File #: 10139   
Type: Consent Status: Passed
File created: 5/30/2024 Department: Arrowhead Regional Medical Center
On agenda: 6/11/2024 Final action: 6/11/2024
Subject: Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
Attachments: 1. Att H - Respitory Certification Page, 2. Att I - Bood Gas Laboratory (BGL) Summary of Revisions, 3. Att J - Bood Gas Laboratory (BGL) Certification, 4. Att K - Neurodiagnostic Services (NDL) Summary of Revisions, 5. Att L - Neurodiagnostic Services (NDL) Certification, 6. Att M - Hyperbaric Oxygen Therapy (HBOT) Summary of Revisions, 7. Att N - Hyperbaric Oxygen Therapy (HBOT) Certification, 8. Att O - Hyperbaric Oxygen Therapy (HBOT) New Policies, 9. Att P - Pulmonary Function Laboratory (PFL) Summary of Revisions, 10. Att Q - Pulmonary Function Laboratory (PFL) Certification, 11. Att R- ARMC - 4-9-24 - Att R ARMC Policy and Procedure Manual Approval List, 12. Att A - Security (SEC) Department Summary of Policy Revisions (Dept Revised), 13. Att B - Security (SEC) Department Certification, 14. Att C - Operative Services (OR) Summary of Revisions, 15. Att D - Operative (OR) Services Certification, 16. Att E - Labor and Delivery (LND) Summary of Revisions, 17. Att F - Labor and Delivery (LND) New Policy 258.00 v1, 18. Att G - Respiratory Care Services (RCS) Summary of Revisions, 19. Item #21 Executed BAI, 20. Executed Attachment
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

June 11, 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 or approval of the Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals (included and summarized in Attachments A through R):
1. Security Department Policy and Procedure Manual
2. Operative Services Department Policy and Procedures Manual
3. Labor and Delivery Policy and Procedures Manual
4. Respiratory Care Department Policy and Procedure Manual
5. Blood Gas Lab Policy and Procedure Manual
6. Neurodiagnostic Services Policy and Procedure Manual
7. Hyperbaric Oxygen Therapy Policy and Procedure Manual
8. Pulmonary Function Laboratory Policy and Procedure 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 Manuals are reviewed and rev...

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