Home > Policies and Procedures > University Hospital
University Hospital Policies and Procedures
| Table of Contents | |||
|---|---|---|---|
| ID | Title | Format | |
| 0-0 | Table of Contents | ||
| General Safety and Health | |||
|---|---|---|---|
| ID | Title | Format | |
| 1-1 | Hospital Safety Program | ||
| 1-2 | Environmental Health and Safety Services | ||
| 1-3 | Safety and Health Training | ||
| 1-4 | Compressed Gases and Cryogenic Liquids | ||
| 1-5 | Confined Space Operations | ||
| 1-6 | Fire and Life Safety for Construction | ||
| 1-7 | Emergency Safety Showers and Eyewashes | ||
| 1-8 | Hearing Conservation Program | ||
| 1-9 | Microbiological Control After Water Intrusion(obsolete) | ||
| 1-10 | Vermin Droppings Clean Up | ||
| 1-11 | Powered Industrial Trucks | ||
| 1-12 | Computer Work Stations | ||
| 1-13 | Welding, Cutting and Brazing | ||
| 1-14 | Testing Rooms for Negative Pressure | ||
| 1-15 | Hand Tools and Portable Power Tools | ||
| 1-16 | Temporary Stairways, Ladders and Portable Ladders | ||
| Emergencies | |||
|---|---|---|---|
| ID | Title | Format | |
| 2-1 | Hospital Fire Response Plan | ||
| 2-2 | Ambulatory Surgery Center Fire Response Plan | ||
| 2-3 | Ambulatory Care Pavilion Fire Response Plan | ||
| 2-4 | Hospital Off-sites Fire Response Plan | ||
| 2-5 | Flood Response | ||
| 2-6 | Hazardous Materials Spill Plan | ||
| 2-7 | Emergency Procedures for Ethylene Oxide Release | ||
| Electrical Safety | |||
|---|---|---|---|
| ID | Title | Format | |
| 3-1 | Electrical Extension Cords | ||
| 3-2 | Lockout/Tagout | ||
| 3-3 | Portable Heating Equipment | ||
| Chemical Safety | |||
|---|---|---|---|
| ID | Title | Format | |
| 4-1 | Hazard Communication / Right-to-Know | ||
| 4-2 | Chemical Hygiene Plan | ||
| 4-3 | Laboratory Safety Guide | ||
| 4-4 | Chemical Carcinogen Usage (obsolete) | ||
| 4-5 | Formaldehyde Safety | ||
| 4-6 | Chemical Fume Hoods and Biological Safety Cabinets | ||
| 4-7 | Mercury Spill Response (obsolete) | - | |
| 4-8 | Monitoring for Hazardous Air Contaminants | ||
| 4-9 | Selecting, Using, Handling, Storing, Transporting and Disposing of Hazardous Materials | ||
| Fire Safety | |||
|---|---|---|---|
| ID | Title | Format | |
| 5-1 | Holiday Decorations | ||
| 5-2 | Furnishings, Beddings, and Decorations | ||
| 5-3 | Fire and Smoke Barrier Penetrations | ||
| 5-4 | Fire Door and Smoke Door Safety (obsolete) | - | |
| 5-5 | Fire Protection System Impairments | ||
| 5-6 | (reserved) | - | |
| 5-7 | Fire Warden Program | ||
| 5-8 | Fire Watch | ||
| 5-9 | Emergency Evacuation for Persons with Disabilities (obsolete) | - | |
| 5-10 | Fire Extinguishers | ||
| 5-11 | Interim Life Safety Measures | ||
| 5-12 | Fire Protection Systems | ||
| 5-13 | (reserved) | - | |
| 5-14 | Fire Drills | ||
| 5-15 | Code Red | ||
| Personal Protective Equipment | |||
|---|---|---|---|
| ID | Title | Format | |
| 7-1 | Personal Protective Equipment | ||
| 7-2 | Respiratory Protection | ||
| Environmental Protection | |||
|---|---|---|---|
| ID | Title | Format | |
| 8-1 | Chemical Hazardous Waste Management | ||
| 8-2 | Integrated Pest Management | ||
| 8-3 | Asbestos Management | ||
| 8-4 | Regulated Medical Waste Management | ||
| 8-5 | Hazardous Drugs Management | ||
| 8-6 | Collection and Disposal of Sharps from Private Residences | ||
| 8-7 | Waste Determination | ||
| 8-8 | Shipping of Infectious Substances | ||
| 8-9 | Universal Waste Management | ||
| 8-10 | (reserved) | - | |
| 8-11 | Mercury Management | ||
| Environment of Care | |||
|---|---|---|---|
| ID | Title | Format | |
| 9-1 | Environmental Rounds Program | ||
| 9-2 | Maintenance of Buildings to Life Safety Code Standards and Statement of Conditions | ||