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POLICY MANUAL SECTIONS
General Policy Manual
Patient Privacy Policy
Requests for Human Biological Materials
Safety Program Overview and Training Requirements
General Safety Practices
Specimen Collection, Handling, and Transportation
Infection Control Policies
Interim Precautions for LP Employees for Handling Specimens
From Special Respiratory Isolation
Appendices for Safety Policies
Emergency Management Plans
LP Forms and Checklists
GENERAL POLICY MANUAL
Overview of Laboratory of Pathology
Proficiency Testing Policy
CAP & CLIA Retention Requirement
Document Management Control
Quality Management
2011 QM Plan and Indicators
Quality Systems
Preanalytic Systems
Analytic Systems
Postanalytic Systems
Personnel
Physical Facilities & Laboratory Safety
Request for Human Biological Materials for Research
Patient Privacy Policy
Clinical Center Medical Admin Policies
Clinical Center Administrative Policies
References
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PATIENT PRIVACY POLICY
Overview of Patient Privacy Policy
Examples of Protections/Controls for Disclosing Private Information on LP Patients
Definitions
Information Life Cycle for LP
Notification of, or access to records
Procedure for correction or amendment and appeals of refusals to correct records
Parents and Guardians
Fees
Employee Standards of Conduct & Penalties
Other Privacy Information
References
Appendices
Authorization for the Release of Medical Information
(Medical Record Form: NIH-527)
Authorization for the Release of Medical Information/Materials
Cytopathology
Hematopathology
Surgical Pathology
Internal Authorization for the Release of Medical Information/Materials
CC Medical Facsimile Cover Sheet
Encrypted Email Procedures
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REQUEST FOR HUMAN BIOLOGICAL MATERIALS FOR RESEARCH
Purpose & Guidelines
Tissue Procurement & Transfer of Human Biological Material
Intramural Request for archived Human Biological Material
Request from Extramural Organization
References
Appendices
Procurement and Use
TRC Request Form
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SAFETY PROGRAM OVERVIEW
Introduction
Roles, Responsibilities, and Requirements
Documentation
Reporting of Safety Concerns
Training
Universal Precautions & Tuberculosis Training
Safety Manual, Clinical Center Emergency Management Plan, and Formaldehyde Training
Annual Fire Safety & Fire Evacuation Drills
Radiation Safety Orientation
Radioactive Specimens in Histology
Laboratory Safety Training Courses
Shipping Diagnostic Specimens or Hazardous Goods
References
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GENERAL SAFETY PRACTICES
Introduction
Standard Practices
Safety Equipment and Personal Protective Equipment
Latex Program
Laboratory Facilities and Physical Safety
Biological Safety Cabinets, Chemical Fume Hoods, and other Primary Barrier Protections
Electrical and Equipment Safety
Centrifuges
Refrigerator/Freezers
Microwave Ovens
Other Equipment
Chemical Hygiene Plan
MSDS Inquiry Online
NIH Chemical Hygiene Plan
NIH Lab Safety Resource
Chemical Safety
Chemical Storage
Gas Cylinders
Waste Disposal
Ergonomics
Training
References
Hearing Conservation
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SPECIMEN COLLECTION, HANDLING, & TRANSPORTATION
Specimen Collection
Specimen Transportation
Resolution of Problems with Specimen, Procurement, Transportation or Handling
Packing and Shipping Laboratory Specimens to Outside Locations
Training Requirements for Packing and Shipping
References
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INFECTION CONTROL POLICIES
General Infection Policies
Categorization of Departmental Procedures for Universal Precautions
Departmental Procedures
References
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INTERIM PRECAUTIONS FOR LP EMPLOYEES HANDLING SPECIMENS FROM SPECIAL RESPIRATORY ISOLATION
General Introduction
Notification of Special Respiratory Isolation
Specimen Collection
Specimen Handling Precautions and Personal Protective Equipment
Hand Hygiene
Dispose Waste
Particular Aerosols
Environmental Cleaning
References
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APPENDICES FOR SAFETY POLICIES
Safety Committee Clinical Services
Universal Precautions & Tuberculosis Test
Emergency Listings
Emergency Paging System For the Deaf & Hard of Hearing
Spills & Hazardous Materials Incidents
Medical Emergencies
Operations and Maintenance
Non-Emergency Phone Numbers
Services NIH Police Branch
Formaldehyde Fact Sheet and Training Aid
Fire & Emergency Evacuation Drill Evaluation
Weekly Emergency Eyewash Checklist
Laboratory Shower Checks
Medical Equipment Management Program
Chemical Hazard Sign
Chemical Notice
Proper Management of Chemical Waste in
Laboratories
Shipping Diagnostic Specimens
Traning Evaluation
CAP Quality/Safety Sign
Laundry Slip for Lab Coats
Undersink Storage
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EMERGENCY MANAGEMENT PLANS
Introduction
Standard Polices
Clarification of Alarms & Codes
Communication
Specific Emergency Plans for LP Clinical Services
Emergency Management Plan Roster of Emergency Clinical Employees
NIH Evacuation Plan
References
OPM guidelines for Dismissal or Closure Procedures
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LP FORMS AND CHECKLISTS
Training and Education
New Employee Training Checklist (Administrative and Support Staff)
New Employee Training Checklist (Clinical Technical)
New Employee Training Checklist (Clinical Medical Staff & Fellows)
New Employee Training Checklist (Research / Basic Sciences)
New Employee Safety Orientation Checklist
Fire Drill Make-Up Exam
Emergency Eyewash Check
Quality Management
QI Tracker
Water QC Form
Document Control Form
CRIS Downtime Forms
Emergency Management - Bomb Threat Checklist
Personnel Evaluation Roster – Clinical Staff
Last Updated 2/13/2012 12:57:37 PM
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