Patient Information Care Policies

Policies below are posted in accordance with State and Federal guidelines.

If you have questions regarding these policies, please contact our Health Information Management Department at (509) 786-6633.  They can help answer your questions, and provide copies on request.   


pdf Admission Assessment of the Labor Patient Popular

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701-0025. Admission Assessment of the Labor_Patient.pdf

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Policy Number: 701-0025
Effective: 11/11/2008
Audit Review: 03/04/2015


  1. Qualified personnel should collaboratively provide care for patients during the initial assessment of the obstetrical patient.
  2. Labor patients should be assessed and the provider notified promptly of the patient’s arrival to Family Birth Place and status of patient by the Labor and Delivery RN.
  3. Assessment should include, but not be limited to the following:
    1. Maternal physical status
    2. Fetal status
    3. Labor status
    4. Psychosocial needs
    5. Review of prenatal records
    6. Patient interview; including chief complaint.

pdf Admission to Inpatient OB Procedure Popular

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701-0009. Admission to Inpatient OB_Procedure.pdf

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Policy Number: 701-0009
Effective: 09/01/2002
Audit Review: 03/04/2015

A Perinatal Registered Nurse will perform assessment and direct the antepartum, intrapartum and postpartum care management of women experiencing pregnancy and childbirth.

pdf Admission to Operating Room Popular

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702-0002. Admission to Operating Room.pdf

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Policy Number: 702-0002
Effective: 05/07/2002
Audit Review: 03/06/2015

All patients arriving in the operating room suite will undergo the admission procedure that shall be performed by a Registered Nurse.

To ensure accurate identification of the patient, adequacy of the preoperative patient preparation and completeness of the documentation.

To assess the patient’s actual and potential health problems.

To facilitate implementing and communicating the peri-operative pan of care.

pdf Admission to Outpatient OB Procedure Popular

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701-0010. Admission to Outpatient OB_Procedure.pdf

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Policy Number: 701-0010
Effective: 04/02/2002
Audit Review: 03/05/2015

To outline the nursing management and responsibilities of scheduling and processing outpatient obstetrical procedures.

pdf Death with Dignity Act Popular

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Death with Dignity Act 860-0067.pdf

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Policy Number: 860-0067
Effective: 08/24/2009


  1. Washington law recognizes certain rights and responsibilities of qualified patients and health care providers under the Death with Dignity Act (“Act”). Under Washington law, a health care provider, including Prosser Public Hospital District is not required to assist a qualified patient in ending that patient’s life.
  2. Prosser Public Hospital District has chosen to not participate under the Death with Dignity Act. This means that in the performance of their duties, Prosser Public Hospital District physicians, employees, independent contractors and volunteers shall not assist a patient in ending the patient’s life under the Act. In addition, no provider may participate on the premises of the hospital or in property owned by the district.
  3. No patient will be denied other medical care or treatment because of the patient’s participation under the Act. The patient will be treated in the same manner as all other Prosser Public Hospital District patients. 4. Any patient wishing to receive life
  4. Any patient wishing to receive life-ending medication while a patient of the district will be referred to their Primary Care Physician (PCP).
  5. Prosser Public Hospital District believes our providers have an obligation to openly discuss the patient’s concerns, unmet needs, feelings, and desires about the dying process. Providers should seek to learn the meaning behind the patient’s questions and help the patient understand the range of available options, including but not limited to comfort care, hospice care, and pain control. Ultimately, Prosser Public Hospital's goal is to help patients make informed decisions about end-of-life care.

pdf Family/Support Person for Surgery Center Popular

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702-0008. Family Support Person for Surgery_Center.pdf

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Policy Number: 702-0008
Effective: 10/16/2007
Audit Review: 03/06/2015

Family/Support person will be strongly encouraged to stay in either Surgery Center or the family waiting area through operative procedures..

To facilitate Family/Surgeon interaction throughout hospital stay.

pdf Induction of Labor Popular

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701-0004. Induction of Labor.pdf

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Policy Number: 701-0004
Effective: 08/15/2001
Audit Review: 03/04/2015


  • Patient must be greater than 39 weeks for induction unless medically indicated.
  • In order to provide a quality standard of care to patient undergoing induction there should be no more than one induction of labor in progress on a shift or scheduled per day unless additional 1:1 nursing can be provided.

pdf OB Emergent Status Popular

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701-0023. OB Emergent Status.pdf

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Policy Number: 701-0023
Effective: 12/11/2007
Audit Review: 03/04/2015

FETAL EMERGENCY: Life threatening abruption, prolapsed cord, hemorrhage, acute cord accident, prolonged persistent decelerations less than 60 beats per minute lasting longer than one minute.

To recognize and provide rapid, coordinated response to emergent conditions that pertain to fetal survival, such as prolapsed cord, placental abruption, or persistent fetal decelerations.

Parties that may or will become involved in this process are, but not limited to, OB provider, OB nurse(s), the Lead Nurse, and Staff nurses, OR crew, anesthesia Pediatrician, Respiratory Therapy and possibly outside NICU team.

pdf Outpatient Special Procedures (OSP) Admission of a Patient Popular

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873-2019. Outpatient Special Procedures (OSP)_Admission of a Patient.pdf

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Policy Number: 873-2019
Effective: 01/14/2014
Audit Review: 03/06/2015

Outline and describe the admission process for patient receiving an Outpatient Special Procedure (OSP).

pdf Physician Orders for Life Sustaining Treatment (POLST) Popular

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873-0053. Physician Orders for Life Sustaining_Treatment (POLST).pdf

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Policy Number: 873-0053
Effective: 09/11/2012
Audit Review: 03/04/2015

It is the intent of PMH Medical Center to comply with all current Physician Orders for life Sustaining Treatment (POLST) forms that express definitive patient preferences upon presentation, and to document definitive patient preferences for treatment via POLST form upon discharge when appropriate.

pdf Program Accessibility Procedure Popular

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Notice - Section 504.pdf



The regulation implementing Section 504 requires that an agency/facility "shall adopt and implement procedures to ensure that interested persons, including persons with impaired vision or hearing, can obtain information as to the existence and location of services, activities, and facilities that are accessible to and usable by disabled persons." (45 C.F.R. '84.22(f))

This facility and all of its programs and activities are accessible to and useable by disabled persons, including persons with impaired hearing and vision.  Access features include:

  • Convenient off-street parking designated specifically for disabled persons.
  •  Curb cuts and ramps between parking areas and buildings.
  • Level access into first floor level with elevator access to all other floors.
  • Fully accessible offices, meeting rooms, restrooms, public waiting areas, patient treatment areas, including examining rooms and patient wards.
  • A full range of assistive and communication aids provided to persons with impaired hearing, vision, speech, or manual skills, without additional charge for such aids:

pdf ROI Patient Authorization Form Popular

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PMH ROI Patient Authorization Form 2017.pdf

pdf Swing Bed Admission Agreement Popular

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607-0002 - Swing Bed Admission Agreement.pdf

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It is the policy of Prosser Public Hospital District to provide information to the patient regarding his or her rights and all the rules and regulations governing patient conduct and responsibilities during their stay in the facility. This is provided both verbally and in writing, in a language that the patient understands. Each patient (or the patient’s representative) admitted to this facility must sign an admission agreement which includes: consent for treatment and acknowledgement of explanation and receipt of written copies of facility practices; Resident Rights Policy 483.10; Admissions, Transfer & Discharge Rights Policy 483.12; and Residents Behavior and Facility Practices Policy 483.13 at the time of admission or within forty-eight (48) hours prior to admission. Proper orientation will be given to each patient and/or representative to the facility, staff, and facility services.

pdf Swing Bed Admission Criteria Popular

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607-0006. Swing Bed Admission Criteria.pdf

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Policy Number: 607-0006
Effective: 11/09/2010
Audit Review: 03/04/2015

To define parameters to place a person into a swing bed designation.

Swing bed designation is used for short-term skilled nursing care or skilled rehabilitation services. The expected length of stay shall be less than 100 days.

Swing bed designation shall not be used for non-skilled or custodial care services.

pdf Termination of Pregnancy Popular

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873-0020. Termination of Pregnancy.pdf

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Policy Number: 873-0020
Effective: 07/13/2004
Audit Review: 03/06/2015


  • A. Abortion means any medical treatment intended to induce the termination of pregnancy except for the purpose of producing a live birth.
  • B. Current legal precedent allows elective termination of pregnancy up to age of viability. It is also allowed at any gestational age, if the fetus is deemed incapable of viability or to protect the mother’s health.
  • C. Because of the comparatively low volume of OB services offered at PMH, elective terminations are rarely performed. As such, the hospital’s ability to staff for this procedure is inconsistent. Prior to considering termination of pregnancy, it will be necessary for physicians to communicate with the OB clinical manager and OR manager to evaluate adequate staffing availability.

pdf Trauma Admission Guidelines Popular

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723-0065. Trauma Admission Guidelines.pdf

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Policy Number: 723-0065
Effective: 04/27/2010
Audit Review: 03/04/2015

Guidelines for specialized care of the adult or pediatric trauma patient admitted to the Medical-Surgical Floor at PMH Medical Center to ensure proper management, optimal care and necessary interventions.

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