File #: 10305   
Type: Consent Status: Passed
File created: 6/13/2024 Department: Arrowhead Regional Medical Center
On agenda: 6/25/2024 Final action: 6/25/2024
Subject: Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
Attachments: 1. ATT - AMRC - 6-25-24 - ATT A - Clinical Laboratory Operations Certification, 2. ATT - ARMC - 6-25-24 - ATT B Clinical Laboratory Operations New Policies, 3. ATT - ARMC - 6-25-24 - ATT C ARMC Policy and Procedure Manual Approval List, 4. Exhibit A - Clinical Laboratory Operations Policy Summary, 5. Schedule A - Pathology-Laboratory Medicine Blood Bank Summary of Revisions - Combined Volumes, 6. Schedule B - Pathology-Laboratory Chemistry Summary of Revisions - Combined Sections, 7. Schedule C - Pathology-Laboratory Coagulation Summary of Revisions, 8. Schedule D - Pathology-Laboratory Cytology Summary of Revisions - Combined Volumes, 9. Schedule E - Pathology-Laboratory General Summary of Revisions, 10. Schedule F - Pathology-Laboratory Hematology Summary of Revisions - Combined Volumes, 11. Schedule G - Pathology-Laboratory Histology Summary of Revisions, 12. Schedule H - Pathology-Laboratory Information System Summary of Revisions, 13. Schedule I - Pathology-Laboratory Microbiology Summary of Revisions - Combined Sections, 14. Schedule J - Pathology-Laboratory Morgue Summary of Revisions, 15. Schedule K - Pathology-Laboratory Mycobacterium Summary of Revisions, 16. Schedule L - Pathology-Laboratory Mycology Summary of Revisions, 17. Schedule M - Pathology-Laboratory Parasitology Summary of Revisions, 18. Schedule N - Pathology-Laboratory Pathology Summary of Revisions, 19. Schedule O - Pathology-Laboratory Phlebotomy Summary of Revisions, 20. Schedule P - Pathology-Laboratory Point of Care Summary of Revisions, 21. Schedule Q - Pathology-Laboratory Pre-Analytical Summary of Revisions, 22. Schedule R - Pathology-Laboratory Send Out Summary of Revisions, 23. Schedule S - Pathology-Laboratory Serology Summary of Revisions, 24. Schedule T - Pathology-Laboratory Urinalysis Summary of Revisions, 25. Item #20 Executed BAI, 26. Executed Attachment
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

June 25, 2024

FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center

SUBJECT
Title
Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
End

RECOMMENDATION(S)
Recommendation
Accept and approve the revisions of policies and the report of the review and certification of the Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals, included and summarized in Schedules A through T:
1. Blood Bank Manual
2. Chemistry Procedure Manual
3. Coagulation Manual
4. Cytology Manual
5. Laboratory General
6. Hematology Manual
7. Histology Manual
8. Information System Manual
9. Microbiology Policies and Procedures Manual
10. Morgue Manual
11. Mycobacterium Manual
12. Mycology Manual
13. Parasitology Manual
14. Pathology Manual
15. Phlebotomy Manual
16. Point of Care Procedure Manual
17. Pre-Analytic Manual
18. Send Out Manual
19. Serology Manual
20. Urinalysis Manual
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
Provide for the Safety, Health and Social Service Needs of County Residents.

FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). Revisions of policies and the report of the review and certification of the Arrowhead Regional Medical Center (ARMC) Operations, Policy and Procedure Manuals are non-financial in nature.

BACKGROUND INFORMATION
The ARMC Operations, Policy and Procedure Manuals are prepared in compliance with County policies, the California Code of Regulations Title 22, Chapters 1 and 5, and the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other appropriate regulations and guidelines. Per CMS and TJC, all ARMC Operations, Policy, and Procedure Man...

Click here for full text