BHRS Doc Owner: Medical Director

Attachment A : Controlled Substance/Emergency Supply Record
Attachment B: Record of Medication for Storage and Removal
Attachment C: Report of Quarterly Medication Room Inspection
Attachment D: Medical Waste Registration Application
Attachment E: Medical Waste Management Plan
Attachment F: Stock Medication Order Form
Attachment G : Long-Acting Injectable Medication Administration

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Medication Monitoring: 04-08
Medical Psychiatric

Policy: 04-08 Medication Monitoring

Attachment A: Medication Monitoring Checklist

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Medication Authorization for Dependent Children (W&I Code, Section 300): 99-02
Medical Psychiatric

Policy: 99-02 Medication Authorization for Dependent Children (W&I Code, Section 300)

Attachment A: JV 220
Attachment B: JV-220-A
Attachment C: JV-220-B
Attachment D: JV-221
Attachment E: JV-222
Attachment F: JV 223

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Education Leave/Training Guidelines: 96-06
Medical Psychiatric

Policy: 96-06 Education Leave/Training Guidelines

Attachment A: Request for Educational Leave with Pay
Attachment B & C: Request for Tuition Reimbursement (County form & Guidelines)
Attachment D : Request for Reimbursement for Professional Dues, Fees, CME or CEU Courses, or Clinical Training Materials
Attachment E : Educational Leave/Training Guidelines

BHRS Policies June 27, 2016 BHRS Doc Owner: Medical Director

Dispensing of Prescription Drugs by Registered Nurses: 91-19
Medical Psychiatric

Policy: 91-19 Dispensing of Prescription Drugs by Registered Nurses

BHRS Policies June 26, 2016 BHRS Doc Owner: Medical Director

Neurosurgery for Psychiatric Disorders: 13-01
Medical Psychiatric

Policy: 13-01 Neurosurgery for Psychiatric Disorders

BHRS Policies June 26, 2016 BHRS Doc Owner: Medical Director

Court Testimony by Psychiatrists: 96-13
Medical Psychiatric

Policy: 96-13 Court Testimony by Psychiatrists

Attachment A: Psychiatrists Assigned to Testify in Court in the Absence of a Primary Psychiatrist

BHRS Policies June 26, 2016 BHRS Doc Owner: Medical Director

Charting and Medication Guideline: 95-07
Medical Psychiatric

Policy: 95-07 Charting and Medication Guideline
Attachment A: Medication Monitoring Checklist

BHRS Policies June 26, 2016 BHRS Doc Owner: Medical Director

Blood Withdrawal by Community Mental Health Nurses: 95-06
Medical Psychiatric

Policy: 95-06 Blood Withdrawal by Community Mental Health Nurses
Attachment A: Documentation of Competency to Withdraw Blood

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Trainee/Intern/Resident Case Assignments and Service Agreements: 01-04
Clinical

Policy: 01-04 Trainee/Intern/Resident Case Assignments and Service Agreements

Attachment A: Client Service Agreement for Trainees, Interns and Residents
Attachment B: Client Service Agreement for Trainees, Interns and Residents (Spanish)

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Selection of Evidence-Based and Community Defined Practice: Policy 14-03
Clinical

Policy: 14-03 Selection of Evidence-Based and Community Defined Practice

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Practice Standards (Scope of Practice): 93-10
Clinical

Policy: 93-10 Practice Standards (Scope of Practice)

Attachment A: Scope of Practice Matrix

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Practice Guidelines: 08-03
Clinical

Policy: 08-03 Practice Guidelines
Attachment A: BHRS Practice Guidelines Manual for SMHS and DMC-ODS

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Medication Assisted Treatment Guidelines for Adult Regional Clinics: 15-01
Clinical

Policy: 15-01 Medication Assisted Treatment Guidelines for Adult Regional Clinics

BHRS Policies June 24, 2016 BHRS Doc Owner: Medical Director

Medical Marijuana: 10-02
Clinical

Policy: 10-02 Medical Marijuana

Attachment A: Sample Medical Marijuana Treatment Agreement

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Managing Client Risk on High Temperature Days: 10-03
Clinical

Policy: 10-03 Managing Client Risk on High Temperature Days

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Initiating Temporary LPS Conservatorship: 93-03
Clinical

Policy: 93-03 Initiating Temporary LPS Conservatorship

Attachment A: Physician’s Declaration

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Diagnosis of Mental Health Disorders: 06-01
Clinical

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Reise Case – Patient Right to Refuse Medication: 89
Client Rights

Policy: 89 Reise Case – Patient Right to Refuse Medication

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Advance Health Care Directives: 04-07
Client Rights

Policy: 04-07 Advance Health Care Directives

Attachment A: AHCD Acknowledgement Form & Fact Sheet
Chinese | Russian I Tagalog I Tongan
Attachment B: AHCD Acknowledgement Form & Fact Sheet (Spanish)

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Services to 180-Day Post-Certification Clients: 90-01
Admission Referral

Policy: 90-01 Services to 180-Day Post-Certification Clients

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Psychiatric Utilization Management Committee: 92-12
Admission Referral

Policy: 92-12 Psychiatric Utilization Management Committee

Attachment A: IMD and State Hospital Placement and Review Protocol

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Procedures for Non-SMMC Inpatient Psychiatric Treatment: 99-08
Admission Referral

Superseded by UTILIZATION MANAGEMENT OF INPATIENT PSYCHIATRIC SERVICES: 20-06

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Inpatient Services to Beneficiaries of Other Counties: 00-09
Admission Referral

Superseded by UTILIZATION MANAGEMENT OF INPATIENT PSYCHIATRIC SERVICES: 20-06

BHRS Policies June 23, 2016 BHRS Doc Owner: Medical Director

Discharge Procedures from Acute Inpatient Providers to Community Providers: 92-01
Admission Referral

Policy: 92-01 Discharge Procedures from Acute Inpatient Providers to Community Providers

BHRS Policies June 22, 2016 BHRS Doc Owner: Medical Director

Determining Responsibility for Involuntary Treatment and Out-of-County Services: 94-06
Admission Referral

Policy: 94-06 Determining Responsibility for Involuntary Treatment and Out-of-County Services

Attachment A: The Greater Bay Area Mental Health Directors’ Policy for Determining Responsibility for the Provision of Involuntary Treatment of Out-of- County Services

BHRS Policies June 21, 2016 BHRS Doc Owner: Medical Director

Registered Sex Offenders: 12-03
5150/Safety/Risk Policies

Policy: 12-03 Registered Sex Offenders

Attachment A: Procedures for Service Provision to RSO Clients

BHRS Policies June 21, 2016 BHRS Doc Owner: Medical Director

Linkages between Outpatient Clinics and PES about Adult MH Clients Open to Region: 02-01
5150/Safety/Risk Policies

Policy: 02-01 Linkages between Outpatient Clinics and Psychiatric Emergency Services (PES) about Adult MH Clients Open to Region

Attachment A: Adult Regional Clinic/Specialty Team Unit Chief’s Phone and Fax Numbers
Attachment B: Adult Regional Clinic/Specialty Team After Hours Phone Numbers
Attachment C: Adult Outpatient Clinic/Specialty Team FAX of Client Information

BHRS Policies June 21, 2016 BHRS Doc Owner: Medical Director

Ambulance Transportation: 96-09
5150/Safety/Risk Policies

Ambulance Transportation: 96-09
Attachments: Attachment, Destination of Patients Under a 5150 Hold

BHRS Policies June 20, 2016 BHRS Doc Owner: Medical Director

Quality Improvement/Peer Review of Cases in which Death has Resulted from Suicide, Homicide or Suspicious Causes: 00-10
5150/Safety/Risk Policies

Policy: 00-10 Quality Improvement/Peer Review of Cases in which Death has Resulted from Suicide, Homicide or Suspicious Causes

Attachment A: Psychiatric Autopsy Confidentiality Agreement
Attachment B: Sample Letter to Coroner

BHRS Policies June 20, 2016 BHRS Doc Owner: Medical Director

Duty to Protect and Duty to Warn Potential Victims (Tarasoff vs. Regents of the University of California): 93-08
5150/Safety/Risk Policies

Policy: 93-08 Duty to Protect and Duty to Warn Potential Victims (Tarasoff vs. Regents of the University of California)

BHRS Policies June 20, 2016 BHRS Doc Owner: Medical Director

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