PatientsVisitorsLocations & ServicesAbout the RegionJoin Our TeamPhysicians

​​​

About the Region Main PageBudgetQuick FactsVision, Mission and ValuesGovernanceLeadershipOur PlanPolicies and ProceduresHand HygieneRelated LinksNews & StoriesMedia CentreDonate

About the Region
Policies and Procedures: Region Wide

Saskatchewan Health Authority Policies

As Saskatchewan Health Authority policy directives continue to be developed and approved, they will be communicated to those they apply to and posted on the Authority's employee intranet.

All former regional health authority policies remain in effect until specifically replaced by the Saskatchewan Health Authority policy directives or policies. These include procedures, protocols, guidelines, work standards, standard work, medical directives, etc.

Former Saskatoon Health Region Policies and Procedures

Region-wide policies and procedures are organized according to these categories:

00 - Introduction
10 - Organization
20 - General Information
25 - Information Technology and Telecommunications
30 - Human Resources
40 - Financial
50 - Legal
60 - Client Care
75 - Records and Reports
80 - Emergency Preparedness
95 - Facilities Services
100 - Research

Table of Contents​ 

​​In​ addition to SHR policies, the following directives are currently in effect:

There are no directives in effect at this time.

Please Note:

If you are having trouble opening these links, right-click the link and select "Open in New Tab" or "Open in New Window".

  
  
  
  
collapse Category : 000 - Introduction ‎(2)
Policies and Procedures7311-00-001.pdf7311-00-00119-Mar-09
Policies Handbook7311-00-001-Handbook.pdf7311-00-001-Handbook19-Mar-09
collapse Category : 010 - Organization ‎(6)
Code of Conduct7311-10-001.pdf7311-10-00106-Nov-08
Enterprise Risk Management7311-10-005.pdf7311-10-00516-Apr-14
Fraud7311-10-002.pdf7311-10-00216-Apr-14
Naming Policy7311-10-004.pdf7311-10-00409-Nov-16
Our Values in Action7311-10-001-Our-Values.pdf7311-10-001-Our-Values06-Nov-08
Speaking Up - Protection of Persons Reporting Wrongdoing7311-10-003.pdf7311-10-00317-Jan-11
collapse Category : 020 - General Information ‎(20)
Acute Care Bed Occupancy Charge for Refusal to Leave an Acute Care Bed7311-20-021.pdf7311-20-02120-Sep-16
Carbon Monoxide Monitoring and Reporting7311-20-020.pdf7311-20-02017-Jul-13
Client, Family and Community Member Engagement7311-20-016.pdf7311-20-01630-Nov-12
Clinical Health Record Form Standards7311-20-002.pdf7311-20-00219-Dec-16
Competitive Bidding7311-20-007.pdf7311-20-00702-Apr-12
Emergency (Flash) Sterilization7311-20-015.pdf7311-20-01526-Jun-09
Facilitation of Smudging Ceremonies7311-20-004.pdf7311-20-00405-May-16
Interpretation and Translation Services7311-20-013.pdf7311-20-01316-Mar-17
Interpretation and Translation Services - Appendix A7311-20-013-Appendix-A.pdf7311-20-013-Appendix-A31-Aug-15
Management of Patient/Client/Resident/Family Concerns/Complaints7311-20-003.pdf7311-20-00329-Jun-11
Management of Recall Notices and Alerts7311-20-010.pdf7311-20-01025-Sep-07
Open Family Presence7311-20-018.pdf7311-20-01812-May-16
Provincial Procurement7311-20-008.pdf7311-20-00822-Oct-15
Provision of Snack Food and Beverages Vending Services7311-20-012.pdf7311-20-01201-Apr-03
Safekeeping of Patient/Client Valuables7311-20-005.pdf7311-20-00505-Jun-00
Social Media Policy7311-20-017.pdf7311-20-01721-Feb-12
Standards for Development of Clinical Health Record Forms - Appendix A7311-20-002-Appendix-A.pdf7311-20-002-Appendix-A19-Dec-16
Tobacco and Smoke-Free Workplace Policy 7311-20-001.pdf7311-20-00101-Jul-15
Vendor Visitation and Conduct7311-20-011.pdf7311-20-01122-Oct-15
Waste Management7311-20-019.pdf7311-20-01918-Jan-13
collapse Category : 025 - Information Technology and Telecommunications ‎(12)
Disposal Of IT Assets7311-25-006.pdf7311-25-00624-Aug-12
Email Acceptable Use7311-25-001.pdf7311-25-00110-Mar-15
Emailing Personal Health Information7311-25-005.pdf7311-25-00510-Mar-15
Internet Acceptable Use7311-25-002.pdf7311-25-00230-May-13
IT Security7311-25-000.pdf7311-25-00025-Jun-14
IT Security Incident Management7311-25-010.pdf7311-25-01001-Aug-14
IT Systems - Monitoring Access and Use7311-25-009.pdf7311-25-00901-Aug-14
Password Policy7311-25-003.pdf7311-25-00329-Nov-13
Remote Access7311-25-008.pdf7311-25-00801-Aug-14
Security Of Mobile Devices And Removable Media7311-25-007.pdf7311-25-00724-Aug-12
SHR User Account Policy7311-25-004.pdf7311-25-00430-May-13
Wireless Access7311-25-011.pdf7311-25-01101-Aug-14
collapse Category : 030 - Human Resources ‎(17)
Attendance Policy7311-30-014.pdf7311-30-01429-Jun-11
Career Milestones7311-30-021.pdf7311-30-02116-Mar-17
Conflict of Interest7311-30-005.pdf7311-30-00516-Mar-17
Criminal Record Screening7311-30-006.pdf7311-30-00602-Apr-12
Duty to Accommodate7311-30-018.pdf7311-30-01816-Jun-15
Learner Placements7311-30-020.pdf7311-30-02008-Mar-17
Maintenance of Professional Registration/Licensing for Out of Scope Employees7311-30-011.pdf7311-30-01101-Dec-16
Management of Employees, Physicians and Other Health Care Workers During Influenza Outbreaks in Health Care Facilities7311-30-017.pdf7311-30-01715-Oct-07
Professional Appearance and Dress Code7311-30-013.pdf7311-30-01319-Feb-08
Representative Workforce7311-30-012.pdf7311-30-01230-May-13
Respectful Workplace7311-30-001.pdf7311-30-00125-Aug-17
Retirement Recognition7311-30-015.pdf7311-30-01501-Sep-16
Terms and Conditions of Employment - Out of Scope Employees7311-30-010.pdf7311-30-01030-May-13
Vacation Usage, Carry-Over and Payout7311-30-004.pdf7311-30-00401-Dec-16
Violence Management7311-30-007.pdf7311-30-00706-Dec-13
Workplace Harassment7311-30-022.pdf7311-30-02225-Aug-17
Workplace Safety7311-30-002.pdf7311-30-00220-Jul-12
collapse Category : 040 - Financial ‎(5)
Investment Policy7311-40-003.pdf7311-40-00317-Nov-10
Investment Policy Addendum7311-40-003A.pdf7311-40-003A29-Jun-11
Purchasing Cards 7311-40-004.pdf7311-40-00408-Feb-13
Purchasing Cards - Appendix A: User Guide7311-40-004-User-Guide-Appendix-A.pdf7311-40-004-User-Guide-Appendix-A08-Feb-13
Signing Authority Financial Committments7311-40-002.pdf7311-40-00230-Mar-09
collapse Category : 050 - Legal ‎(9)
Consent / Informed Consent7311-50-002.pdf7311-50-00229-May-15
Copyright7311-50-005.pdf7311-50-00516-Apr-14
Critical Incident Reporting7311-50-008.pdf7311-50-00801-May-17
Disclosure7311-50-009.pdf7311-50-00901-May-17
Informed Consent for Blood Components and/or Plasma Protein Products, Including Tissue Graft Transplantation7311-50-004.pdf7311-50-00409-Feb-17
Intellectual Property7311-50-010.pdf7311-50-01010-Feb-14
Safety Reporting7311-50-006.pdf7311-50-00601-May-17
Suspected Child Abuse7311-50-007.pdf7311-50-00727-Jun-16
Suspension of Privileges - Incomplete Health Records7311-50-003.pdf7311-50-00301-Nov-94
collapse Category : 060 - Client Care ‎(27)
Advance Care Directives7311-60-005.pdf7311-60-00501-Sep-98
Allergy/Intolerance Documentation7311-60-029.pdf7311-60-02917-Jul-13
Application of Non-Invasive Ventilation for Acute Respiratory Failure7311-60-024.pdf7311-60-02430-Nov-12
Delegation of a Medical Activity to a Registered Nurse7311-60-003.pdf7311-60-00319-Dec-16
Ethics Consultation Service7311-60-009.pdf7311-60-00927-Jun-13
High Alert Medications - Identification, Double Check and Labeling7311-60-020.pdf7311-60-02017-Jul-13
Infant/Newborn Overnight When Mother/Primary Caregiver Admitted to Hospital7311-60-008.pdf7311-60-00805-May-16
Laser Safety7311-60-010.pdf7311-60-01025-Jun-14
Least Restraint - Mechanical and Environmental7311-60-012.pdf7311-60-01218-Jul-14
Medical Assistance in Dying7311-60-033.pdf7311-60-03308-Dec-16
Medical Directives7311-60-027.pdf7311-60-02719-May-16
Medical Marijuana7311-60-032.pdf7311-60-03205-May-16
Most Responsible Physician7311-60-002.pdf7311-60-00229-May-15
Ordering of Medications7311-60-004.pdf7311-60-00417-Jul-13
Organ and Tissue Donor Referral Policy7311-60-031.pdf7311-60-03129-Jun-13
Patient/Client Road Transportation Guidelines7311-60-006.pdf7311-60-00607-Oct-97
Release and Indemnification Policy7311-60-018.pdf7311-60-01830-Sep-10
Responding to Unwell/Injured Individuals on Hospital Grounds7311-60-025.pdf7311-60-02530-Sep-10
Resuscitation Policy7311-60-016.pdf7311-60-01615-Jun-15
Re-Use of Single Use Medical Devices7311-60-014.pdf7311-60-01401-Nov-04
Safe Labeling of Medications and Solutions on a Sterile Field7311-60-021.pdf7311-60-02122-Nov-07
Support for Breastfeeding 7311-60-022.pdf7311-60-02230-May-16
Surgical Safety Checklist7311-60-026.pdf7311-60-02622-Sep-16
Transfer, Lifting and Repositioning - Safe Moving and Client Handling7311-60-011.pdf7311-60-01105-Dec-11
Venous Thromboprophylaxis7311-60-030.pdf7311-60-03017-Jul-13
Verification of Identification7311-60-017.pdf7311-60-01729-Nov-13
Viewing and Release of Bodies7311-60-028.pdf7311-60-02829-Jun-12
collapse Category : 075 - Records and Reports ‎(13)
Abbreviations7311-75-006.pdf7311-75-00621-Feb-12
Access to Personal Health Information7311-75-002.pdf7311-75-00210-Feb-14
Amendment to Personal Health Information7311-75-008.pdf7311-75-00806-May-09
Disclosure of Personal Health Information to Police Services7311-75-009.pdf7311-75-00930-May-13
Documentation Standards - Health Records7311-75-007.pdf7311-75-00701-Jun-04
Documentation Standards - Health Records - Appendix A7311-75-007-Appendix-A.pdf7311-75-007-Appendix-A01-Jun-04
Facsimile (FAX)7311-75-011.pdf7311-75-01105-Dec-14
Facsmilie FAX - Appendix B7311-75-011-Appendix-B.pdf7311-75-011-Appendix-B05-Dec-14
Information Classification, Labelling and Handling7311-75-010.pdf7311-75-01009-Jun-15
Inter-Facility Transfer of Records - Acute Care7311-75-001.pdf7311-75-00105-Aug-97
Privacy and Confidentiality7311-75-003.pdf7311-75-00316-Mar-17
Retention of Personal Health Information7311-75-005.pdf7311-75-00510-Feb-01
Transfer of Information for Ongoing Care7311-75-004.pdf7311-75-00401-Apr-01
collapse Category : 080 - Emergency Preparedness ‎(1)
Business Continuity7311-80-001.pdf7311-80-00121-Feb-12
collapse Category : 095 - Facilities Services ‎(6)
Confined Space Management7311-95-006.pdf7311-95-00606-Dec-13
Fire Drill Policy7311-95-001.pdf7311-95-00101-Dec-16
Management of Surplus Assets 7311-95-002.pdf7311-95-00221-Feb-12
Medical Equipment – Management, Inspection, Maintenance and Repair7311-95-005.pdf7311-95-00526-Jul-13
SHR Parking Policy And Regulations7311-95-004.pdf7311-95-00424-Aug-12
Space Management Policy7311-95-003.pdf7311-95-00315-Apr-11
collapse Category : 100 - Research ‎(2)
Research7311-100-001.pdf7311-100-00123-Dec-14
Responsible Conduct of Research7311-100-002.pdf7311-100-00229-Nov-13
Last Modified: Tuesday, January 2, 2018 |
Questions or feedback about this page?