|
1. Management and Organization
Central State Hospital Organizational Charts |
|
|
1.00 |
Review/Establishment of
CSH Policies/Procedures/Plans |
3/25/08 |
|
1.01 |
Opinions from the State
of Georgia Attorney General |
8/19/08 |
|
1.02 |
External Communications Among the Division
of Mental Health, Regional Coordinators, Regional Hospitals and the Director
of Regional Operations |
8/19/08 |
|
1.03 |
Use of Medical/Dental
Equipment Not Belonging to the Hospital |
7/9/02 |
|
1.04 |
Major Hospital Wide Staff
Meetings |
8/19/08 |
|
1.05 |
Private Duty SITTER |
5/9/08 |
|
1.05A |
Private Duty SITTER |
5/9/08 |
|
1.06 |
Emergency Interpretative
Services for the Deaf |
9/19/01 |
|
1.07 |
Behavior
Support |
9/26/08 |
|
1.08 |
Do Not Resuscitate |
9/26/08 |
|
1.09 |
End of Life |
5/25/07 |
|
1.12 |
Open Records Request
Guidelines for Central State Hospital |
10/29/07 |
|
1.12A |
Open Records Request |
10/29/07 |
|
1.13 |
Computer Policies and
Procedures |
5/12/06 |
|
1.30 |
Staff Holdover Policy |
9/26/08 |
|
2. Personnel |
|
|
2.00 |
Competency Assessment
Plan |
7/21/06 |
|
2.01 |
Hiring
Salaries |
1/18/05 |
|
2.02 |
Clinical Supervision |
05/29/07 |
|
2.03 |
Notaries Public |
8/19/08 |
|
2.04 |
Business Ethics - Conflict of
Interest |
5/9/08 |
|
2.05 |
Personal Appearance – Dress Code
|
5/9/08 |
|
2.09 |
Call-ins |
3/18/08 |
|
2.13 |
Position Actions |
8/19/08 |
|
2.16 |
Employee Recognition
Program |
3/25/08 |
|
2.19 |
Compensation for
Damaged/Destroyed Wearing Apparel |
8/19/08 |
|
2.20 |
Temporary Reassignment of Staff Outside of
Current Job |
9/26/08 |
|
2.21 |
State Housing |
5/9/08 |
|
2.21A |
State Housing |
5/9/08 |
|
2.22 |
Engagement of Consultants |
01/07/08 |
|
2.22A |
Engagement of Consultants |
01/07/08 |
|
2.26 |
Polygraph Examinations |
3/18/08 |
|
2.30 |
Employee Assistance
Referral Program |
4/6/07 |
|
2.31 |
Employee Wellness and Sports
Program |
9/26/08 |
|
2.38 |
Employee Requests to be
Excused from Client Care Duty |
3/25/08 |
|
3. Administrative Functions and Services |
|
|
3.01 |
Entertainment DVDs and Video Cassettes (NEW) |
3/25/08 |
|
3.02 |
Forms
Management |
5/9/08 |
|
3.03 |
State Property Management |
5/16/08 |
|
3.04 |
Utilization and Control
of State-Owned Vehicles |
6/7/04 |
|
3.04A |
Utilization and Control
of State-Owned Vehicles |
12/12/01 |
|
3.05 |
Communications Service |
8/19/08 |
|
3.05A |
Communications Service |
8/19/08 |
|
3.07 |
Requesting Operating
Materials/Supplies from General Warehouse
Asset Account |
9/26/08 |
|
3.07A |
Requesting Supplies from
the General Warehouse |
09/26/08 |
|
3.08 |
Moving Large Items of
Office Equipment and/or Furniture |
8/19/08 |
|
3.09 |
Employee Travel and
Reimbursement for Travel |
1/7/05 |
|
3.09A |
Employee Travel and
Reimbursement for Travel |
1/7/05 |
|
3.10 |
Payment of Fees for
Organizational Memberships |
8/19/08 |
|
3.10A |
Payment of Fees for
Organizational Memberships |
8/19/08 |
|
3.11 |
Warehouse Stock Items -
Addition and Deletion |
5/9/08 |
|
3.11A |
Warehouse Stock Items -
Addition and Deletion |
5/9/08 |
|
3.12 |
Purchasing Card |
4/11/05 |
|
3.12A |
Purchasing and Ordering of Supplies/Materials/Services |
5/16/07 |
|
3.13 |
Space
Utilization |
3/25/08 |
|
3.14 |
Mail Service/Use of
Inter-Office/Inter-Departmental Correspondence and Urgent Medical Info Envelopes |
9/8/04 |
|
3.15 |
Client Linen, Exchange
and Control |
5/9/08 |
|
3.15A |
Client Linen, Exchange
and Control |
5/9/08 |
|
3.16 |
Therapeutic Equipment
Prescription Process |
9/26/08 |
|
3.16A |
Therapeutic Equipment
Prescription Process |
9/26/08 |
|
M-3.17(7.08) |
Construction, Contracts,
Processing, and Bidding |
5/5/03 |
|
3.18 |
Client Orientation |
5/17/04 |
|
3.18A |
Client Orientation |
5/17/04 |
|
3.21 |
Official and Unofficial
Bulletin Boards |
5/13/04 |
|
3.22 |
Purchases From Petty Cash |
01/07/08 |
|
3.22A |
Purchases From Petty Cash |
01/07/08 |
|
3.23 |
Records in
Litigation/Mortality Review |
01/07/08 |
|
3.24 |
Maintenance/Engineering
Projects, Inspections and Work Orders |
5/16/08 |
|
3.24A |
Maintenance/Engineering
Projects, Inspections and Work Orders |
7/23/02 |
|
3.25 |
Comprehensive Client
Assessment: James B. Craig Nursing
Center, Nursing Home Center, and Riverside Nursing Center |
7/9/02 |
|
3.26 |
Infection Control During Construction and Renovation Projects |
9/26/08 |
|
3.27 |
Manufacturer's Recall of
Supplies and/or Equipment |
2/26/08 |
|
4. Client Administration |
|
|
6001-201 |
Investigating Consumer Deaths and Critical Incidents
Effective 7/1/08 |
6/18/08 |
|
2.100 |
Informed Consent and
Involuntary Administration of Medication |
1/16/08 |
|
3.104 |
Use of Seclusion and Restraint for Emergency Safety
Situations in DHR Division of MHDDAD Hospitals |
01/07/08 |
|
6805-202 |
Admission and Discharge of Consumers in Need of
Temporary and Immediate Care
(Effective 3-17-08) |
3/6/08 |
|
4.00(2.10) |
Organizational Ethics and Individual Rights |
5/25/07 |
|
4.00A |
Client Rights and CSH
Ethics Team |
5/25/07 |
|
4.01 |
Relationships Between
Central State Hospital (CSH) Employees and Clients |
5/9/08 |
|
4.02 |
Private Professional
Services for Clients |
3/18/08 |
|
4.03 |
Writ of Habeas
Corpus/Judicial Supervision |
3/25/08 |
|
4.04 |
Central State Hospital (CSH) Client Satisfaction Survey |
5/9/08 |
|
4.05 |
Client Travel by Common
Carrier |
3/25/08 |
|
4.06 |
Social
Security/Medicare/Medicaid Benefits for Clients |
5/22/07 |
|
4.06A |
Social
Security/Medicare/Medicaid Benefits for Clients |
5/22/07 |
|
4.07 |
Non-Discrimination In Services |
3/25/08 |
|
4.08 |
Use and Disposition of
Drugs Accompanying Clients |
3/25/08 |
|
M-4.09(2.18) |
Transport of Court
Ordered/Law Enforcement Hold Orders |
11/14/02 |
|
4.10 |
Clients' Identification Photographs |
8/19/08 |
|
4.10A |
Clients' Identification Photographs |
8/19/08 |
|
4.11 |
Requests for Abortions
and Sterilizations |
10/29/07 |
|
4.12 |
Notification of Law
Enforcement Officer Upon Release of Clients |
4/13/04 |
|
4.12A |
Notification of Law
Enforcement Officer Upon Release of Clients |
4/13/04 |
|
4.13 |
Clients' Funds and
Personal Effects |
9/26/08 |
|
4.13A |
Clients' Funds and
Personal Effects |
9/26/08 |
|
4.14 |
Management and Release of
Clients Acquitted Not Guilty By
Reason of Insanity (NGRI) |
11/2/01 |
|
4.14A |
Management and Release of
Clients Acquitted Not Guilty By
Reason of Insanity (NGRI) |
12/12/01 |
|
M4.14B(2.03) |
Release of CSH Binion
Clients Acquitted Not Guilty By Reason of
Insanity or Incompetent for Trial |
1/21/03 |
|
6811.2.4 |
Actions Necessary Upon Death
of a Consumer |
1/29/08 |
|
M-4.16(2.06) |
Interstate Transfer of
Clients |
1/21/03 |
|
4.16A |
Interstate Transfer of
Clients |
12/21/01 |
|
4.17 |
Transfer of Clients
to CSH within the Division of MH/DD/AD Facilities |
5/12/04 |
|
4.18 |
Notification to
Authorized Representative of His/Her Rights to
Consultation and Involvement in the Client's Treatment Plan |
7/9/02 |
|
4.18A |
Notification to
Authorized Representative of His/Her Rights to
Consultation and Involvement in the Client's Treatment Plan |
7/9/02 |
|
4.19 |
Day Passes, Temporary
Leaves and Trial Visits |
3/18/08 |
|
4.19A |
Day Passes, Temporary
Leaves and Trial Visits |
3/10/06 |
|
4.20 |
Client Accident and
Injury Report |
3/18/08 |
|
4.20A |
Client Accident and
Injury Report |
1/27/04 |
|
4.21 |
Coding and Tracking of
Court Orders and Georgia Department of
Corrections Admissions (Commitment Types 244, 201, 204, 205, 206,
241, and 243 |
9/2608 |
|
4.21A |
Coding and Tracking of
Court Orders and Georgia Department of
Corrections Admissions (Commitment Types 244, 201, 204, 205, 206, 241, and 243 |
9/26/08 |
|
4.22 |
Client Access to
Telephone Communication |
3/25/08 |
|
4.23 |
Criminal Prosecution of
Clients |
1/6/06 |
|
4.24 |
Custody
and Release of CSH Clients |
5/30/07 |
|
4.26 |
Elopement/Escape |
11/2/06 |
|
4.26A |
Custody, Discharge,
Voluntary/Involuntary Commitment and Release
of the Client |
2/27/06 |
|
4.27 |
Falls Reduction Program |
8/19/08 |
|
4.27A |
Falls Reduction Program |
8/19/08 |
|
4.28 |
Relationship
with the Ga. Advocacy Office (GAO) |
3/24/08 |
|
4.29 |
Confidentiality |
3/25/08 |
|
4.30 |
Admission to Central
State Hospital |
05/26/05 |
|
4.30A |
Admission to Central
State Hospital |
05/26/05 |
|
4.31 |
Continuity of Care,
Discharge Planning and Medical Alert |
6/14/05 |
|
4.31A |
Continuity of Care,
Discharge Planning and Medical Alert |
6/14/05 |
|
4.32 |
Alleged Sexual Assault
on a Client |
05/16/05 |
|
4.32A |
Alleged Sexual
Assault on a Client |
05/16/05 |
|
4.33 |
Client Visits and
Visitor's Responsibilities |
9/26/08 |
|
4.34 |
Intrahospital Transfer of
Clients |
12/06/05 |
|
4.35 |
Nursing Home Referral and
Placement for Clients |
3/10/06 |
|
4.35A |
Nursing Home Referral and
Placement for Clients |
3/10/06 |
|
4.36 |
Right to Consent/Refuse |
7/9/02 |
|
4.37 |
Allegations of Client
Abuse - Investigative & Employees Action
to be Taken |
2/18/08 |
|
4.37A |
Allegations of Client
Verbal and Physical Abuse and/or Neglect |
1/18/05 |
|
4.38 |
Non-Local and Overnight
Activities for Clients |
9/26/08 |
|
4.38A |
Non-Local and Overnight
Activities for Clients |
9/26/08 |
|
4.39 |
Organ Donation |
4/20/05 |
|
4.40 |
Clients with Infectious
or Communicable Disease;
Notification to Emergency Response Employee (ERE) |
3/24/08 |
|
4.40A |
Clients with Infectious
or Communicable Disease;
Notification to Emergency Response Employee (ERE) |
3/24/08 |
|
4.41 |
Medical Services for
Pregnant Clients |
3/10/06 |
|
4.41A |
Medical Services for
Pregnant Clients |
3/10/06 |
|
4.42 |
Advance Directives:
Client Self-Determination in the Planning
of Medical and/or Surgical Treatment for Physical Conditions |
8/19/08 |
|
4.42A |
Advance Directives:
Client-Self Determination in the Planning
of Medical and/or Surgical Treatment for Physical Conditions |
8/19/08 |
|
4.43 |
Education Services |
8/19/08 |
|
4.45 |
Client and Family
Education |
3/25/08 |
|
M4.46B(2.02) |
Suspected or Alleged
Abuse Occurring Prior To Admission, or
During Trial Visit/Temporary Leave |
5/8/03 |
|
4.46 |
Victims of Suspected
Abuse or Neglect |
11/2/06 |
|
4.47 |
Adaptive Supportive |
11/2/06 |
|
4.48 |
Medical Protective |
5/9/08 |
|
4.49 |
Medical Immobilization |
5/9/08 |
|
4.50 |
Diet Orders and Diet
Changes |
5/9/08 |
|
4.50A |
Diet Orders and Diet
Changes |
5/9/08 |
|
4.51 |
Pain Assessment and
Management |
9/26/08 |
|
4.52 |
Self - Administration of
Medication |
11/6/01 |
|
4.52A |
Self - Administration of
Medication |
12/12/01 |
|
4.53 |
Special Observations and
Levels of Restrictions of Clients |
12/12/06 |
|
4.54 |
Use of Minimal Sedation
for Clinic Appointments and Diagnostic
Procedures |
1/14/05 |
|
4.57 |
General Anesthesia and Moderate/Deep Sedation Care |
5/16/08 |
|
4.58 |
Medical Staff Communication Report CSH Physician Notes
|
5/9/08 |
|
4.59 |
Hand-Off Communications |
5/16/08 |
|
4.60 |
Use of Psychotropic STAT/PRNs
Meds |
1/07/08 |
|
4.61 |
Clinical Institute
Withdrawal Assessment for Alcohol (CIWA) |
3/14/08 |
|
4.62 |
Use of Psychotropic
Medications/Psychotropic Medication Reviews |
1/29/08 |
|
4.63 |
Care of the Client with Head Trauma (New) |
9/17/08 |
|
4.64 |
Recognition and Management of
Pressure Ulcers |
7/7/08 |
|
|
|
|
|
5. Safety and Protection of Persons and Property |
|
|
6001-101 |
Reporting of Consumer Deaths and Critical Incident
Effective 7/1/08
CSH Protocol Reporting of Critical Incidents |
06/17/08 |
|
5.01 |
Institution Police
Authority and Relationships with Other Law
Enforcement Agencies |
3/18/08 |
|
5.02 |
Control of Firearms and
Contraband Items |
3/25/08 |
|
5.03 |
Occupational Health &
Injury Service |
9/26/08 |
|
5.04 |
Ambulance and Non-Emergency Transport Service |
3/25/08 |
|
5.04A |
Ambulance
and Non-Emergency Transport Service |
3/25/08 |
|
5.05 |
Adverse Drug Experiences |
5/14/07 |
|
5.07 |
Emergency Management of
Pregnant Women |
9/26/08 |
|
5.08 |
Lost and Found Property |
3/18/08 |
|
5.09 |
Suicidal Precautions |
6/14/05 |
|
5.09A |
Suicidal Precautions |
6/14/05 |
|
5.10 |
Notice of Possibility of
Claim |
5/30/07 |
|
5.11 |
The Use of Electroconvulsive Therapy |
10/29/07 |
|
5.12 |
Property/ Contents and
All Risk Insurance |
01/07/08 |
|
5.13 |
Liability and Bond
Coverage |
3/18/08 |
|
5.14 |
Key Control |
9/8/04 |
|
5.15 |
Accidents Involving State
Vehicles |
5/9/08 |
|
5.15A |
Accidents Involving State
Vehicles |
5/9/08 |
|
5.16 |
Restriction of Tobacco and Smoking Materials on Central State Hospital
Campus |
5/30/07 |
|
5.17 |
Safe Medical Devices and
Laboratory Product Reporting |
3/10/06 |
|
5.17A |
Safe Medical Devices and
Laboratory Product Reporting |
3/10/06 |
|
5.18 |
Prevention of Airborne
Diseases |
3/18/08 |
|
5.19 |
Medication Reconciliation |
12/19/06 |
|
5.20 |
Cardiopulmonary
Resuscitation / Code Blue |
5/2/08 |
|
5.20A |
Cardiopulmonary
Resuscitation / Code Blue |
5/2/08 |
|
5.21 |
Biomedical Equipment
Management |
2/15/07 |
|
5.22 |
Notification of Escapes
from Middle Georgia Correctional Complex |
01/07/08 |
|
5.23 |
Pre-Admission Search |
10/03/05 |
|
5.23A |
Pre-Admission Search |
12/05/05 |
|
5.24 |
Fire Rated or Smoke Tight
Wall Penetrations |
5/9/08 |
|
5.25 |
Storage and Disposal of
Drug Samples |
5/16/08 |
|
5.25A |
Storage and Disposal of
Drug Samples |
5/16/08 |
|
5.26 |
Wheelchair/Geriatric
Chair Repair/Purchases |
11/6/01 |
|
5.27 |
Unit Dose Cart Inspection
and Repair |
01/07/08 |
|
5.28 |
Transporting
Clients in a Wheelchair Bus/Vehicle |
1/6/06 |
|
5.28A |
Transporting Clients in a Wheelchair Bus/Vehicle |
1/6/06 |
|
5.29 |
Identification and Management
of Individuals at Risk of Choking |
3/25/08 |
|
5.30 |
Medication Error/Discrepancy
Reporting |
5/1/08 |
|
6. Relationships with the Public and
Other Governmental Agencies |
|
|
6.01 |
Collections and
Solicitations |
11/6/01 |
|
6.02 |
Resources Services |
01/07/08 |
|
6.03 |
Use of Hospital
Facilities By Outside Groups |
6/14/05 |
|
6.04 |
Release of Information to
News Media and Attorneys; and
Publication of Articles |
01/07/08 |
|
6.06 |
Utilization of Middle
Georgia Correctional Complex Inmates |
8/19/08 |
|
6.06A |
Utilization of Middle
Georgia Correctional Complex Inmates |
8/19/08 |
|
7. Training and Research |
|
|
7.01 |
Staff Development &
Training |
01/07/08 |
|
7.02 |
Research |
8/19/08 |
|
7.02A |
Research |
8/19/08 |
|
7.03 |
Educational Assignment (EA) Policy |
5/30/07 |
|
7.04 |
Student Affiliation
Agreements (a.k.a. Internships) |
01/07/08 |
|
8. Plans |
|
|
8.00 |
Client Safety Plan |
8/21/06 |
|
8.01 |
Emergency Preparedness
Manual |
9/9/05 |
|
8.02 |
Interim Life Safety
Measures |
5/9/08 |
|
8.03 |
Fire Safety |
5/9/08 |
|
8.04 |
Safe
Use Handling and Storage of Flammable and Combustible Liquids |
5/9/08 |
|
8.06 |
Motor Vehicle and Traffic
Regulations |
1/9/04 |
|
8.07 |
Utilities Management Plan |
11/17/03 |
|
8.08 |
Safety Management Plan |
6/16/04 |
|
8.10 |
Plan for Performance Improvement and Integration of
Strategic Planning with Leadership Initiatives |
5/13/04 |
|
8.10A |
Focus - PDCA |
3/25/02 |
|
8.11 |
Plan for Care |
6/23/06 |
|
8.15 |
Hazardous Materials and
Wastes Management |
5/16/08 |
|
8.16 |
Risk Management Plan |
5/9/08 |
|
8.17 |
|
