A brief overview of the policies

Evaluation policies

Evaluation areas and content policy according to each department

Timeframe policy for completing the assessment

Policy  Minimum frequency and reassessment content

Pain assessment, re-evaluation and management policy

Nursing plan policy

Nursing registration policy

Policy for assessing patients for abuse or neglect

Minimum medical history and clinical examination policy

Policy for identifying categories of hospital patients most at risk

Medical files

Policy for uniform and consistent content of the patient's medical file

The policy of who has the authority to write in the patient’s medical file 

The policy of who has the right to view the patient’s medical file to ensure the confidentiality of the information

 Policy for protecting medical records and information from loss, damage, tampering, and unauthorized use or access

Policy for disposing of medical files and the duration of keeping records and files

 Screening process policy to determine patients' needs for medical and nursing care 

Policy of information given to the patient and family upon admission to the hospital

Patient management policy in the event that there is no available space for the required medical service

The policy of coordination and cooperation between all departments (including doctors and nursing staff) through the internal departments

 Policy for entry and exit of patients in the internal department

Policy for terminally ill patients

Patient transfer, referral and discharge policy

Hospital medical emergency response policy

Health education policy for patients and their families

Unforeseen events policies

Incident reporting policy

Intensive analysis policy when unexpected events occur

A list of facts that can be reported

Patient rights policy

Patient responsibilities policy towards the hospital

The policy of refusing or not continuing treatment for the patient

Patient complaints and suggestions policy

Policy for obtaining informed written consent

The policy of informing the patient of the outcome and expected costs

Patient property preservation policy

Patient safety and security policies

General standards

Correct patient identification policy

Patient delivery and receipt policy

Policy to avoid incorrect connection of catheters and tubes

Policy to prevent patient falls and take the necessary measures to avoid falls

Safe use of restraint and seclusion policy

Policy to prevent bed sores while the patient is in the hospital

Critical findings and critical warnings policy

Standards  Standards for medicines

Policy for dealing with high-risk medications (including concentrated solutions)

List of high-risk medications

The policy of obtaining a list of the treatment that the patient takes upon admission to the hospital and upon discharge

Policy on drugs that are similar in form and pronunciation

A list of medications that are similar in appearance and pronunciation

Policy for labeling medicines and their containers

A list of abbreviations that should not be used in writing medications

Standards for surgical operations

The policy of determining the location of surgery before starting it

 A policy of accurate and documented identification of the patient before the operation and also immediately before the start of the surgery

The policy of ensuring all documents and equipment necessary to perform the surgery

 The policy of ensuring an accurate count of the number of pads, needles, and devices before and after the surgical procedure