Policies and Procedures
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(01) - Chancellor
- HSCEP OP 01.01 - Preparation of Agenda for Board of Regents' Meetings
- HSCEP OP 01.02 - Guidelines for the Establishment and Review of Institutes and Centers
- HSCEP OP 01.03 - Custodian of Public Records
- HSCEP OP 01.04 - Use of Institutional Names for Private Business Purposes
- HSCEP OP 1.05 - Unassigned
- HSCEP OP 01.07 - Organization of Texas Tech University Health Sciences Center El Paso
(02) - Institutional Advancement
- HSCEP OP 02.01 - Office of Institutional Advancement Relationships and Responsibilities
- HSCEP OP 02.02 - Solicitation of Gifts and Grants from Private Philanthropic Sources
- HSCEP OP 02.03 - Acceptance of Gifts and Grants from Private Philanthropic Sources
- HSCEP OP 02.04 - Processing, Management and Publicity of Gifts and Grants from Private Philanthropic Sources
- HSCEP OP 02.05 - Confidentiality of Information on ADVANCE System
- HSCEP OP 02.06 - Reporting of Gifts and Grants from Private Philanthropic Sources
- HSCEP OP 02.07 - Disclosure of Certain Gifts from Foreign Persons
- HSCEP OP 02.08 - Operation and Maintenance of Endowment Funds
- HSCEP OP 02.09 - Gifts of Securities
(04) - Audit Services
(10) - President
- HSCEP OP 10.01 - Operating Policies and Procedures for TTUHSC El Paso
- HSCEP OP 10.02 - Suspension of Classes and Closing of Offices in Emergency Situations
- HSCEP OP 10.03 - Alcohol and Illegal Drugs
- HSCEP OP 10.04 - Publication of Institutional Mission Statement
- HSCEP OP 10.05 - Conflict of Interest and Commitment Policy
- HSCEP OP 10.06 - Academic Council
- HSCEP OP 10.07 - Unassigned
- HSCEP OP 10.08 - Unassigned
- HSCEP OP 10.09 - Records Retention
- HSCEP OP 10.10 - Unassigned
- HSCEP OP 10.11 - Delegation of Authority by the President
- HSCEP OP 10.12 - Emeritus Appointments
- HSCEP OP 10.13 - Selection of University Distinguished Faculty
- HSCEP OP 10.14 - Appointments to Academic Administrative Positions
- HSCEP OP 10.15 - Unassigned
- HSCEP OP 10.16 - Unassigned
- HSCEP OP 10.17 - Unassigned
- HSCEP OP 10.18 - Unassigned
- HSCEP OP 10.19 - Smoke free and Tobacco free Environment
- HSCEP OP 10.20 - Criminal Background Checks for Students and Trainees
- HSCEP OP 10.21 - Land Development
- HSCEP OP 10.22 - Unassigned
- HSCEP OP 10.23 - Unassigned
- HSCEP OP 10.24 - Unassigned
- HSCEP OP 10.25 - TTUHSC El Paso President’s Awards
- Attachment A - President's Excellence in Teaching Award Nomination Form
- Attachment B - President’s Excellence in Research Award Nomination Form
- Attachment C - President’s Young Investigator Award Nomination Form
- Attachment D - President’s Outstanding Clinician Award Nomination Form
- Attachment E - President’s Excellence in Community Engagement Award Nomination Form
- Attachment F - President’s Outstanding Professor Award Nomination Form
- Attachment G - President’s Award for Interprofessional Teamwork Nomination Form
- Attachment H - Faculty Award Recommendation Summary
- HSCEP OP 10.26 - Global Health Council
- HSCEP OP 10.27 - Unassigned
- HSCEP OP 10.28 - Volunteers
- Attachment A - Volunteer Application for Minors
- Attachment B - Adult Volunteer or Observer/Job Shadow Application
- Attachment C - Volunteer Participation Authorization for Minors
- Attachment D - VOLUNTEER SERVICE AGREEMENT RELEASE, HOLD HARMLESS AND INDEMNIFICATION
- Attachment E - Departmental Volunteer Orientation Checklist
- Attachment F - Volunteer Competency and Performance Evaluation
- Attachment G - ANIMAL THERAPY PROGRAM
- HSCEP OP 10.29 - Global Health Program for Students
- HSCEP OP 10.30 - Regulations for the carrying of concealed handguns by license holders
- HSCEP OP 10.31 - Requests for Institutional Data and Internal Data Collection Processes
- HSCEP OP 10.32 - Use and Secure Handling of the Presidential Seal
(50) - Accounting and Finance
- HSCEP OP 50.01 - Extension of State Credit
- HSCEP OP 50.02 - TTUHSC El Paso Employees Indebted to the State of Texas
- HSCEP OP 50.03 - Fund Manager Designation and Responsibilities
- HSCEP OP 50.04 - MPIP Clearing Fund Management
- HSCEP OP 50.05 - Grant, Award, and Contract Billings
- HSCEP OP 50.06 - Unassigned
- HSCEP OP 50.07 - Cash Collections
- HSCEP OP 50.08 - Deposit Procedures
- HSCEP OP 50.09 - Unassigned
- HSCEP OP 50.10 - Endorsement Stamps and Endorsement of Checks
- HSCEP OP 50.11 - Alteration of Checks
- HSCEP OP 50.12 - Check Collections and Returned Checks
- HSCEP OP 50.13 - Remittance of Unclaimed Property
- HSCEP OP 50.14 - Prohibition of Gift of Public Moneys
- HSCEP OP 50.15 - Notary Appointments
- HSCEP OP 50.16 - Changes to and Approval of Non-mandatory Student Fees
- HSCEP OP 50.17 - Establishment and Operation of Service Departments
- HSCEP OP 50.18 - Cost Transfers
- HSCEP OP 50.19 - Use of Accounting System and Services by Student and Other Organizations
- HSCEP OP 50.20 - Unassigned
- HSCEP OP 50.21 - Cash (Change) Funds
- HSCEP OP 50.22 - Tuition and Fees Installment Payment Options
- HSCEP OP 50.23 - Unassigned
- HSCEP OP 50.24 - Distribution of Interest Earnings
- HSCEP OP 50.25 - Unassigned
- HSCEP OP 50.26 - Completion of Cash Receipts
- HSCEP OP 50.27 - Use of Private Consultants
- HSCEP OP 50.28 - Debt Collection
- HSCEP OP 50.29 - Use of Internal Purchase Funding Transfer
- HSCEP OP 50.30 - Year End Close Processes and Deadlines
- HSCEP OP 50.31 - Adoption and Sale of Textbooks and Related Materials
- HSCEP OP 50.32 - Waiver of Fees for Regional Campuses, Internet Courses, and Off Campus Instruction
- HSCEP OP 50.33 - Unassigned
- HSCEP OP 50.34 - Unassigned
- HSCEP OP 50.35 - Unidentified Receipts and Holding Account Maintenance
- HSCEP OP 50.36 - Sales Tax Collection
- HSCEP OP 50.37 - Payment Card Processing by TTUHSC El Paso Departments
- HSCEP OP 50.38 - Budget Adjustments to the Annual Operating Budget
- HSCEP OP 50.39 - Balance Sheet Reconciliations
- HSCEP OP 50.40 - Bank Reconciliation
(51) - Equal Opportunity
- HSCEP OP 51.01 - Equal Employment Opportunity and Affirmative Action Program
- HSCEP OP 51.02 - Non-Discrimination and Anti-Harassment Policy and Complaint Procedure for Violations of Employment and Other Laws
- HSCEP OP 51.03 - Sexual Harassment, Sexual Assault, Sexual Misconduct, and Title IX Policy and Complaint Procedure
- HSCEP OP 51.04 - Access for Individuals with Disabilities
(52) - Compliance
- HSCEP OP 52.01 - Institutional Compliance Plan
- HSCEP OP 52.02 - Privacy and Security of Health Information
- HSCEP OP 52.03 - Compliance Hotline - Ethicspoint
- HSCEP OP 52.04 - Report & TTUHSC EP Internal Investigation of Alleged Violations, Non-Retaliation
- HSCEP OP 52.05 - Texting of Protected Health Information (PHI)
- HSCEP OP 52.06 - Standards of Conduct and Ethics Guide
- HSCEP OP 52.07 - Billing Compliance Plan
- HSCEP OP 52.08 - Social Security Number Policy
- HSCEP OP 52.09 - Confidential Information
- HSCEP OP 52.10 - Identity Theft Protection, Detection, and Mitigation Program
- HSCEP OP 52.11 - Sanction Check Process
- HSCEP OP 52.12 - Government Investigations
- HSCEP OP 52.13 - HIPAA Business Associate Agreements
- HSCEP OP 52.14 - HIPAA Sanctions Process
- HSCEP OP 52.15 - Consent and Release to Use Image or Information
- HSCEP OP 52.16 - Vendor Interactions
- HSCEP OP 52.17 - Controlled Substances Policy
(54) - Contracting
- HSCEP OP 54.01 - Contracting Authority and Policy
- HSCEP OP 54.02 - Contracting Procedures
- HSCEP OP 54.03 - Use of "Texas Tech University Health Sciences Center El Paso" Name for Private Business Purposes and Licensing: Use of Indicia, Logographics and Symbols
- HSCEP OP 54.04 - Professional Services - Contracting
- HSCEP OP 54.05 - Unassigned
- HSCEP OP 54.06 - Unassigned
(55) - Communications Services
- HSCEP OP 55.01 - Unassigned
- HSCEP OP 55.02 - Telephones, Telephone Systems, Equipment, and Services
- HSCEP OP 55.03 - Unassigned
- HSCEP OP 55.04 - Cellular Telephones and Data Devices
- HSCEP OP 55.05 - Unassigned
(56) - Information Technology
- HSCEP OP 56.01 - Acceptable Use of Information Technology Resources
- HSCEP OP 56.02 - Unassigned
- HSCEP OP 56.03 - Project Management
- HSCEP OP 56.04 - Electronic Transmission of Personally Identifiable Information (PII) and Protected Health Information (PHI)
- HSCEP OP 56.06 - Bring Your Own Device (BYOD)
- HSCEP OP 56.07 - Electronic and Information Resources Accessibility
- HSCEP OP 56.08 - Acceptable Use of Generative Artificial Intelligence (GenAI) Tools
(57) - Copying and Mail Services
(59) - Academics
- HSCEP OP: 59.00 - Course Archival and Restoration Policies
- HSCEP OP: 59.01 - TTUHSC El Paso Adding, Changing, and Deleting Courses and Changing Methods of Delivery
- HSCEP OP: 59.02 - Online and Distance Education
- The policy on Grading Procedures and Academic Regulations, now designated HSCEP OP 59.05 (see below), was formerly designated HSCEP OP 77.19.
- HSCEP OP: 59.05 - Grading Procedures and Academic Regulations
- HSCEP OP: 59.06 - Prioritization, Acceptance, Credentialing, and Monitoring of Visiting Students and Trainees
- HSCEP OP: 59.07 - Substantive Change Reporting
- HSCEP OP: 59.08 - New Degree and Certificate Programs, Change in Delivery Format, and Degree and Certificate Program Termination
- HSCEP OP: 59.09 - Definition and Calculation of Credit Hours
- HSCEP OP: 59.10 - Submission and Coordination of Academic Program Calendars
(60) - Faculty and Clinic Administration
- HSCEP OP 60.01 - Tenure and Promotion Policy
- HSCEP OP 60.02 - Faculty Development Leave of Absence for Compensated Tenured Faculty
- HSCEP OP 60.03 - Comprehensive Performance Evaluation of Tenured Faculty
- HSCEP OP 60.04 - Unassigned- See 59.07 Substantive Change Reporting
- Attachment A Unassigned - See 59.07 Attachment A Requirements of Reporting Substantive Change
- Attachment B Unassigned - See Attachment B Substantive Change Action Plan
- HSCEP OP 60.05 - Unassigned- See 59.09, Definition and Calculation of Credit Hours
- HSCEP OP 60.06 - Consensual Relationships - Faculty and Students
- HSCEP OP 60.07 - Unassigned
- HSCEP OP 60.08 - Annual Renewal of Certain Faculty Employment Contracts
- HSCEP OP 60.09 - Faculty Recruitment Procedure
- HSCEP OP 60.10 - Faculty Grievance Procedure
- HSCEP OP 60.11 - Unassigned- See 59.08 New Degree and Certificate Program, Change
in Delivery Format, and Degree and Certificate Program Termination
- Attachment A Unassigned - See Attachment A Approval of New Degree and Certificate Programs
- HSCEP OP 60.12 - Documentation of Faculty Qualifications for Teaching Assignments
- HSCEP OP 60.13 - Annual Review of Faculty Members
(61) - Facilities Management
- HSCEP OP 61.01 - Use of TTUHSC El Paso Facilities, Equipment, Supplies, and Services
for Private Purposes Prohibited
- HSCEP OP 61.02 - Remodeling Projects/Painting
- HSCEP OP 61.03 - Posting of Notices on TTUHSC El Paso Property
- HSCEP OP 61.04 - Interior Maintenance Planting Program
- HSCEP OP 61.05 - Freestanding Exterior Signs
- HSCEP OP 61.06 - Traffic and Parking Control Devices
- HSCEP OP 61.07 - Use of TTUHSC El Paso Premises and Amplification Equipment
- HSCEP OP 61.08 - Building Decorations and Decorative Materials
- HSCEP OP 61.09 - Departmental Work Coordinators
- HSCEP OP 61.10 - Energy Conservation Program and Utility Review
- HSCEP OP 61.11 - Advertising Methods for Construction Services Contracts
- HSCEP OP 61.12 - Reporting Minor Construction and Renovation Information
by TTUHSC - HSCEP OP 61.13 - Approval and Scheduling of Site Planning and Landscape Construction Projects
- HSCEP OP 61.14 - Physical Plant and Support Services Fees
- HSCEP OP 61.15 - Approval of the Erection of Temporary or Permanent Structures on TTUHSC El Paso Grounds or Buildings
- HSCEP OP 61.16 - Access to Building Equipment Rooms and Tunnels
- HSCEP OP 61.17 - Donated Furnishings and Interior Finish Materials - Design and Code Review
- HSCEP OP 61.18 - Unassigned
- HSCEP OP 61.19 - Furniture, Floor covering Window Treatments and Wall covering- Requests for Interior Design Services
- HSCEP OP 61.20 - Approval and Scheduling of Design and Construction Projects
- HSCEP OP 61.21 - Unassigned
- HSCEP OP 61.22 - Installation of Cabling in TTUHSC El Paso Facilities
- HSCEP OP 61.23 - TTUHSC El Paso Classroom and Class Lab Scheduling Policy
- HSCEP OP 61.24 - Control of Keys to Facilities
- HSCEP OP 61.25 - Electronic or Keyless Locking Systems
- HSCEP OP 61.26 - Standardization of Door Hardware and Restricted Keyway Systems, Computerized Keying System and Key Identification Program
- HSCEP OP 61.27 - Freedom of Expression
(63) - General Services
- HSCEP OP 63.01 - TTUHSC El Paso Vehicle Rental
- HSCEP OP 63.02 - Out-of-Country Use of TTUHSC El Paso Vehicles
- HSCEP OP 63.03 - Vehicle Fleet Management Program
- HSCEP OP 63.04 - Disposal of Motor Vehicles - Surplus Property
- HSCEP OP 63.05 - Central Shipping and Receiving
- HSCEP OP 63.06 - Moving and Delivery Services
- HSCEP OP 63.07 - Vehicles - Inscription and Painting
- HSCEP OP 63.08 - Unassigned
- HSCEP OP 63.09 - Unassigned
- HSCEP OP 63.10 - Property Management
- Attachment A - Deletion/Trade-In of an Inventoried Item
- Attachment B - Missing, Damaged, Lost or Stolen Property Report
- Attachment C - Unassigned
- Attachment D - Temporary Use of Property Authorization Form
- Attachment E - Transfer from Surplus to Department Request
- Attachment F - Inter-Agency Property Transfer Request
- Attachment G - Request to Add Property to Departmental Inventory That Has Been Discovered or Transferred from Off Campus or Donated
- Attachment H - Fabrication of Equipment Authorization
- Attachment I - Class Codes - Property Controlled but not Capitalized
- Attachment J - Final Disposition of Surplus Property
- HSCEP OP 63.11 - Disposal of Surplus, Obsolete, or UneconomicallyRepairable Inventory
(65) - Grants and Contracts Accounting
- HSCEP OP 65.01 -Establishing Sponsored Program Funds
- HSCEP OP 65.02 - Facilities and Administrative Cost Recovery Plan
- HSCEP OP 65.03 - Sponsored Program Fund Management
- HSCEP OP 65.04 - Allowable Activities and Allowable Costs
- HSCEP OP 65.05 - Program Income
- HSCEP OP 65.06 - Contracts and Grants Made Directly to Individuals
- HSCEP OP 65.07 - Effort Reporting: Certifying Time and Effort on Sponsored Projects
- HSCEP OP 65.08 - Unassigned
- HSCEP OP 65.09 - Subrecipient Monitoring
- HSCEP OP 65.10 - Residual Funds Derived from Drug Studies, Clinical Trials, Fixed-Price Contracts, and Investigator-Initiated Research
- HSCEP OP 65.11 - Cost Sharing on Sponsored Projects
(67) - Communications and Marketing
(68) - Payroll
(70) - Human Resources
- HSCEP OP 70.01 - Employee Leave
- HSCEP OP 70.02 - Retirement
- HSCEP OP 70.04 - Compensation
- HSCEP OP 70.05 - Insurance and Other Benefits
- HSCEP OP 70.06 - Employee Working Hours and Holidays
- HSCEP OP 70.07 - Optional Retirement Program
- HSCEP OP 70.08 - Nepotism
- HSCEP OP 70.09 - Hiring and Immigration Sponsorship of Foreign Nationals
- HSCEP OP 70.10 - Non-faculty Employee Complaint Procedures
- HSCEP OP 70.11 - Appointments to Non-faculty Positions
- HSCEP OP 70.12 - Staff Performance Management
- HSCEP OP 70.13 - Workers' Compensation Insurance
- Attachment A - First Report of Injury/Illness/Accident
- Attachment B - Employee's Report of Injury
- Attachment C - Authorization for Release of Information
- Attachment D - Witness Statement
- Attachment E - Employee's Election Regarding Utilization of Sick and Annual Leave
- Attachment F - Supervisor's Investigation of Employee's Accident/Incident
- Attachment G - Supplemental Report of Injury
- Attachment H - Network Acknowledgement Form
- HSCEP OP 70.16 - Compensation in Excess of Base Salary
- HSCEP OP 70.17 - Overtime Pay
- Attachment A - Approval for Compensation Time Accrual/Usage by an Exempt Employee
- Attachment B - Exempt Employee Compensatory Time Summary
- HSCEP OP 70.18 - Dual Reporting and Multiple Employment
- HSCEP OP 70.19 - Exit Interview and Separation Checkout Procedures
- Attachment A - Exit Interview
- Attachment B - Separation Checklist
- Attachment C - Payroll Lump Sum Vacation Certification
- HSCEP OP 70.20 - Employment Background Screening Policy
- HSCEP OP 70.21 - Service Awards for TTUHSC El Paso Employees
- HSCEP OP 70.22 - Employee Deaths
- HSCEP OP 70.23 - Reduction in Force Policy
- HSCEP OP 70.24 - Creating a New Position in a Budget; Creating a New Position Title in the Pay Plan; and Reclassifying an Existing Position Title
- HSCEP OP 70.25 - Longevity and Hazardous Duty Pay
- HSCEP OP 70.26 - Insurance Coverage of Graduate Student Employees
- HSCEP OP 70.27 - Appointment of Student Employees
- HSCEP OP 70.28 - Exchange Visitor Program (J-1 Visa)
- Attachment A - Application for Exchange Visitor Visa (J-1)
- Attachment B - J-1 Physician Letter
- Attachment C - Exchange Visitor Program Rules
- Attachment D - Physician Attestation
- Attachment E - Instructions for Entering the U.S. as a J-1 Exchange Visitor
- Attachment F - Program Health Insurance Agreement Form
- Attachment G - Insurance Carriers Brochure
- Attachment H - English Language Affidavit
- HSCEP OP 70.29 - Employment of Postdoctoral Fellows
- HSCEP OP 70.31 - Employee Conduct, Coaching, Corrective Action, and Termination
- HSCEP OP 70.33 - Electronic Personnel Action Form (ePAF) Due Dates
- HSCEP OP 70.35 - Employee Information
- HSCEP OP 70.36 - Communicable and Transmittable Disease Control in the Employee Workforce
- HSCEP OP 70.38 - Employee Assistance Program
- HSCEP OP 70.39 - Drug-Free Workplace Policy
- HSCEP OP 70.41 - Drug and Alcohol Testing for Safety-sensitive Positions Requiring a Commercial Drivers License
- HSCEP OP 70.42 - Break Time for Nursing Mothers
- HSCEP OP 70.43 - Early Return-to-Work (ERTW)/Alternate and Light Duty Assignments
- HSCEP OP 70.44 - Texa$aver 457 Plan
- HSCEP OP 70.45 - Tax Deferred Account Program
- HSCEP OP 70.46 - HIV/AIDS Policy For The Workplace
- HSCEP OP 70.47 - Employee Training and Development
- HSCEP OP 70.53 - Correction of Information Collected by TTUHSC El Paso by Individuals
- HSCEP OP 70.55 - Consensual Relationships - Faculty, Staff, and Residents
- HSCEP OP 70.58 - Labor Redistributions
- HSCEP OP 70.59 - Youth Camps (SB1414)
- HSCEP OP 70.60 - Remote Work
(72) - Purchasing
- HSCEP OP 72.01 - Purchasing Supplies, Equipment and Services
- HSCEP OP 72.02 - Guidelines for Proprietary Purchasing
- HSCEP OP 72.03 - Direct Pay Expenditures
- HSCEP OP 72.04 - Equipment Purchased for Sponsored Federal Projects
- HSCEP OP 72.05 - Determination of Employee or Independent Contractor Status
- HSCEP OP 72.06 - Leasing of Space and Facilities
- HSCEP OP 72.07 - Lease Purchase of Equipment and Other Commodities
- HSCEP OP 72.08 - Independent Academic Services
- HSCEP OP 72.09 - Expenditure Payments
- HSCEP OP 72.10 - Invoice Processing and the Prompt Payment Law
- HSCEP OP 72.11 - Purchasing/Leasing Motor Vehicles
- HSCEP OP 72.12 - Payments to Nonresident Aliens
- HSCEP OP 72.13 - Historically Underutilized Businesses
- HSCEP OP 72.14 - Contract Workforce Procedures
- HSCEP OP 72.15 - Purchasing Card Program
- HSCEP OP 72.16 - Official Functions, Business Meetings, and Entertainment
- HSCEP OP 72.17 - Purchasing of Pharmaceuticals
- HSCEP OP 72.18 - Payments for Employee Moving Expenses
- HSCEP OP 72.19 - Payments to Research Participants/Patient Studies
(73) - Research
- HSCEP OP 73.01 - Unassigned
- HSCEP OP 73.02 - Ownership and Transfer of Projects and Research Records
- HSCEP OP 73.03 - Animal Care and Usage
- HSCEP OP 73.04 - Research Involving Controlled Substances and
Laboratory Apparatus - HSCEP OP 73.05 - Research Involving Hazardous Chemical and Biological Materials, and Recombinant or Synthetic Nucleic Acid Molecules
- HSCEP OP 73.06 - Research Involving Human Subjects
- HSCEP OP 73.07 - Integrity in Research and Allegations of Scientific Misconduct
- HSCEP OP 73.08 - Requirements for Principal Investigator Status
- HSCEP OP 73.09 - Financial Conflicts of Interest in Research
- HSCEP OP 73.10 - Faculty Laboratory Space Check-Out Procedures
- HSCEP OP 73.11 - Unassigned
- HSCEP OP 73.12 - Possession and Use of Exempt Quantities of CDC Select-Agent Toxins
- HSCEP OP 73.13 - Approval Process for External Funding Requests
- HSCEP OP 73.14 - Research Compliance
- HSCEP OP 73.15 - Minors in Research Laboratories
- HSCEP OP 73.16 - Export Controls
- HSCEP OP 73.17 - Research Related Injury in Privately Sponsored Research Studies
- Also refer to: HSC OP 65.10 - Residual Funds Derived from Drug Studies, Clinical Trials, Fixed-Price Contracts and Investigator-Initiated Research
- HSCEP OP 73.18 - Research Nepotism
- HSCEP OP 73.19 - Accounting of Research Disclosures of Protected Health Information
(75) - Safety Services
- HSCEP OP 75.01 - TTUHSC El Paso Safety Programs
- HSCEP OP 75.02 - TTUHSC El Paso Safety Committees
- HSCEP OP 75.03 - Hazardous Material Incidents
- HSCEP OP 75.04 - Codes and Standards - Compliance with National Fire Protection Association (NFPA) and other State-adopted Requirements
- HSCEP OP 75.05 - Contaminated-Suspect Equipment
- HSCEP OP 75.06 - Corridor Storage
- HSCEP OP 75.07 - Elevator Usage
- HSCEP OP 75.08 - Aerial Plaform Policy
- HSCEP OP 75.09 - General Laboratory Use Policy
- HSCEP OP 75.10 - Biological and Chemical Hazards Policy for Research Facilities and Personnel
- HSCEP OP 75.11 - Health Surveillance Program for TTUHSC El Paso Institutional Health and Infection Control Program
- HSCEP OP 75.12 - TTUHSC El Paso Guidelines for Using N-95 Respirators
- HSCEP OP 75.13 - Shipment of Hazardous and Infectious Materials
- HSCEP OP 75.14 - Non-Employee Incident/Injury Procedures & Reporting
- HSCEP OP 75.15 - Management of Claims Relating to Public Areas of HSC Facilities/Property (excluding clinics)
- HSCEP OP 75.16 - TTUHSC El Paso Fire and Life Safety Policy
- Attachment A - Fire Event Reporting
- Attachment B - Fire Response Procedure
- Attachment C - Fire Drills
- Attachment D - Fire Extinguisher Operation and Types of Fire
- Attachment E - Policy on Hot Work Performed Outside a Designated Area
- Attachment F - Contractor Access & Hot Work Notification Form
- Attachment G - Outage Request Form
- HSCEP OP 75.17 - Disposal of Expired Medications
- HSCEP OP 75.18 - Emergency Eyewash/Shower and Drench Stations
- HSCEP OP 75.19 - Compressed Gas Cylinder Safety
- HSCEP OP 75.20 - Fire Emergency Response Policy
- HSCEP OP 75.21 - Fire Extinguisher Monthly Inspection Procedure
- HSCEP OP 75.22 - Flood Emergency Response Policy (FERP)
- HSCEP OP 75.23 - Formaldehyde Safety Policy
- HSCEP OP 75.24 - Emergency Freeze Response Policy (EFRP)
- HSCEP OP 75.25 - Golf Cart Policy
- HSCEP OP 75.26 - Hazardous Materials Emergency Response Policy
- HSCEP OP 75.27 - Hazardous Materials Spill Response Policy
- HSCEP OP 75.28 - Industrial Trucks/Forklifts/Power Equipment
- HSCEP OP 75.29 - Liquid Nitrogen
- HSCEP OP 75.30 - Medical Equipment Policy
- HSCEP OP 75.31 - Strange Odor – Report Policy
- HSCEP OP 75.32 - Internal Event - Facility Use Policy
- HSCEP OP 75.33 - Emergency Evacuation Policy
- HSCEP OP 75.34, TTUHSC El Paso Research Materials Transport on Campus
- HSCEP OP 75.35, Confined Space Entry Program
(76) - Security
- HSCEP OP 76.01 - Emergency Management Plans
- HSCEP OP 76.02 - Identification/Access Badges
- HSCEP OP 76.03 - Unassigned
- HSCEP OP 76.04 - Unassigned
- HSCEP OP 76.05 - Abandoned Personal Property
- HSCEP OP 76.06 - Unassigned
- HSCEP OP 76.07 - Unassigned
- HSCEP OP 76.08 - Violence and Workplace Threats
- HSCEP OP 76.09 - Unassigned
- HSCEP OP 76.10 - Animals in TTUHSC El Paso Buildings
- HSCEP OP 76.11 - Hunting on TTUHSC El Paso Property
- HSCEP OP 76.12 - Unassigned
- HSCEP OP 76.13 - Unassigned
- HSCEP OP 76.14 - Unassigned
- HSCEP OP 76.15 - Severe Weather Warning and Alert Systems
- HSCEP OP 76.16 - Unassigned
- HSCEP OP 76.17 - Bomb Threat Procedures
- HSCEP OP 76.18 - Unassigned
- HSCEP OP 76.19 - Unassigned
- HSCEP OP 76.20 - Unassigned
- HSCEP OP 76.21 - Unassigned
- HSCEP OP 76.22 - Unassigned
- HSCEP OP 76.23 - Employee Training and Procedures for Handling Armed Robbery Incidents
- HSCEP OP 76.24 - Unassigned
- HSCEP OP 76.25 - Unassigned
- HSCEP OP 76.26 - Unassigned
- HSCEP OP 76.27 - Unassigned
- HSCEP OP 76.28 - Unassigned
- HSCEP OP 76.29 - Unassigned
- HSCEP OP 76.30 - Vehicle Registration
- HSCEP OP 76.31 - Unassigned
- HSCEP OP 76.32 - Traffic and Parking Regulations
- HSCEP OP 76.33 - Unassigned
- HSCEP OP 76.34 - Collisions Involving University Vehicles
- HSCEP OP 76.35 - Unassigned
- HSCEP OP 76.36 - Unassigned
- HSCEP OP 76.37 - Service Vehicle Parking
- HSCEP OP 76.38 - Unassigned
- HSCEP OP 76.39 - Unassigned
- HSCEP OP 76.40 - Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act
- HSCEP OP 76.41 - Texas Tech Police
- HSCEP OP 76.42 - Flying of Flags
(77) - Student Services
- HSCEP OP 77.01 - Admission
- HSCEP OP 77.02 - Textbook Information
- HSCEP OP 77.04 - Student Fees
- HSCEP OP 77.05 - Student Leaves of Absence and Suspensions
- HSCEP OP 77.06 - Texas Public Educational Grants
- HSCEP OP 77.07 - Credit by Examination
- HSCEP OP 77.08 - Student Travel Policy
- HSCEP OP 77.09 - Cancellation of Students for Non-Payment of Tuition and Fees
- HSCEP OP 77.10 - Student Financial Responsibility Agreement
- HSCEP OP 77.11 - Permanent Student Record and Procedures for Safeguarding and Disposal of Student Records
- HSCEP OP 77.12 - Observation of Religious Holy Day and Requests for Religious Accommodation
- HSCEP OP 77.13 - Student Education Records
- HSCEP OP 77.14 - Accessibility and Establishing Accommodations for Students with Disabilities
- Attachment A - Accessibility Services Self-Disclosure & Accommodation Request Form
- Attachment B - Verification of Accessibility Form
- Attachment C - Provisional Accommodation Application
- Attachment D - Accessibility Services Self-Disclosure & Accommodation Request Form - Temporary Accommodations
- Attachment E - Accommodations Waiver Form
- Attachment F - Appeals Form
- HSCEP OP 77.15 - Working with Affiliated Entities - Student Drug Screening
- HSCEP OP 77.16 - Core Curriculum Policy
- HSCEP OP 77.17 - Transfer of Credit
- HSCEP OP 77.18 Border County Waiver
- The designation HSCEP OP 77.19 formerly applied to the policy on Grading Procedures and Academic Regulations. That policy has been moved to policy series (59) – Academics, and re-designated as HSCEP OP 59.05.
- HSCEP OP 77.19 - Campus Assessment, Response, and Evaluation (CARE) Team for Students
- HSCEP OP 77.21 - FERPA Breach Policy
- HSCEP OP 77.22 - Mandatory Student Health Insurance Requirement
- HSCEP OP 77.23 - Health Fair Operating Policy
(79) - Travel
- HSCEP OP - 79.01 Texas State Travel Management Program
- HSCEP OP - 79.02 Travel Approvals and Notifications
- HSCEP OP 79.03 - Aircraft Piloted by TTUHSC El Paso Personnel on Official Business and Travel by Commercial or Charter Aircraft
- HSCEP OP 79.04 - Foreign Travel
- HSCEP OP 79.05 - Business Travel Account (BTA) Requests and Travel Advances
- HSCEP OP 79.06 - Reimbursement of Travel Expenses
- HSCEP OP 79.07 - Travel Expenses Incurred by Prospective Employees
- HSCEP OP 79.08 - Unassigned
- HSCEP OP 79.09 - Unassigned
- HSCEP OP 79.10 - Reimbursement for Travel Expenses for Spouses
- HSCEP OP 79.11 - Use of State Travel Card
Ambulatory Clinic Policies and Procedures
1. Leadership/Administration
- EP 1.2 - Clinical Dept Policies
- EP 1.16 - Smoke Tobacco Free Environment
- EP 1.18 - Subjects Participating in Research
- EP 1.20 - Patient Access Center
- EP 1.22 - Call Monitoring and Recording
- EP 1.23 - Service Animal Guidelines
- EP 1.25 - Missed Appointments
- EP 1.26 - Outbound Mass Communication
- EP. 1.27 - Nursing Peer Review
- Attachment A - Safe Harbor Nursing Peer Review – Quick Request for Safe Harbor
- Attachment B - Safe Harbor Nursing Peer Review – Comprehensive Request for Safe Harbor
- Attachment C - Confidentiality Guidelines
- Attachment D - Report to Nursing Peer review Committee (NPRC) – Alternate Reporting Form
- Attachment E - Patient Cross Index Form
- Attachment F - Notification to Nurse – Sample Letter
- Attachment G - Chair Opening Statement Sample
- Attachment H - Case Activity Report Form
- Attachment I - Peer Review Committee Findings Form
- Attachment J - Transmittal Notifying Nurse of Committee’s Findings
- Attachment K - Rebuttal Statement Form
- Attachment L - Informal Workgroup – Detailed Summary of Findings
- Attachment M - Informal Workgroup – Individual Nurse’s Consent to Use of Informal Workgroup
- Attachment N - Informal Workgroup – Case Activity Sheet
- Attachment O - Report to Administrator Form
- Attachment P - Peer Review Committee Report to BON Form
- Attachment Q - Employer Report to BON Form
- Attachment R - Safe Harbor Nurse Peer Review Activity Sheet
- Attachment S - Safe Harbor – Form to Request Medical Reasonableness of a Physician’s Order
2. Emergency Procedures
3. Patient Care
- EP 3.1 - Critical Laboratory Reporting
- EP 3.2 - Nursing Care, Standardization of
- EP 3.4 - Management of Medical Supplies
- EP 3.6 - Hospital Admission and Transport of Patients
- EP 3.9 - Pharmacy Calls to Clinics
- EP 3.10 - Procedure Management and Documentation
- EP 3.11 Anticoagulation Management
- EP 3.12 - Patient Assessment
- EP 3.13 - Assessment Treatment of Pain
- EP 3.14 - Patient Education
- EP 3.15 - Orders, Receiving and Noting
- EP 3.16 - Lab Specimen Collection
- EP 3.17 - Latex Allergy Protocol
- EP 3.18 - Removal of PICC Line
- EP 3.19 - Waived Testing
- EP 3.21 - Suicide and Behavioral Risk Management
- EP 3.22 - Patient Discharge Procedure
4. Medication Management
- EP 4.1 - Storage and Disposal of Drugs and Biologicals
- EP 4.2 - Management of Sample Medication
- EP 4.3 - Medication Management, Administration & Documentation
- EP 4.6 - Adverse Drug Event Reporting
- EP 4.8 - Outpatient Medication Prescription
- EP 4.9 - Multi-dose Medication Vials Use, Handling, and Expiration
- EP 4.14 - Handling and Use of Neurotoxins
5. Management of Information/Medical Record
- EP 5.1 - Medical Records Management
- EP 5.2 - Downtime Operations Guidelines
- EP 5.3 - Medical Records Access for Research
- EP 5.5 - Securing Medical Records pending litigation
- EP 5.6 - Card Reader System
- EP 5.7 - Medical Record Abbreviations
- EP 5.8 - Authentication of Entries to Medical Record
- EP 5.9 - Access to the Medical Records Department
- EP 5.10 - Guideline For Destruction and Disposal of Protected Health Information
- EP 5.11 - Release of Health Record Information
- EP 5.12 - Retention and Retirement of Medical Records
- EP 5.13 - Medical Record Paper Format
- EP 5.16 - Patient Portal Policy
- EP 5.17 - Medical Records Fees for Service
- EP 5.19 - Scribes in the Clinic Setting
- EP 5.20 - Ambulatory Clinic Patient Forms
- EP 5.21 - Medical Record Forms Standards and Approval Process
- EP 5.22 - Access to Medical Records Department by Payors and Auditors
- EP 5.23 - Practice of Telemedicine
6. Patient Rights/Patient Relationships and Agreements
- EP 6.1 - Patient Rights and Responsibilities
- EP 6.2 - Persons Accompanying Patients
- EP 6.3 - Termination of the Physician/Patient Relationship
- EP 6.3A(1) - Termination letter - non-PCP
- EP 6.3A(2) - Termination letter - non-PCP (Spanish)
- EP 6.3B(1) - Termination letter - PCP
- EP 6.3B(2) - Termination letter - PCP (Spanish)
- EP 6.3C(1) - Termination letter - Pediatrics
- EP 6.3C(2) - Termination letter - Pediatrics (Spanish)
- EP 6.3D(1) - Termination letter - Pedi Specialty
- EP 6.3D(2) - Termination letter - Pedi Specialty (Spanish)
- EP 6.3E(1) - Term of Physician Pt relationship bullets
- EP 6.3E(2) - Term of Physician Pt relationship bullets (Spanish)
- EP 6.4 - Management of the Suspected Abuse Victim
- EP 6.5 - Inmate Management Plan
- EP 6.6 - Feedback Complaint and Grievance Procedures
- EP 6.8 - Refusal to Submit to treatment
- EP 6.10 - Patients with Communication Impairment
- EP 6.10 - Suggestions Regarding Meeting Blind Person
- EP 6.12 - Photography Consent
- EP 6.15 - Informed Consent
- EP 6.17 - Approval and Consent for Clinical Procedures
- EP 6.18 - Advance Directives
- EP 6.18A - Directive to Physicians and Family Members
- EP 6.18B - Declaration referente al poder medico
- EP 6.18C - Medical Power of Attorney Designation of Health Care Agents
- EP 6.18D - Poder Notarial Medico Designacion de un Apoderado para asuntos mmedicos
- EP 6.18E - Out-of-Hospital Do-Not-Resucitate (OOH-DNR) Order Texas Department of State Health Services
- EP 6.18F - ORDEN DE NO REANIMAR FUERA DEL HOSPITAL (OOH DNR)DEPARTAMENTO ESTATAL DE SERVICIOS DE SALUD DE TEXAS
7. Infection Prevention and Control
- EP 7.1 - Infection Control Screening: New Employee, Student, Visitor
- EP 7.2 - Standard Precautions for Blood/Body Fluids (Universal Precautions)
- EP 7.3 - Needle stick Injuries/Exposures to Body Fluids: Care and Follow Up
- EP 7.4 - Infectious Disease Exposures
- EP 7.5 - Immuno-Compromised Patients, Care of
- EP 7.7 - Tuberculosis Skin Testing Policy
- EP 7.8 - Notifiable Conditions Reporting
- EP 7.9 - Procedure for Notifying Custodial for Cleaning
- EP 7.10 - Prevention of Transmission of Hepatitis B, C and HIV from HCW to Patient
- EP 7.11 - Vaccine Administration
- EP 7.12 - Infection Prevention & Control Plan
- EP 7.13 - Influenza Vaccination
- EP 7.14 - Staff Lounge Cleaning
- EP 7.15 - Food in Clinical Areas
- EP 7.16 - Hand Hygiene
- EP 7.17 - Handling and Disposal of Needles/Sharps
- EP 7.18 - Disposal of Biohazard Waste
- EP 7.19 - Cleaning of Pediatric Toys and Equipment
- EP 7.20 - Decontamination of Reusable Instruments
- EP 7.22 - Outbreak Investigation of Infectious Disease
- EP 7.23 - Plan to Manage the Influx of Potencial Infectious Patients
- EP 7.24 - Heathcare Associated Infection Reporting
- EP 7.25 - Instrument Tracking
- EP 7.26 - Cleaning of Patient Care Areas
8. Performance Improvement
9. Management of Human Resources
- EP 9.1 - Licensure Certification Verification for Patient Care Professional Staff
- EP 9.2 - Not assigned
- EP 9.3 - Not assigned
- EP 9.10 - Provider Separation Procedure
- EP 9.11 - Clinical Personnel Dress Code
- EP 9.12 - Clinic Staff Time and Attendance
- EP 9.14 - Individuals Allowed in Clinics for Clinical or Academic Purposes