Adminstrative nursing policies are formal, high level statements that reflect best practices and set forth standards of professional conduct and work rules.
This page also contains links to a select list of Medical Center Policies relevant to nursing practice.
Section I. Patient Related
- Absentee Ballots for Patients Voting (Medical Center Administrative Policy)
- Adult Telemetry/Cardiac Monitoring and Continuous Pulse Oximetry Outside the ICU Setting
- Advance Diet as Tolerated Orders
- Clinical Alarm System Management (Medical Center Administrative Policy)
- Death of Patients (Medical Center Administrative Policies Manual)
- Elopement/AMA—Patient Leaving Hospital without Notification to Staff or Against Medical Advice (AMA) (see Medical Center Administrative Policy Elopement/AMA 6.03.17
- Ethical Issues (Medical Center Administrative Policies Manual)
- Intravenous Solution, Medication, and Tubing Hang Time (see Nursing procedure Medication Administration, Appendix F)
- Implanted Intrathecal Drug Delivery Systems (Medical Center Administrative Policy)
- Malignant Hyperthermia Response
- Medication Administration (redirects to General procedure)
- Medication Policies for: - (Medical Center Administrative Policy)
- Narcotics and Controlled Substances
- Panic Laboratory Values and Positive Culture Results - See Medical Center Administrative Policy Manual "Critical Test Read Back and Confirm"
- Patient Assessment, Care Planning, Evaluation and Documentation
- Patient Placement Process (See Medical Center Policy Adult Patient Flow 6.03.07)
- Patient Property (See Medical Center Policy 6.04.11 Patient Belongings & Valuables: Inventory, Storage, Loss and Damage)
- Private Duty Nurses or Nursing Assistants
- Procedural Moderate Sedation Policy 6.07.01. - UCSF Medical Center Administrative Policy
- Safety Attendant / Video Monitoring - Continuous Close Patient Observation
- Transfers of Patients (See policies on Summary List)
- Transport and Care of Adult Patients for Off Unit Procedures
- Transport Requirements for Acute/Transitional Care Pediatric Patients to Off-Unit Procedures
- Visiting Regulations - (Medical Center Administrative Policies Manual)
Section II. Employee
- Attendance Guidelines and Hours of Work
- Chemically Dependent Employee
- Competence Assessment
- Educational Leave Policy
- Employee Performance Evaluation - see Medical Center policy: Competency Assessment and Performance Evaluation 4.05.01
- Employee Personnel Records - see Medical Center policy Employee Records 4.01.03
- Employee Standards of Dress and Personal Appearance - (Medical Center Administrative Policies Manual)
- External Conference Funding
- License and Required Training
- Orientation and Training of Employees
- Per Diem Agreement
- Specialty Certification Differential - See Medical Center Administrative Policy Manual
- Wireless Communications Devices
Section III. Administrative
- Assignment of Patient Care Responsibilities to Nursing Staff
- Automated Temperature Monitoring
- Automated Temperature Monitoring Downtime Log
- Chain of Command
- Charge Nurse Role and Responsibility
- Code Cart - See Med Center Policy: Code Cart Maintenance 1.01.13
- Course Creation and Continuing Education (CE) Processing
- Disaster Response (Refer to Medical Center Emergency Management Plan)
- Emergency Department Total Diversion - (Medical Center Administrative Policies Manual)
- Management of Disruptive Behavior (Medical Center Administrative Policies Manual)
- Patient Classification by Care Levels
- Policy, Procedure, & Competency Development, Review, and Approval
- Position Control Report
- Prevention to Workplace Violence
- Program Statement
- Record Retention (See UC Record Retention Schedule)
- Registry Staff Competency Assessment, Orientation and Evaluation
- Research on Patient Care Units
- Scheduling Policies
- Staffing Adjustments
- Student Placements
- Travel Nurse Competency Assessment, Orientation and Evaluation