Section D: Hospital Policies

A complete listing and additional information about Rhode Island Hospital and Lifespan policies and resources may be accessed by employees via the Lifespan Intranet.

• Affirmative Action (HR 1.1 or CCPM 12)
• Approved Abbreviation Policy/Do Not Use Abbreviations (Admin 152)
• Autopsy Policy (PATH-02)
• Bilingual Clinician Language Proficiency (Admin 235)
• Cardiac Arrest Plan – Adult (Admin 110)
• Cardiac Arrest Plan – Pediatrics (Admin 111)
• Clinical Documentation clarification (Admin 220)
• Confidentiality of Patient Information (CCPM 11)
• Disruptive Behavior Policy (HR 5.16)
• Documentation in Medical Record by Medical Students (Admin 27)
• Employee Social Media Policy (MC-1)
• Ethics Committee (Admin 92)
• Family Medical Leave of Absence (HR 2.1) (See also GME Policy)
• Fitness for Duty (HR 4.1)
• Gerry House On-call sleeping facility (ESD 02)
• Gifts, Entertainment, and Vendor Promotional Training & Travel (CCPM 30)
• Guideline for Use of the Electronic Home Meds List, Discharge Instructions and Continuity of Care Form (Admin 173)
• Hand Hygiene (IIC 109)
• Hospital Parking Regulations (Admin 148)
• Identification Badge Policy (SEC 18)
• IS Policy 209 – Confidential Information – Data Protection Controls
• IS Policy 204 – Internet/Email Access and Email Usage
• IS Policy 201 – Security Policies for the Lifespan Information Network
• Influenza Vaccine (HR 4.6)
• Interactions with Industry Representatives (CCPM-46)
• Interpreter Services (Admin 51)
• Mgmt. of Health Care Worker Blood or Body Fluid Exposures (Admin 68)
• Medication Reconciliation across the Continuum of Care
• MERS - Event Reporting – Mgmt and Analysis (Admin 241)
• Patient Restraint Policy (Admin 107)
• Patients’ Rights and Responsibilities (Admin 222)
• Photographing/Videotaping Patients (Admin 179)
• Professional Appearance Standards (Admin 182)
• Response to Breach of Unsecured PHI (CCPM73)
• Service Standards (Admin 154)
• Sexual Harassment (CCPM 14 or HR 5.8)
• Staff Responsibility for Safety (HR 5.19)
• Substance Abuse/Drug-Free Workplace (CCPM 15 or HR 4.4)
• Tobacco Free Policies
  • Rhode Island Hospital (Admin 183)
  • The Miriam Hospital (A 61)
  • Bradley Hospital (53)
• TB surveillance (HR 4.5)
• Universal Protocol: Verification of the Patient’s Identity, Surgical Procedure and Surgical Site/Side – Rhode Island Hospital (OR Sect V)
• Universal Protocol: Verification of the Patient’s Identity, Surgical Procedure and Surgical Site –The Miriam Hospital (PS 05 or MS 24)
• Universal Protocol: Perioperative Verification Checklist
• Universal Protocol: Procedures Performed Outside the OR (Admin 153)