Board of Directors 
Policies & Procedures and Bylaws Committee

Wendy Ryder-Priola, Committee Chair 
Nick Lambert, Attending Director

Wednesday, July 26, 2023 @ 11:00 a.m.

Location:  JCFHD Board Room, 5189 Hospital Road, Mariposa

Mission – To excel in the provision of quality health care services 
Vision – To be the organization of choice for community health care

This agenda shall be made available upon request in alternative formats to persons with a disability, in compliance with the Americans with Disabilities Act of 1990 (42 U.S.C. §12132) and the Ralph M. Brown Act (California Government Code §54954.2).  Persons requesting special accommodations to participate in a District meeting, please contact the Board Clerk at 209-966-3631, extension 5101, during regular business hours, at least 48 hours prior to the time of the meeting.

AGENDA

    1.        Introduction of guests

    2.        General public input for agenda and non-agenda items

    3.        Approval of previous meeting minutes was completed at the previous Board meeting

    4.        Review and discuss policies and procedures:

Ø  Affirmation of Acute P&Ps

·         N-MS-501 Blood Collection

·         N-MS-607 Care of Patients Valuables

Ø  Affirmation of COVID Protocols

·         COVID Dist Wide COVID-19 Returning to Work and Testing for Healthcare Personnel and Patients

·         COVID Dist Wide Source Control in the Healthcare Setting

Ø  Affirmation of District Wide Protocols

·         Dist Wide Nursing Reporting of Critical Lab Results

Ø  Affirmation of Emergency Department P&Ps

·         ER 001 Admission of Patients to the Emergency Department

·         ER 007 Elopement Left Without Being Seen

·         ER 008 Patient Leaving Against Medical Advice

·         ER 013 DNR

·         ER 020 Standards of Practice or Care

·         ER 021 Triage

·         ER 023 Assessment of the Trauma Patient

·         ER 024 Age Related Documentation Pediatric

·         ER 038 Patient Presenting with Amputations

·         ER 041 Administration of Blood – please see edits

·         ER 056 Extremity X Ray

·         ER 057 Standard of Care Asthma Patient

·         ER 061 Care of Patient with Stab or Puncture Wounds

·         ER 063 Standard of Care Vaginal Bleeding – please see edits

·         ER 066 Cervical Traction or CSpine Immobilization

·         ER 146 Documentation in the ED Record EMR

·         ER 163 Telephone Triage

Ø  Affirmation of Infection Prevention P&P

·         IP-103 Microbiology Reports

·         IP-104 Infection Risk Assessment

·         IP-106 Infection Prevention Chairperson

·         IP-115 Infection Prevention and Control Organizaiton and Function

·         IP-206 Respiratory Hygiene Cough Etiquette

·         IP-301 Reporting Transmissable Infections to Receiving Facility

·         IP-304 Standard Precautions

·         IP-307 Patient Education

Ø  Affirmation of Imaging P&Ps

·         03-01 MRI Safety General Requirements

·         03-02 MR Safe or MR Conditional Equipment

·         03-03 Constraindictions to MRI Scanning

·         03-04 Code Blue in MRI

·         03-05 Fire in or near MRI

·         03-06 Proper Use of Hand Held MRI safe Fire Extinguisher

·         03-07Emergency Medication Box

·         08-01 Ordering Exams

·         08-02 Routine Patient Physical Safety

·         08-03 Provision of Care Treatment and Services Critical Test Results

·         08-04 Scheduling Procedures

·         08-05 patient Refusal of Exam

·         08-06 Provision of Care Treatment and Services Stat Diagnostic Radiological Procedures

·         08-07 Patient Safety

·         08-08 Patient Assessment for Imaging Procedures

Ø  Affirmation of Laboratory P&Ps

·         ABO Grouping

·         Absolute Neutrophil Count

·         Antibody Screen

·         APINH

·         Bacterial Contamination of Platelet Packs

·         BB Alarm Check

·         BB Centrifuge Cleaning

·         BB Computer Downtime

·         Beta-Lactamase Test

·         Bleeding Time

·         Influenza A & B

·         KOH Preparation

·         Lipemic CBC Hemoglobin Correction

·         Loss of Electrical Power

·         M. Cat Butyrate Test

·         Malaria Policy

·         Manual Blood Culture

·         MedTox Drug Screen Controls

·         MedTox Drug Test

Ø  Affirmation of Pharmacy P&Ps

·         4.38 Pharmacy Verification of Orders and Emergency Drug Use List

Ø  Affirmation of Skilled Nursing Facility Manuals

·         SNF-06 Theft and Loss

Ø  Affirmation of Volunteer Protocols

·         1.12 Purpose & Objectives

             5.        Discussion and possible action regarding recommendation to Board concerning the Bylaws for the JCF Healthcare District Board of Directors

    6.        Agenda item(s) for future meeting(s)

·         None at the time

    7.        Set next meeting date

    8.        Adjourn

Source: JCF