Policy and Procedures

Facilities and Support Services Emergency Action Plan

 Required for each Medical Center Department as per Joint Commission EM Standard EM.01.01.01 to support the overall Emergency Operations Plan (EOP)
DocuSign Requisition Procedure To establish standards, procedures and guidelines, for operations departmental staff related to initiating, completing, and submitting for approval and processing of purchase requisitions (equipment/tools/supplies) through DocuSign in collaboration with Medical Center Procurement guidelines and partnership.
UCSF Medical Center Policies Main   
Policy 6.06.13 Automated Temperature Monitoring  
Environment of Care Standards
  • Utility Systems. EC.02.05.01
    • The hospital manages risk associated with its utility systems
  • Emergency Power Systems. EC.02.05.07
    • The hospital inspects, tests and maintains emergency power systems
  • Med Gas and Vacuum. EC.02.05.09
    • The hospital inspects, tests and maintains medical gas and vacuum systems
Electronic Model Compliance
Through the utilization of Medical Center Facilities Computerized Maintenance Management System  (Maximo), all Facilities Staff will adhere to system procedures when performing scheduled  preventative maintenance or un-scheduled repairs on systems and equipment under the purview of  Medical Center Facilities Management.