Site Accessibility by Individuals with Physical Disabilities

• Accessibility by Individuals with Physical Disabilities
• SF Application for (Blue) Curb Or Sign Designating Disabled-Parking Space

Fire Safety and Prevention and Emergency Non-Medical Procedures

• Safety and Prevention Procedures
• Exit Doors are Clearly Marked with “Exit” Signs
• Clearly Diagramed Evacuation Routes Posted for Emergencies
• Graph – Evacuation Route Template PDF
• Graph – Evacuation Route Template Excel File
• Fire Fighting Protection Equipment and Inspection
• Evidence of an Employee Alarm System
• Medical Emergency Response Protocol
• Emergency Phone Number Contacts
• Family Violence Resources – SF 2019
• Maintenance of All Medical Equipment

Emergency Health Care Services: 24/7 Availability and Accessibility

• Medical Emergency Response Guidelines
• Oxygen Tank Monitoring and Maintenance

Additional Access/Safety Resources

• Health Care Provider Mandatory Reporting – San Mateo County
• OES 2-920 SF Supplemental Report Form
• Suspicious Injury Flowchart – 2017

Health Care Personnel Licensing and Certifications

• Professional Licenses and Certifications
• Notice of Provider Licensing
• Personnel Identification Badges
• Notice to Consumers – Medical Doctors
• Notice to Consumers – Physician Assistants

Personnel Qualifications and Training

• Non-licensed Personnel Education/Training
• Explanation – Standardized Procedure Requirements for Nurse Practitioner Practice

Non-Physician Medical Practitioners (NPMP) Scope of Practice

• Scope of Practice Policy for NPMP (NP, CNM, & PA)

Site Personnel Safety Training/Information

• Evidence of Staff Training
• Personnel Training: Child Abuse Reporting
• Personnel Training: Elder Abuse Reporting
• Personnel Training: Domestic Abuse Reporting
• Personnel Training: Informed Consent and Human Sterilization Consent
• Personnel Training: Prior Authorization/Referrals
• Personnel Training: Member Grievances and Complaints
• Personnel Training: Sensitive Services/Minors’ Rights
• Personnel Training: Cultural and Linguistics
• Cultural and Linguistic Services Training
• Personnel Training: Infection Control Universal Precautions
• Personnel Training: Disability Rights and Provider Obligations

Physician Coverage is Available 24/7

• Clinic Office Hours Sign for Patients
• Patient Confidentiality
• Timely Access to Care

Sufficient Health Care Personnel

• Management of Medical Advice Telephone Calls
• Telephone Protocol and After Hours Systems

Health Care Services are Readily Available

• Protocol to Ensure Health Care Services are Readily Available

Referral Resources

• AHRQ Toolkit – Make Referrals Easy
• Sample Referral Log 1
• Sample Referral Log 2»
• Referrals, Consults, and Diagnostic Studies

Drug and Medication Supply Maintenance

• Drug Samples

Drug Handling and Storage

• Refrigerator Thermometer Temperature
• Refrigerator Temperature Log
• Freezer Thermometer Temperature
• Freezer Temperature Log
• Refrigerator/Freezer Thermometer Logs – Resource Guide Template
• Proper Maintenance and Storage of Drugs
• Proper Labeling of Drugs
• Power Malfunction and Vaccine Management
• CDC – Storage Best Practices for Frozen Vaccines
• Temperature Monitoring Best Practices for Refrigerated Vaccines
• CDC – Vaccines Storage and Handling Toolkit
• Drug and Hazardous Substance Disposal
• Preparing Vaccine Storage Units

Drug Dispensary Regulations

• Drug Expiration Protocol
• Preparing and Confirming Medication/Vaccine Prior to Administration
• Vaccine Information Sheets Protocol
• California State Board of Pharmacy Licensing
• California Immunization Registry (CAIR) Protocol

Clinical Laboratory Improvement Amendment (CLIA) Regulations

• Laboratory Test Procedures

CDPH Radiological Inspection and Safety Regulations

• Radiology Inspection Report/Registration
• Notice to Employees – Standards for Protection Against Radiation
• Monitoring of X-ray Personnel for Radiation Exposure

Preventive Health Care and Detection of Asymptomatic Diseases

• Stethoscope and Sphygmomanometer Various Cuff Sizes

Health Education Services for Plan Members

• Health Education Materials
• CDC “Stop TB” Poster – English
• CDC “Stop TB” Poster – Spanish

Infection Control Procedures

• Antiseptic Hand Cleaners
• Waste Disposal Containers
• Protocol for Isolating Infectious Patients
• EPA Registered Antimicrobial Products Against TB, HIV, and Hep B
• EPA Registered Tuberculocide Products
• Reportable Diseases and Conditions

OSHA Bloodborne Pathogens Standard & Waste Management Act Compliance

• Personal Protective Equipment for Standard Precautions
• Needlestick Safety Precautions and Sharps Injury Protocol
• Blanket policy on OSHA Bloodborne Patho Standards and Waste Management Act

Surface Decontamination to Cal-OSHA Standards

• Routine Decontamination and Written Schedule

Reusable Medical Instrument Sterilization

• Sterility of Equipment
• Cold Chemical Sterilization
• Autoclave Log
• Cold Chemical Sterilization Solution Log