Policy Templates

General Policy and Procedure Templates:

• Appropriate Diagnosis 
• Appropriate Resident Discharges & Assessment for Inability to Meet the Resident's Needs
• Artificial Intelligence Use & Informed Consent  
• Compliance and Ethics (Nat)
• Continuous Glucose Monitoring (CGM) Devices
• Drug Regimen Review Policy (Nat)
• Facility Closure (Iowa Specific) 
• Fire Alarm System Outage & Fire Watch Policy (Iowa Specific)
• High Risk Medications & Informed Consent for Opioid Use
• Life Support Risk Assessment and Statement (Iowa Specific)
• Medical Examiner Cases (Iowa Specific)
• Patient Care Equipment Testing and Inspection Policy and Procedure & Sample Form (Iowa Specific)
• Psychotropic Medication Use Policy and Procedure (Nat) Informed Consent (IA) Informed Consent (IL) 
• Record Retention (Iowa Specific)
• Resident Substance Use & Abuse (Iowa Specific)
• Sprinkler System Outage & Fire Watch Policy (Iowa Specific)
• Standing Orders Protocol (Iowa Specific)
• Use of Electric Lift Chairs & Electric Lift Chair Assessment 

Infection Control Policy and Procedure Templates:

• COVID-19 (IA) COVID-19 (IL) 
• Enhanced Barrier Precautions 
• Influenza Vaccine Policy and Procedure (Nat) and Template Influenza Consent & Administration Form (IA/IL) 
• Pneumonia Vaccine Policy and Procedures (IA/IL) Pneumococcal Vaccine Policy and Procedure (Nat)
• Tuberculosis (IA) Tuberculosis (IL)
• Infection Control Policy and Procedure (LeadingAge - 9.7.22)
• General Infection Prevention and Control Program (LAI)
• Annual Review of the IPCP (LAI)
• Hand Hygiene Policy and Procedure (LeadingAge - 9.7.22)
• Hand Hygiene (LAI)
• Standard Precautions Policy and Procedure (LeadingAge - 9.7.22)
• Standard Precautions (LAI)
• Transmission-Based Precautions (LAI)
• Transmissions-Based Precautions Policy and Procedure (LAI - 9.7.22)
• Enhanced Barrier Precautions Policy and Procedure (LeadingAge - 9.7.22)
• Antibiotic Stewardship Policy and Procedure (LeadingAge - 9.7.22)
• Antibiotic Stewardship (LAI)
• Water Management Program Policy (LeadingAge - 9.7.22)
• CDC - Water Management/Legionella Toolkit
• Outbreak Policy and Procedure (LeadingAge - 9.7.22)
• Outbreak Management (LAI)
• Surveillance Policy and Procedure (LeadingAge - 9.7.22)
• Infection Surveillance (LAI)
• Barber and Beautician Services (LAI)
• Blood and Body Fluid Cleanup (LAI)
• Dishwashing Machine (LAI)
• Environmental Cleaning (LAI)
• Ice Machines and Resident Room Cups (LAI)
• Linens (LAI)
• Occupational Health (LAI)
• Pest Control (LAI)
• Accessing Vascular Devices (LAI)
• Pets or Animals in Nursing Homes (LAI) Revised 6-2023
• Cleaning Reusable Resident Care Equipment (LAI)
• Infection Prevention During Wound Care (LAI)
• Injection Administration and Safety (LAI)
• Point of Care Testing - Fingerstick Devices - Cleaning and Disinfecting (LAI)
• Reporting Infectious Diseases

Additional resources are available for the Phase 3 RoP Revisions on the LeadingAge website!