VCU Health System policies

When clinical research subjects are seen in VCU Health System facilities, VCU faculty and staff are required to observe health system policies and procedures. The policies below specifically address clinical research activities. VCU eID credentials are required to access.

Environmental control

• Trash and Biological Medical Waste Disposal (EC.FM.007) – 8-18-2016

Financial

• Charge Master Initiation & Authorization of Changes (FN.AD.002) - 3-4-2015
• Charges for Health System Services and Supplies (FN.PT.001) - 3-4-2015

Infection control

• Hand Hygiene Policy (IC.CL.002) - 4-3-2019

Information security

• Network and Computer Security (IS.AD.009) - 8-25-2017
• Access to VCUHS Computing Systems and Electronic Medical Records (IS.AD.016) - 7-23-2013
• Personnel Security (IS.AD.011) - 4-18-2017

Medical records

• Documentation – Entries in the Medical Record (MR.RC.001) - 2-1-2019
• Protected Health Information, Team Member Access v2.1 (MR.PH.001) - 10-12-2017
• Protected Health Information: Administrative, Technical, and Physical Safeguards - 10-18-2016
• Protected Health Information: De-Identification of Protected Health Information  - 10-18-2016
• Protected Health Information: Minimum Necessary Uses and Disclosures (MR.PH.006) - 6-25-2018
• Protected Health Information Release v3.0 (MR.PH.002) - 10-9-2019
• Protected Health Information: Uses and Disclosures for Research (COMP-014) - 10-18-2016

Patient care

• Adverse Drug Reactions (PC.PS.009) - 1-9-2017
• Complaints and grievances from patients (LD.RM.003) - 11-14-2017
• Research in Patient Care Areas (PC.CP.004) – 8-17-2015

Pathology

• Specimen Collection, Labeling, and Handling (PA.PT.001) – 7-21-2016
• Tissue Tracking, Storage, and Documentation (PA.AD.002) – 3-16-2020

Personnel

• Competency Assessment and Validation (HR.PF.02.02) - 1-1-2018

Pharmacy

• Handling of Hazardous Medications (PH.MS.007) - 11-17-2020
• Investigational Medications (PH.SP.005) - 11-11-2020
• Medication Storage and Security (PH.MS.001) - 7-16-2018
• Administration of Patient’s Own Medication (PH.PT.002) - 2-5-2018