Section II

Shands Jacksonville Policies & Procedures

IMPORTANT: Documents below require Acrobat Reader and some are located on the Infonet* (Shands Jacksonville's Intranet), which can only be accessed from a computer on the Shands Jacksonville campus.

Topic	Related Documents and Links
Patient Safety
	Abbreviations, Unacceptable
	Abbreviations List*
	Shands Policy - Guidelines for Writing Medication Orders*
	Discharge Medications
	Shands Policy - Medication Reconciliation*
	National Patient Safety Goals - Joint Commission Website
	National Patient Safety Goals FAQs
	National Patient Safety Goals UFCOM-J Policy and Disciplinary Procedure
ADT (Admission/Discharge/Transfer)
	Admission of Patients
	Beds: Obtaining and Assigning Patients
	Shands Policy - Direct Admissions*
	Shands Policy - Admission to Critical Care Units*
	Shands Policy - Hospital Guidelines For Stroke Admissions*
	Against Medical Advice
	Shands Core Policy & Procedure - Refusal of Treatment/Hospitalization Against Medical Advice*
	Discharge Planning and Process*
	Transfers
	Shands Policy - Transfers from Other Acute Care Hospitals*
	Shands Policy - Transfers from Skilled Nursing Facilities*
Deaths
	Autopsy Diagnosis (Provisional Gross Autopsy Diagnosis)
	Autopsy Permission
	Autopsy Reports and Bereavement Conferences
	Death Certificates
	Shands Policy - Care of the Deceased Patient*
	Death Conference Guidelines
	Medical Examiner Cases
	Organ & Tissue Donor Program
Topic	Related Documents and Links
Medical Records
	Medical Records - Overview
	Dictation of Medical Records
	Dictation Instruction Card - UF
	Dictation Instruction Card - Shands
	Dictation Signing Reference Card - Allscripts
	Dictation Policy Update
	Shands Policy - Content of Medical Record*
	Medical Records Information, Release of
	Shands Core Policy - Confidentiality and Release of Information*
	Shands Policy - Procedure for Requesting Medical Records for Non Patient Care/Patient Care*
	Shands Policy - Practitioner Delinguent Medical Record Notification
	Physician Orders*
Patient Information
	Advance Directives*
	Confidentiality of Patient Information*
	Shands Core Policy & Procedure - Patient Medical Record Management and Disclosure of Patient Information*
	Consultations*
	Do Not Resuscitate Decisions (DNR)*
	Do Not Resuscitate Decisions (DNR) Order Form
	Do Not Resuscitate Decisions (DNR) Order FAQs
	Shands Core Policy & Procedure - Withholding or Withdrawing Life-Prolonging Procedures or Measures*
	Withholding Treatment Consent
	Ethics Consultations*
	Informed Consent*
	The Basics of Informed Consent
	The Essentials of Informed Consent
	The Capacity to Consent
	Prisoners
	Shands Core Policy - Patient Privacy Indicator*
Safety and Security
	Abuse & Neglect
	Shands Core Policy & Procedure - Abused, Neglected or Abandoned Children & Adults*
	Disaster Policy
	The START 2 Finish Response Model for Mass Casualties
	Shands Policy - Emergency Preparedness Management Plan*
	Shands Policy - MCI Response Plan (external)*
	Shands Policy - Internal Disaster Plan*
	Shands Policy - Bomb Threats*
	Emergency Codes and Numbers/Fire Alarms and Evacuation
	Shands Policy - Fires and Alarms*
	Police Notification
	Restraints
	Shands Policy - Control of a Violent Patient*
	Shands Core Policy - Restraint or Seclusion in the Acute Care, Long Term and Inpatient Behavioral*
Topic	Related Documents and Links
General Information
	Cardiopulmonary Resuscitation Team*
	Shands Policy - In-house Stroke Alert*
	Incident Reporting, Serious
	Incident Reporting Involving Visitors
	Disclosure of Adverse Events (Serious Incidents)
	Incident Reporting Brochure (SIP )
	Shands Guideline - Disclosure of Unanticipated Outcomes*
	The Basics of Disclosure Brochure
	Strategy for Disclosure of Adverse Events Brochure
	Infection Control
	See also PEP in Section I
	Shands Policy - Isolation Precautions* (HICPAC) Isolation Precautions
	Shands Policy - Exposure Control Plan for Bloodborne Pathogens*
	Shands Policy - Hand Hygiene*
	CDC Website
	Interpreter Services
	Shands Policy - Interpreter Services for Non-English Speaking Patients*
	Shands Policy - Certified/Screened Sign Language Interpreter for the Hearing Impaired*
	Media, Release of Information to
	Moderate Sedation Guidelines
	Moderate Sedation Training Set
	Moderate Sedation Post Test
	Shands Guideline - Moderate Sedation* (aka conscious sedation)
Standard Precautions*
Topic	Related Documents and Links
General Information-Lab
	Lab Services Overview
	Blood Alcohol Testing
	Critical Diagnostic Test Results
	HIV Testing and Reporting
	CDC Website
	Specimen Collection
General Information-Pharmacy
	Shands Jacksonville Pharmacy Department*
	Adverse Drug Reaction Reporting
	Shands Policy - Adverse Drug Reaction Reporting*
	Formulary of Approved Drugs*
	Prescribing Tips
	Prescription Writing Guidelines
	Prescribing Controlled Substances
	Safe Prescribing
	Shands Policy - Prescription Blanks*
	Shands Policy - Drug Information Newsletter*
	Shands Policy - Medication Bulletin*
	Pharmacy Information
General Information-Transfusion
	Circular for Transfusion Services
	Blood Administration
	Blood Transfusion Protocol (Massive Tx)
	Transfusion Indications for Adults
	Transfusion Indications for Peds
	Physician Transfusion Orders
	Specimen Collection for Transfusion

IMPORTANT: Documents above require Acrobat Reader and some are located on the Infonet* (Shands Jacksonville's Intranet), which can only be accessed from a computer on the Shands Jacksonville campus.

Top of Page | Next Page »