The hospital has policies and procedures that guide and support patient care, treatment, and...

(5)

The hospital develops and implements policies and procedures that minimize drug errors. The medical staff develops these policies and procedures unless delegated to the pharmaceutical service.

(6)

The hospital develops and implements surgical care policies and procedures that maintain high standards for medical practice and patient care.

(7)

If respiratory care services are provided, services are delivered in accordance with policies and procedures approved by the medical staff.