point of Care Testing (POCT) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.05 - Moderate Sedation (Conscious Sedation) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.06 - Initiating and Monitoring Restraints SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.07 - Latex Allergy Sensitivity Management SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.08 - Interdisciplinary Plan of Care SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.09 - Interdisciplinary Admission Assessment and Reassessment SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.10 - Changing Patient Identifiers (Name and Unit History Number) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.11 - Medical Device Recall, Alert, Safety Hazard Notification and Response SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.12 - Summary List for Ambulatory Patients SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.13 - Unusual Event Reporting SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.14 - Adverse Drug Events SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.15 - Serological Testing for Syphilis, Hepatitis B, and HIV During Pregnancy and Delivery SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.16 - Sentinel Events SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.18 - Disclosure of Unanticipated Outcomes SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.19 - Patient Care Alarm Systems Maintenance, Testing, and Activation SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.20 - Family Presence During Procedures and Resuscitation SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.21 - Reporting of Devices and Supplies Involved in Patient Injury, Illness, or Death SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.22 - Handling of Malfunctioning or Defective Equipment, Devices, and Supplies SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.23 - Emergency Shut-Off of Oxygen Zone Valves in UTMB Hospitals SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.24 - Patient Identifiers SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.25 - Universal Protocol for Invasive and Surgical Procedures SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.26 - Guidelines for Safe Patient Handling and Mobility (SPHM) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.27 - UTMB Surgical Devices and Implants Utilization SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.28 - Surgical Counts SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.29 - Transfusion of Blood Components, Adults and Pediatrics SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.30 - Medication Reconciliation SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.31 - Activation of the Medical Surgical and Obstetrical Rapid Response Team (RRT) SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.32 - Infant Child Abduction Response Policy for Inpatient Areas SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.33 - Intraosseous Catheters SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.34 - Coordination of Resources for Transplant Patients and Living Donors SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.35 - Anticoagulation Therapy SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.36 - Reporting of Critical Results to Providers SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.37 - Tube Placement for Nutrition in Adults SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.38 - Suicide Risk Screening and Suicide Precautions for Patients SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.39 - Patient Falls Prevention Plan SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.13.40 - Blanket and Fluid Warmer Operating Temperatures SECTION 9.13: Clinical - General Clinical Procedures and Care 27 System.Byte[]
IHOP - 09.15.01 - Disposition of Deceased Patients SECTION 9.15: Clinical - End of Life 28 System.Byte[]
IHOP - 09.15.05 - Patients Initiating Advance Directives SECTION 9.15: Clinical - End of Life 28 System.Byte[]
IHOP - 09.15.06 - Making and Documenting Treatment Decisions including Withholding or Withdrawing Life-Sustaining Treatment SECTION 9.15: Clinical - End of Life 28 System.Byte[]
IHOP - 09.15.07 - DNR Orders in the Operating Room and Peri-Operative Period SECTION 9.15: Clinical - End of Life 28 System.Byte[]
IHOP - 09.15.08 - Out-of-Hospital Do Not Resuscitate (OOHDNR) Orders SECTION 9.15: Clinical - End of Life 28 System.Byte[]
IHOP - 09.15.09 - Determination of Death SECTION 9.15: Clinical - End of Life 28 System.Byte[]
IHOP - 09.15.10 - Donation after Cardiac Death SECTION 9.15: Clinical - End of Life 28 System.Byte[]

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