This form should be filled out annually by any clinical subcontractors. It outlines licensing, appointment certification and credentialing for any clinical staff that provides services under the subcontract.
copy deeplink Clinical Assistant Privileging Request Form for Lab Procedures
Clinical Assistant Privileging Request Form for Lab ProceduresClinical Assistant privileging request form for lab procedures related to In-House Lab Tests and Microscope Use.
Files
copy deeplink Clinical Assistant Privileging Request Form for General Care
Clinical Assistant Privileging Request Form for General CareClinical Assistant privileging request form related to nursing abilities, patient well-being, and IVs.
Files
This document outlines the process a health center goes through to appoint a new clinician to staff.
Files
- 42_ClinicalHiringFlowChart.pdf (198.17 KB)
Sample written policy for clinician appeals and hearings related to privileging and appointment.
Files
- 74_appealandhearingprocess.pdf (186.82 KB)
Medication refills may be approved by an RN with co-signature of licensed provider, according to the following guidelines.
Files
- 3B.1.09 Medication Refills.doc (41.5 KB)
copy deeplink Protocol for Dispensing Pre-Packaged and Sample Pharmaceuticals
Protocol for Dispensing Pre-Packaged and Sample PharmaceuticalsSample policy for dispensing pre-packaged and sample pharmaceuticals.
Files
- proceduredispensingmeds.doc (21 KB)
Sample policy describing the overall procedure for dispensing medication.
Files
- Pharmdispensation.doc (24.5 KB)
Sample policy describing the mechanisms to procure patient medications.
Files
- PharmaceuticalPolicy.doc (25.5 KB)
copy deeplink Pharmaceutical Policy & Procedures Manual
Pharmaceutical Policy & Procedures ManualSample health center pharmaceutical policy and procedure manual (10 pages).
Files
- PhamacyPP.pdf (26.67 KB)
Sample policy outlining the documentation of medication refill requests.
Files
- medicationrefill.doc (22.5 KB)
Written protocol outlining the process for handling prescription requests in the clinic.
Files
- PrescriptionRequestProtocol.doc (32.06 KB)
CSHS providers will provide to all patients who have undergone diagnostic studies their results in a timely manner.
Files
Sample procedure for copying OB records for Certified Nurse Midwives. The procedure includes copying OB records and closing OB files.
Files
- MAINTENANCEOFOBRECORDS.doc (24 KB)