DEPARTMENT OF PATHOLOGY GENERAL POLICY MANUAL

Table of Contents

Note: Files marked with an asterisk (*) are only available from on-campus computers.

 

PATHOLOGY MISSION STATEMENT

Provision of Laboratory Services

Departmental Manual for Hopkins Policy Online (HPO)

  1. ADMINISTRATIVE POLICIES
    1. Quality Management
      1. Quality Management System
      2. Quality Management Program
        1. Pathology Organizational Chart
      3. Proficiency Testing Policy
    2. HIPAA Policies
      1. HIPAA Policy
    3. Pathology Disaster Plan * (9/2009) (Code Yellow ED, Hospital, Chemical, Radiation)
      1. Disaster Call Roster Exhibit I *
      2. Pathology Contact Phone List Exhibit II *
      3. Disaster Fast Facts * (Poster)
      4. JHM Staff Emergency Response Reference
      5. High Winds Policy
    4. Weather Emergency Plan
      1. Pathology Department Plan
      2. Hopkins' Medicine Weather Emergency Policies
    5. Johns Hopkins CEPAR (Critical Event Preparedness and Response)
    6. Laboratory Safety Information
      1. Laboratory Safety Manual
        1. Appendix A - Risk Assessment Form
        2. Appendix B - Emergency Equipment Maintenance Chart
        3. Appendix C — Spill/ Splash Instructions
      2. Johns Hopkins Safety Policies
      3. Materials Safety Data Sheets (MSDS)
      4. Cryogenic Liquid Policy
      5. Ergonomic Program
      6. Latex Allergy Policy
  2. HUMAN RESOURCES
    1. New Employee Orientation Checklist
      1. Student and Volunteer Orientation Checklist
    2. Employee Compensation / Payroll Policies *
    3. Laboratory Conduct
      1. Institutional Code of Conduct
      2. Laboratory Standards of Conduct
    4. Staff Request not to Participate in Patient Care
    5. Pathology Appearance Standards and Image Policy
  3. PATIENT SAFETY
    1. Patient/Visitor Event or Service Concern Reporting Policy
    2. Mislabeled or Unidentified Patient Specimens Policy
    3. Critical Action Laboratory Values
    4. Critical Action Reporting*
    5. Procedure for Correction of Patient Records
    6. Infection Control Guidelines
  4. MISCELLANEOUS
    1. Information Management
      1. Retention Times, for Records, Reports and Specimens
      2. Referral Laboratory Services and JHH Reference Laboratories List
      3. Reflex Testing
      4. Reflex Test List
      5. Test Add-on and Verbal Order Policy (10/2010)
    2. Environment
      1. Pathology Equipment Management Policy
      2. Isensix Procedure (Reference Guide)
        1. ISENSIX Advance Remote Temperature Monitoring System
      3. Reagent and Solution Labeling Policy
    3. Venipuncture Procedure