It is a statement or memo that outlines the institution’s position on an administrative or
operational issue.
Policy
It is An instructional document that provides explanations and step-by-step directions
on how to perform a task, test, or process.
Procedure
It is a manual that contains policies that applies to the general and overall operations of the institution
Policy Manual
It is an instructional document that provides explanations and step-by-step directions
on how to perform a task, test, or process.
Procedure
It is a manual containing procedures that applies to specific work tasks and duties
Procedure Manual
The primary objective of policy and procedure manuals is to ensure ____________________
between the members of the organization.
effective communication
Must attempt to remove any ambiguities and allow uniform and consistent application
to the laboratory’s policies and procedures
Goal
The following examples are only a small sample of activities that are tied directly to the
contents of policy and procedure manuals:
•Responsibility and control
• Performance appraisals
• Completion of tasks and duties
• Quality standards and monitoring indexes
• Job descriptions
• Work flow and job analysis
• Productivity measurement
• Financial accountability
A _______ can range from a simple statement about the intent and philosophy of a company to a detailed plan of implementation.
policy
These are general topics that are common in policy manuals found in this type of setting
• Administrative organization
• Employment and personnel policies such as hiring practices, grievance procedures
benefits, attendance and tardiness rules, and statement concerning discrimination drug
screening, and termination.
• Adherence and enforcement of safety and health procedures
• Disaster plans
• Confidentiality and release of patient information
• Security and access to facilities
• Solicitation on the premises
Hospital Level
These are general topics that are common in policy manuals found in this type of setting
• Dress codes
• Food and smoking rules
• Telephone use
• Specific statement about enforcement of safety rules
• Laboratory organization and reporting relationships
• Writing, review, and authorization of procedures
• Absences and holiday requests
• Supply requisition
• Reporting and releasing of test results
Laboratory level
PROCEDURE MANUALS are also Often referred to as the?
Standard Operating Procedure (SOP)
It is the Standardization of the way that tasks and tests are performed
Standard Operating Procedure (SOP)
What are the 2 types of external manuals
Specimen collection manual
Laboratory service manual
It is Required by inspecting agencies to be distributed to all areas in which specimens are collected for submission to the laboratory, specially, all nursing units, physicians’ offices, and satellite collection sites
Specimen collection manual
Are the Factors that affect the users of laboratory services including policy statements concerning the hours of operation for outpatients, collection and courier pickup schedules, insurance and other billing practices, who may order tests and receive reports, and general business items such as telephone numbers and location of facilities.
Laboratory service manuals
What are the 4 types of internal manuals
Administrative manuals
Technical manuals
Safety manuals
Quality management manuals
Administrative manual’s
-Step-by-step instructions for operating instruments and performing individual
tests, tasks, and duties
-Should include procedures for calibration, QC, safety actual test performance,
troubleshooting, and reporting results
Technical manuals
For easy access and regulatory requirements, instructions for handling dangerous
substances and biological samples are frequently organized in this manual
Safety manuals
Contains the overall policies, procedures, and rules for ensuring the quality of
laboratory services.
Quality management manuals
Should be written in a way that enables easy consultation and retrieval of information
-Emphasis should be on the user of the manual and not just on having a pretty document
to show an inspector
Writing Policy and Procedure Manual
Not a specific and detailed as procedures
-Usually organized by topic and composed according to standard writing styles
Policy Manual Format