San Bernardino header
File #: 5090   
Type: Consent Status: Passed
File created: 11/5/2021 Department: Arrowhead Regional Medical Center
On agenda: 11/16/2021 Final action: 11/16/2021
Subject: Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
Attachments: 1. ATT- ARMC - 11-16-21 - Attachment E Department of Dialysis New Policies and Procedures, 2. ATT- ARMC - 11-16-21 - Attachment D Dept of Dialysis Services Policy and Procedure Summary of Revisions.docx, 3. ATT - ARMC - 11-16-21 - Attachment F Emergency Response Summary of Policy Revisions, 4. ATT - ARMC - 11-16-21 - Attachment C ADM Summary of Policy Revisions, 5. ATT - ARMC - 11-16-21 - Attachment B Deptartment of Nursing Policy-Block Charting, 6. ATT - ARMC - 11-16-21 - Attachment A Dept of Nursing 2021 Summary of Policy Revisions, 7. ATT- ARMC - 11-16-21 - Attachment G ARMC Policy and Procedure Manual Approval List, 8. Item #12 Executed BAI
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

November 16, 2021

FROM
WILLIAM L. GILBERT, Director, 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 Attachments A through G):
1. Nursing Department Policy and Procedure Manual
2. Administrative Policy and Procedure Manual
3. Dialysis Department Policy and Procedure Manual
4. Emergency Response Policy and Procedure Manual
(Presenter: William L. Gilbert, Director, 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 the revisions 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, and will not result in the use of Discretionary General Funding (Net County Cost).

BACKGROUND INFORMATION
The ARMC Procedure Manuals and Policies are prepared in compliance with the policies and procedures of the Administrative Operations Manual, County policies, California Code of Regulations Title 22, Chapters 1 and 5, Centers for Medicare and Medicaid Services (the Center), The Joint Commission, and other appropriate regulations and guidelines. Per the Center and The Joint Commission, all ARMC Operations, Policy, and Procedure Manuals are reviewed and revised, as necessary a minimum of every one, two or three years, depending on the type of manual, and require Board of Supervisors (Board) acceptance and approval.

The aforementioned manual and policies are necessary to maintain comp...

Click here for full text