Abuse and Neglect: Identification, Assessment and Response

Access to Patient Information

Acknowledgement of Parentage

Active Threat

Adult Fever Nurse Driven Protocol

Advanced Beneficiary Notifications

Aeroneb Solo System

Agitated Saline for Echocardiogram

Airway Pressure Release Ventilation

Allergen Patch Testing – Dermatology

Ambulatory Clinics Dress Code

AMR Avon Paramedic Kits

AMR Farmington Paramedic Kits

Anatomic Pathology Specimen Transport

Animals in the Clinical Practice and Patient Care Areas

Ankle Brachial Index Non-Invasive Physiologic Study of the Lower Extremity Arterial System

Antepartum Fetal Testing Guideline

Anticoagulation Therapy & Venous Thromboembolism (VTE) Prevention and Management

Approved and Non-Approved Abbreviations and Charting Terms

Assistance Requested Behavioral Intervention

Assessing Patients by Psychiatry Crisis Services

Assessment: Nursing Physical Assessment: Adult Inpatient

Attire, Surgical

Autopsy Services

Bedside Swallow Screen for the Acute Stroke Patient

Billing for Replacement/Recalled Implantable Cardiac Devices

Brain Death

Budget Process John Dempsey Hospital (04-003)

Bulk Compounding 

Cancellations and No Shows

Cancer Chemotherapy Ordering and Administration – Part 1: Chemotherapy Ordering

Cancer Therapy Ordering and Administration – Part 2: Cancer Chemotherapy Administration

Cancer Therapy Ordering and Administration – Part 3: Safe Administration of Intra-cerebrospinal Fluid Anticancer Therapy (ICC)

Canton Paramedic Kits

Cardiac Monitoring 

Cardiopulmonary Exercise Test (CPET)

Care of the Mohs Surgery Patient – Dermatology

Cellular Phones, Portable RF Transmitters, and Cameras

Charges for Investigational Drug Services

Chemotherapy Order Verification and Dose Preparation

Chronic Opioid Therapy Pain Management Agreement for Patients with Chronic Pain

CIWA-Ar Alcohol Withdrawal Assessment Protocol

Cleaning, Disinfection and Other Decontamination Steps: Sterile Processing

Clinical Nursing Care and Assessment of Chronic Kidney Disease Patients with Anemia Receiving Erythropoiesis Stimulating Agents (ESAs) in the Ambulatory Care Setting

Collection and Logging of Laboratory Specimens

Compounding of Investigational Drugs

Confirmation of Endotracheal Tube Placement (08-083)

Conflict Resolution Between Medical Staff and Medical Board

Connecticut State Police Paramedic Kits

Controlled Substances

Copy and Paste Functionality in Electronic Medical Record Documentation (2013-02)

Core Patient Identifiers and Naming Convention

2021-03 COVID-19 Mandatory Vaccination Policy

COVID-19 Self-Screening Policy

CPR Equipment

Critical Results Reporting

Death of a Patient (07-010)

Decentralized Lab Testing Program Scope

Department of Corrections (DOC): Orientation of Authorized Staff (08-056)

Destruction and Returns of Investigational Drugs

Discharge of Ambulatory Patients After Receiving Moderate/Deep Sedation and/or Anesthesia (08-104)

Discharge Planning Process (08-029)

Discharge Planning Screening, Discharge Needs Assessment, and Long Stay Assessments

Disclosure Policy: Unanticipated Outcome/Event (11-044)

Dismissal from Care from UConn Medical Group Providers

Disposal of Illegal Substances Hazardous Items, Suspected Contraband or Weapons (11-018A)

Dobutamine Stress Echo

Documentation: Admission (Inpatients)

Documentation: Care Plan and Care Plan Notes

Documentation – Reduced Inpatient Nursing for COVID-19 Pandemic Response

Documentation Requirements for All Procedures (12-018)

DoseEdge System

Duty Hours for Residents and Fellows (08-108)

Education Mandatory (10-027)

Education of Patients and Families (08-039)

Electrical Equipment (11-004)

Electrically Powered Non-Patient Care Equipment (11-030)

Electrosurgical Safety

Elevator Emergency Use (11-012)

Emergency Carts and Boxes

Emergency Department Response to Patients Contaminated with Radioactive Materials (11-009)

Emergency Management Policy (11-052)

Emergent Sterile Compounding of Hazardous and Non-Hazardous CSP (Compound Sterile Preparation)

Emergent Sterile Compounding When One Sterile Compounding Complex Is Compromised

EMTALA: Qualified Medical Person (08-069)

EMTALA: On-Call Obligations of Medical Staff Physicians (08-070)

Endoscope Reprocessing: Sterile Processing

Environmental Cleaning in the Operating Room and Procedure Area

Environmental Cleaning: Sterile Processing

Epilepsy Monitoring Unit Utilization

Epilepsy Monitoring Unit (Workflow)

Epoprostenol Sodium (Flolan) / Epoprostenol for Injection (Veletri) / Treprostinil Sodium (Remodulin) Transition to New Med, Route, and/or New Central Line

Equipment Involved in Patient Injury

Ethylene Oxide Sterilization

Evaluation: Competency Assessment System (10-023)

Exercise Stress Testing

Extend Dwell / Long Peripheral Catheters (including Arrow Midline & Endurance Catheters)

Falls (Ambulatory Clinics, Urgent Care Centers and Infusion Clinics); Risk Identification, Prevention and Treatment

Falls (Emergency Department): Risk Identification, Prevention and Treatment

Falls (Inpatients): Risk Identification, Prevention and Treatment

Fecal Incontinence Management : Using the Flexi-Seal Fecal Incontinence System Signal (FMS)

Fentanyl Transdermal Patches

Fetal Demise Induction with Digoxin

Fluoroscopy and Radiation Safety Training

Food Brought in From the Outside

Food or Drink by Personnel in Ambulatory Care Clinics (JDH, UMG and Urgent Care Centers)

General Department Rules & Standards – Pharmacy Procedure

Handling and Use of Compressed Gases

Handling, Storage and Transport of Sterilized Items: Sterile Processing

High Level Disinfection (HLD) Manual Chemical

History and Physical

Holiday Decorations Policy (02-027)

Hospital Formulary System

Hospital Issue Notice of Non-Coverage, HINN – 12

Hydrogen Peroxide Sterilization

Hypertensive Disorders of Pregnancy: Preeclampsia, Eclampsia & HELLP


Implanted Electronic Devices – Cardiac and Non-Cardiac

Incident Reporting – Clinical Hospital Acquired Adverse Event, Serious Adverse Event (Never-Event), and Sentinel Event (11-017)

Individual Financial Conflicts of Interest in Clinical Health Care (2017-05)

Indwelling Urinary Catheter/Straight Catheterization/Suprapubic Catheter: Insertion, Routine Care, and Irrigation

Infant Abduction 

Informed Consent, Clinical – Obtaining and Documenting

Inpatient/Outpatient Dispensing and Labeling of Investigational Drugs

Inpatient Services – Case Management

Inpatient Utilization of Investigational Drugs

Interim Life Safety Measures (ILSM) (11-051)

Interpreters/Language Access for Persons Who Are Limited English Proficient (LEP), Deaf or Hard of Hearing

Intracranial Pressure Monitoring/Cerebrospinal Fluid Drainage using the Codman ESD3 External Drainage System

Intravenous Contrast Policy

Intravenous Immune Globulin Utilization

iPad/Camera Handling and Storage in Dermatology

IV Infusion Service and Documentation Program

IV Medication Guidelines

Laser/Energy Based Treatments in Dermatology, Care of the Patient

Legal Sex, Sex Assigned at Birth, and Organ Inventory in Epic

Linen Utilization (08-021)

Local Anesthetic by Infiltration (Dermatology)

Loan Instrumentation – Inventorying and Processing 

Lutathera Lutetium Lu-177 Dotatate Infusion

Maintaining the LifePak CR Plus Defibrillator

Management of Off-site Medication Refrigerator and Freezer Temperature Excursion After-hours

Management of Self-Referred Mammography Patients

Management of the Unit Medication Refrigerator

Massive Transfusion Protocol (08-200)

Medical Device Recall Notification (11-005)

Medical Equipment Alternate Equipment Maintenance (AEM) Assessment (11-050)

Medical Equipment Electrical Safety Inspection

Medical Equipment Management Plan (11-021)

Medical Examiner’s Care (07-011)

Medical Gas Pipeline System

Medical Physicist Testing

Medical Response: Cardiac Response

Medicare Beneficiary Notification of Discharge Appeal Rights (08-068)

Medication Administration

Medication Administration: Adverse Drug Event (ADE) Reporting System

Medication Administration: Students (Nursing, Respiratory Therapy, Physician Assistant)

Medication: Administration Without Patient’s Consent

Medications: High Alert: Double Check

Medication Order Duration and Order Renewal

Medication Reconciliation

Medication Temperature Monitoring and Response


Moderate Sedation

Monkeypox Protocol

Negative Pressure Wound Therapy (NPWT) – Using PICO Device

Nitrous Oxide (N2O) Therapy for Laboring Patients

Nuclear Exercise Stress Test

OB Patients with COVID-19 Guideline

1:1 Observation/Constant Observation: Monitoring of Acute Medical Surgical and/or Behavioral Health Patients

Observation Status (11-037)

Obstetrical Hemorrhage

Obstetric Service Guideline for Dating Criteria

Open Chest: ICU Registered Nurse Responsibilities

Oral Syringe Preparation

Organ and Tissue Donation (07-016)

Orientation Training Pharmacy Staff

Ostomy Care

Outpatient Cervical Ripening Clinical Guideline

Outpatient Observation Services (MOON)

Outpatient with Respiratory Symptoms Guideline

Oxygen Administration (Mask, Nasal Cannula, High Flow Nasal Cannula)

Oxytocin Administration for Induction/Augmentation of Labor

Packaging of Instruments

Palliative Medicine & Supportive Care

Patient Complaints and Grievances

Patient Identification (08-099)

Patient Lost Items (11-007)

Patient-Owned Medication Pumps (Internal or External): Management of

Patient Rights and Responsibilities

Patient Screening, Assessment, Reassessment and Plan of Care

PDT/Aminolevulinic Acid (AVA) and Photodynamic Combination Therapy in the Treatment of Actinic Keratosis

Pended Orders

Pepper Spray or Foam: Use of In JDH/UCHS (08-043)

Pharmaceutical Acquisition

Pharmacist Medication Order Intervention

Pharmacist Medication Reconciliation for Patients on Antiretrovirals

Pharmacist Review of Admitted Patients in Emergency Department (ED)/Perioperative Anesthetic Care Unit (PACU)

Pharmacist Review of Intravenous Heparin Infusions

Pharmacist/Technician Competency Assessment

Pharmacy Controlled Substance Compliance and Monitoring Program

Pharmacy Medical Record Documentation

Phototherapy: Care of the Patient

Phototherapy PUVA Treatment

Phototherapy – EXCIMER Laser Care of the Patient

Police Services (11-011)

Portable Ultrasound

Post-Exposure Prophylaxis Rabies Vaccination Protocol

Pregnancy Policy

Preoperative Transfusion Services: Extended Type and Screen and Day of Surgery (08-081)

Prescription Pad Distribution

Preparation and Assembly of Instruments

Problem List

Procedural Assistance by RN Under Direct Supervision by Physician

Process Verification and Quality Monitoring

Provider Enrollment

Provision of Services in Isolated Areas

Psychosocial Services for Cancer Patients

Pulmonary Hypertension Evaluation

Radiology Report Turn-Around Time

Rapid Response System – Upper Campus Only (08-055)

Receipt, Storage and Records of Inpatient and Outpatient Investigational Drugs

Refusal of Blood Transfusion and/or Blood Products (07-014)

Regadenoson Pharmacologic Stress Test

Remote Cardiac Device Monitoring

Rental, Demo, Loaner and Other Non-Hospital Owned Patient Care Equipment Used by John Dempsey Hospital Staff

C-020 Repackaging Medications

Reporting Adverse Medical Device Incidents (11-032)

Reporting Cases to the Police (11-016)

Request for Blood Components and Audit Criteria for Blood Component Usage (08-019)

Respiratory Protection Program: Respirator Usage for Airborne Infectious Agents

Restricted and Concurrently – Monitored Antimicrobials

Retention, Storage and Disposal/Destruction of Medical Records (2014-06)

Role of the Radiologist in the Ordering and Administration of Contrast Agents

Rounding of Intravenous Blood Factors

Safe Handling of Hazardous Drugs

Safe Handling of Liquid Nitrogen

Safe Transfer of Patients Between Hospitals or Ambulatory Clinics

Safety Policy (02-007)

Seclusion: Management of Patient in Seclusion

Self-Administration of Medications

Self-Injurious Behavior Care of the Patient on a Non-Psychiatric Unit

Severe Alcohol Withdrawal Guideline (Reserved for ICU Patients)

Sickle Cell Vaso-Occlusive Pain Management Using High Dose Continuous and PCA Opioid Infusions

Six (6) Minute Walk Test

Speech Pathology: Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Standing Orders

Standing Order for SARS-CoV-2 (COVID) Vaccine for Employees

Steam Autoclave Cleaning

Steam Sterilization and Monitoring: Sterile Processing

Storage and Billing of Pediatric Vaccines for Connecticut Vaccine Program

Surgical Implants and Explants

Targeted Temperature Management (TTM) Post Resuscitated Cardiac Arrest

Taxi (08-001)

Teleradiology Policy and Guidelines

Temperature Storage of Investigational Drugs

Timely Clinical Advice by Telephone for the Ambulatory Medical Practices

Tissue Management (08-076)

Transesophageal Echo Protocol

Transfer Policy for Stroke Patients Stroke Program UConn Health

Transitions of Care/Handover for Residents and Fellows (08-107)

Transportation of Patients from Ambulatory Clinics to Emergency Department

Triage of the Obstetrical Patient

Tube Feedings/Enteral Nutrition (Adult)

Tumor Registry/Cancer Registry (12-008)

UConn Fire Paramedic Kits

Ultrasonic Cleaning Equipment Use

Unit Dose Cart Fill

Unit Inspections

Universal Protocol (08-048)

Urinary Catheter (Indwelling): Order and Removal

Use of Botox Injection for Axillary Hyperhidrosis

Use of Collodion in EEG Testing

Use of On-Site Physician Advisor (PA) Secondary Review

Venereal Disease Treatment of a Minor (07-001)

Volume Based Tube Feeding (Adult ICU)

Volunteer Health Requirements (02-031)