Policy Management

Hospital policies, SOPs, and clinical guidelines — version control and review schedule

2 policy/policies require attention: POL-MED-012, POL-FIRE-001 — expired or under review.

Total Policies

7

Active

5

Due for Review / Expired

2

Departments

7

CodeTitleDepartmentVersionLast ReviewNext ReviewOwnerStatusAction
POL-ADM-001Patient Rights & ResponsibilitiesAdministrationv3.2Jan 2026Jan 2027Medical Director
Active
POL-INF-004Standard Precautions & Hand HygieneInfection Controlv2.1Nov 2025Nov 2026IPCO Nurse
Active
POL-MED-012High-Alert Medication ManagementPharmacyv1.8Sep 2025Sep 2026Chief Pharmacist
Under Review
POL-OT-003Surgical Safety Checklist (WHO SSC)Operation Theatrev4.0Mar 2026Mar 2027OT Incharge
Active
POL-HR-007Prevention of Sexual Harassment at WorkplaceHRv2.0Dec 2025Dec 2026HR Manager
Active
POL-FIRE-001Fire & Life Safety PolicyFacilitiesv1.5Apr 2025Apr 2026Safety Officer
Expired
POL-IT-008Electronic Health Record Access ControlITv1.2Feb 2026Feb 2027CIO
Active