POLICIES AND PROCEDURES

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• POLICIES AND PROCEDURES
• Specimen Labeling

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The What Why of Policies Procedures

• What?
• Written guidelines for all activities
• Why Know Follow MUHA PP?
• Ensures safe patient care
• Ensures safe environment for staff
• Provides legal protection for hospital employee

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WHEN TO REVIEW MUHA POLICY PROCEDURE

• Anytime youre performing a procedure for the
  first time at MUHA
• ESPECIALLY an invasive procedure or procedure
  that involves risk to patient

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WHERE ARE POLICIES AND PROCEDURES FOUND?

• Major policy manuals and procedure texts are on
  MUHA Intranet
• Policy procedure manuals in some departments

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Accessing Policy Manuals by Intranet

• Most policy manuals are found on the Intranet
• The following screen shots show you how to access
  the policies
• First go to the MUSC Intranet page

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Select Toolboxes Drop Down Menu
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Select Policy Toolbox from the Toolbox Drop Down
Menu
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Click on appropriate policy manual. Most
clinical policies are in Med Ctr-Clinical Manual
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Click on Policy
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Read Policy
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Remember

• Always look up policy and procedure before
  performing a procedure for the first time.
• Especially if the procedure is invasive and/or
  involves risk to the patient.

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SPECIMEN LABELING

• Labeling of a specimen with the wrong patient
  name or other wrong information can cause
  serious consequences for the patient!!

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SPECIMEN LABELING

• Mislabeling of specimens occurs most frequently
  when the labeling is postponed for ANY reason

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Specimen Labeling

• Labeling of specimen MUST BE DONE AT THE BEDSIDE
  (including patients on isolation precautions)
• DO NOT LEAVE THE PATIENTS ROOM WITH AN UNLABELED
  SPECIMEN!

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HOW TO LABEL A SPECIMEN

• Patients first and last name
• Patients MRN (medical record number)
• Date and time of collection
• Name of person obtaining the specimen
• Source and/or specific site of the specimen

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REMEMBER

• SPECIMEN MUST BE LABELED BEFORE LEAVING THE
  PATIENTS ROOM!!

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Congratulations!

• You have completed this lesson. Please complete
  the test now.