Hospital Policies & Procedures

All Professional Staff members are governed by Professional Staff Bylaws and Professional Staff Rules and Regulations.

IT IS YOUR OBLIGATION AND RESPONSIBILITY TO MAKE YOURSELF AWARE OF HOSPITAL POLICIES.  We suggest that you familiarize yourself with the TDMH Professional Staff policies. 

Policies that exist at a corporate or board level reflect the overall organization and affect everyone in the facility. Policies are also in place for specific departments or units.

Procedures are plans for action that give directions for daily operations. They are a natural outgrowth of policies, supplying the "how to" for the rule. Procedures are used to achieve uniformity of practice and facilitate training.

  • Confidentiality and Privacy Ethics
  • Harassment & Discrimination
  • Human Resources (if you are hiring and/or managing staff)
  • Media Relations
  • Admitting and Patient Registration 
  • Advanced Directives 
  • Bed Management 
  • Consent to Treatment 
  • Consent to Operation or Procedure 
  • Death and Coroner's Cases 
  • Emergency Measures 
  • Health Records (Dictation and Transcription)  
  • Infection Control 
  • Latex Allergy 
  • Medical Directives 
  • Pharmacy Formulary