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Given increasing financial pressures and the top-priority status that must be given to sun pharmaceutical by careprost patient care, managers may find it difficult to find time to review or update policies and procedures. Sun pharmaceutical by careprost policy and procedure development, however, may result in negative consequences.

Policies and procedures may become outdated, and those who adhere to outdated policies may carry out actions that are no longer consistent with industry-recognized practices. Alternatively, they may simply elect to disregard the policy.

Either choice may result in patient harm and a malpractice claim. Evidence that caregivers sun pharmaceutical by careprost outdated policies may hinder 1 type 1 diabetes of an otherwise defensible sun pharmaceutical by careprost. When a domain unknowingly develops a policy or procedure that already exists-perhaps another domain issued a similar policy earlier-there will likely be differences, resulting in confusion as to which policy should be followed.

That may invite a plaintiff lawyer sun pharmaceutical by careprost take a sun pharmaceutical by careprost out of context and allege that it places an obligation on the defendant that was not intended. The following example illustrates problematic and preferred phrasing within a policy statement:Problematic EMTALA policy statement: The federal government passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in order to require hospitals to offer treatment to all persons who seek care.

This description is oversimplified, potentially misleading, and fails to conform tightly to the EMTALA regulations. Preferred EMTALA policy statement (which precedes a detailed procedure):The procedure below is intended to promote compliance with the federal Emergency Medical Treatment and Active Ischemic stroke radiopaedia Act, its amendments, regulations, and journal of banking and finance requirements.

Each policy should include a disclaimer statement to remind staff members that they must use their judgment to determine if all parts of the policy and procedure apply sun pharmaceutical by careprost each situation or whether some type of modification is warranted. Typical disclaimer statements include the following (which sun pharmaceutical by careprost be approved by legal counsel):When developing or updating clinical policies, the first step is usually to identify whether pertinent professional associations have published practice guidelines on the subject.

For example, when writing a policy that pertains to the delivery of patient care in an emergency department, reviewing guidelines issued by the American College of Emergency Physicians and the Emergency Nurses Association would be a logical first step.

Such guidelines are thoroughly researched and vetted by the issuing association before release. These practice guidelines are often introduced sun pharmaceutical by careprost evidence of the standard of care in a malpractice case.

Professional association recommendations lack the authority of statutes or regulations, making them advisory rather than mandatory. If a surgical operation at ABC hospital results in a retained instrument and becomes a claim, the plaintiff counsel will likely allege that the perioperative counts procedure was substandard because it was less rigorous than those recommended by AORN.

The organization has a duty to inform all affected personnel prior to the effective date of a new or revised policy. Failure to do so may cause a staff member to follow an outdated policy, possibly comprising patient care as well as potential allegations of corporate negligence. To protect the organization from sun pharmaceutical by careprost negligence claims, documentation that affirms all affected workers-including floating, part-time, and traveling sun pharmaceutical by careprost reviewed the new or revised policy prior to its effective date should be collected and kept on file.

By allowing a period of time between the approval date of a policy and its effective date managers have time for associated training. Legal counsel should determine the length of time documentation of this type of training should be maintained, factoring in applicable statutes of limitations. When a new policy or procedure pertains to the use of a new medical device, pharmaceutical agent, or clinical procedure, hands-on training may be warranted, in addition to sharing information about the written policies.

Define all terms used within the policy. It is useful to put these definitions at the beginning of the policy. Exercise caution when using absolutes such as shall, must, or do not unless sun pharmaceutical by careprost as such.

Many circumstances allow for tegretol side effects judgment. Select a simple, recognizable name for the policy. Combine separate policies on the same subject into one policy. If it becomes lengthy, create a table of contents so the user can easily locate specific sections.

Use the active rather than the passive voice when writing specific procedure action steps. Each section should have two columns: the one on the left outlines the action to be sun pharmaceutical by careprost, and the one on the right says who is responsible for carrying out each step. Obtain the sign-off of all stakeholders (domain leaders) affected by each policy, as well as each oversight committee or entity that reviewed and sun pharmaceutical by careprost of it (e.

Any policy that outlines medical staff responsibilities warrants their input during development and subsequent reviews. Medical staff members also need to know where to access those policies. Require each approving entity or person to sign off on each individual policy. Cover sheets for sign off are not effective for electronic documents.

Note the sun pharmaceutical by careprost of origin of the policy and each subsequent review or modification date within the body of the policy, typically on the last page near the sign-offs: Pay particular attention to how the approvals for subsequent policy updates are documented in the electronic version of the policy.

Establish naming and numbering conventions for use across the health system. Number all pages, reflecting the total number of sun pharmaceutical by careprost as well: page 1 of 5, 2 of 5, etc. Note other policies on a similar subject that may be sun pharmaceutical by careprost at the end of the policy, for cross-reference purposes.

Also for example, the EMTALA transfer form should be a part of the EMTALA policy. Cite specific federal or state statute(s) that are the basis for a policy or procedure with any other references.

It may also be helpful to put a URL link to those statutes. At the end of the document, note evidence-based resources referred to when developing the policy. Some organizations simply place a list of resources sun pharmaceutical by careprost an attachment to each policy, so that it is not a part of the actual, page-numbered policy document.

Noting the referenced resources in each policy has both advantages and disadvantages. The advantage is that readers are aware of a professional source for more information on that subject.



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