1 DENTAL OFFICE . POLICY AND. PROCEDURE MANUAL . TEMPLATE . GOOD POLICY IS GOOD BUSINESS. This sample is only a tool / guide to help you develop or revise a DENTAL OFFICE MANUAL . Some offices might choose to keep the Employee MANUAL separate from the operational MANUAL . Each MANUAL section has separate policies and separate procedures . policies should be easily accessible for OHCW reviewing. Each DENTAL OFFICE should have clear policies and procedures that reflect the DENTAL OFFICE practice. policies should succinctly capture the rules governing the DENTAL OFFICE . These rules incorporate laws, regulations and best practices. Where possible, include a concise statement of the rationale for the POLICY , including reference to external regulations, location of further POLICY discussion, etc.
2 procedures represent the how to implementation of POLICY . They evolve over time as new tools and technology emerge, new equipment or processes are designed, and the associated risk changes in response to internal or external environmental changes. procedures should have enough detail that new OHCWs will understand all relevant OFFICE procedures and help the OHCWs in their orientation and learning. Many policies are based on professional colleges, organizations' recommendations, best practices or guidelines. Other policies are based on legislation. Those policies might include a statement such as: This facility adheres to the [governing body] Royal College of DENTAL Surgeons of Ontario for [topic].
3 According to the [Organization's / Governing Body] [Year] [CSA Standards, Provincial Infectious Disease Advisory Committee Standards and Best Practices, Public Health Ontario Standards position, POLICY or best practice guidelines]. You might decide to include this statement and then use the entire recommendation or guideline in quotes. It is recommended that the authoritative source be used whenever possible. The above statement can be used and simply insert your facility's name, the topic, the organization, date and type of recommendation in the bold sections. Original TEMPLATE : 2018. Revised: Royal College of DENTAL Surgeons of Ontario | DENTAL OFFICE POLICY and PROCEDURE MANUAL TEMPLATE 2.
4 NOTE: Single Title Page to cover all SAMPLE POLICY policies AUTHORIZATION FORMAT. [ DENTAL FACILITY NAME]. policies AND PROCEDURE MANUAL . POLICY / PROCEDURE Type: Administrative Waste Clinical Services Quality Assurance Environment of Care Community Health 4 Infection Prevention and Control Source References Cleaning Disinfection & Sterilization Glossary Preventive Maintenance & Service of References Equipment Effective Date: Revision Date: Supersedes: Signatures: (Date). (Date). (Date). POLICY & PROCEDURE STATEMENT NOTE: Header for each individual POLICY Subject: POLICY Name Effective Date: Revision Date: Supersedes: P&P Number: C 1. Signatures: (Date). Royal College of DENTAL Surgeons of Ontario | DENTAL OFFICE POLICY and PROCEDURE MANUAL TEMPLATE 3.
5 TABLE OF CONTENTS Page Cover page 1. Sample Title Page with Signatures 2. Mission Statement 3. SECTION A: ADMINISTRATION. A1 DENTAL Program Summary A Patient Rights and Public Protection - Our Commitment A Organizational Chart A DENTAL Program policies and procedures A Legislated Mandatory Practices A2 Patient Privacy/Confidentiality A Patient Satisfaction A Patient Satisfaction Surveys A Accessibility A3 Employment policies A Initial Offer of Hire and Conditions of Hire A Attestation of Previous Reporting to the College A Background checks A Accommodation A Benefits/Compensation A Hours of Work, overtime pay, posting of jobs A Attendance and Punctuality A Dress Code, Jewelry A Personal Time Off, Leave.
6 Bereavement A Probation A Termination A POLICY Enforcement A Illness and Work Restrictions A Professional Licensing and Dues (Dentists, DENTAL Hygienists, Certified/Licensed DENTAL Assistants). A Standards of Practice and Ethics A Confidentiality A Ongoing Skill Requirements A Performance Review A Formal Complaints, Investigations and allegation of professional misconduct or incompetence A4 Job Descriptions, Positions and Responsibilities A Oral Healthcare Worker (OHCW) Job descriptions A Delegation of Patient Care Functions A Staff Assignments and Duties A OFFICE Opening and Closing Duties A AED Equipment Checks and Maintenance A Employee signature acknowledging commitment to reading and understanding this MANUAL Royal College of DENTAL Surgeons of Ontario | DENTAL OFFICE POLICY and PROCEDURE MANUAL TEMPLATE 4.
7 A5 Employee Rights A Occupational Health and Safety and WHMIS. A Management Duties under the Occupational Health & Safety Act A Compliance with Safety & Health Rules and Regulations A6 Occupational Health & Safety (OHS) Workplace Safety and Security A Open-Door POLICY for Dealing with Concerns A Oral Healthcare Worker Responsibility and Safety A OHS Communication Board A OHS MANUAL and Safety Data Sheets A OHS Representative A Illness or Injury and Work Restrictions A Harassment Prevention A Reporting Domestic Violence A Immunization and Serology A Dealing with an Intoxicated Patient A Caring for Patients Receiving Medication for Pulmonary Mycobacterium TB. (N95 Mask POLICY ). A Personal Protective Equipment (PPE)
8 General Considerations A Protective Eyewear - OHCW Protection & Patient Protection A Gloves A Masks A Protective clothing A Eye Wash Stations A Sharps Containers - OHCW and Patient Protection A Latex sensitivity, Contact Dermatitis and Allergies A Post Exposure Management A Radiation Safety A Sharps Safety and Prevention of Exposure to Bloodborne Pathogens A Engineering Controls A Exposure Management and Prophylaxis A Mercury Hygiene and Safety A Radiation Exposure OHCW and Patient Safety A Precious Metal Recovery A Hazardous Communications A Oxygen/Nitrous Oxide System - Safety A Ventilation Safety While Using Chemicals A Handling Biopsy Specimens A7 Information Technology (IT)
9 And Devices A Etiquette and Use of Internet POLICY A Information Technology Security and Backup A Social Media POLICY A IT Training A Patient Records Encryption A Patient Payment Processing Security A Destruction or Deletion of Former Patient Records A Electronic Document Retention Royal College of DENTAL Surgeons of Ontario | DENTAL OFFICE POLICY and PROCEDURE MANUAL TEMPLATE 5. A8 Emergency Preparedness A Fire Safety Plan A Emergency Plan A Fire Safety Equipment A Power/Utility Interruptions A Severe Weather A Fire Extinguisher & Emergency Lighting Servicing A9 Training and Development A Opportunities for OHCW to Continue to Grow (CE). A New Employee Hire and Orientation A New Hire Orientation Checklists A Infection Prevention and Control (IPAC) Education and Training A Theoretical and Practical Training on Reprocessing A Equipment Reprocessing Competency Audits A New Devices/Equipment Training A DENTAL Anesthesia Assistant National Certification Examination (DAANCE) training or an approved equivalent A WHMIS Training and First Aid Training A OHS Respiratory Protection and Mask Fit Training A Contracted-out Staff Training and Competency A Training Logs SECTION B: CLINICAL SERVICES.
10 OFFICE Specific Operations B Schedule of Services B Appointment procedures B After Hours, Emergency DENTAL Care and Triage B Referrals B On Call and Contact Information B Broken/Missed Appointments B Billing, Coding and Payment procedures B Payment for DENTAL Care POLICY B Informed Consent B Standing Orders for DENTAL Staff B Ordering/Requisitioning Supplies B OFFICE Inventory Management B Storage of Medications Including Locked Narcotics B Emergency Medicine Kit ( Epi-pen, Nitroglycerin spray pump, injectable antihistamine, Bronchodilator, non-enteric coated acetylsalicylic acid, glucose tablets/syrup to manage hypoglycemia). B Preparation Before Patient Arrives in the Operatory B2 Patient-Specific Care B Keeping Patients Safe B How to Avoid Complaints B What to do if you get a complaint Royal College of DENTAL Surgeons of Ontario | DENTAL OFFICE POLICY and PROCEDURE MANUAL TEMPLATE 6.