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)
• Fire Pump Inspection, Testing & Maintenance & Form
• 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 & Sample Form
  
• 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 
• Use of Insulin Pumps

Infection Control Policy and Procedure Templates:

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

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