Policies and Procedures

From University of Nebraska Medical Center
Revision as of 13:26, July 21, 2023 by Mhurlocker (talk | contribs) (updated dates of minor revision)
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Policy Manual Index

For assistance with UNMC Policies, please contact Dorothy Panowicz, Policy Coordinator, at 402-559-4220.

Policy Name Policy No. Effective Date Revised Date Reviewed Date
Human Resources Policies
Employee Leave 1001 09/09/05 06/02/22 06/02/22
Drug Free Campus 1003 10/17/03 02/05/18 02/05/18
Employment 1004 11/21/07 02/16/21 02/16/21
Work Schedules 1005 10/17/03 04/12/19 04/12/19
Employee Separation 1006 11/01/07 10/13/16 10/10/16
Compensation Administration 1007 10/31/08 11/13/15 11/10/15
Dress Code 1008 12/20/05 10/29/15 12/10/13
Background Check 1010 08/01/08 10/11/21 10/11/21
Recurring/Additional Payment 1017 06/25/09 03/31/21 03/31/21
Employee Grievance Process 1020 11/22/06 10/01/18 10/01/18
Reduction in Force 1028 10/25/02 08/07/17 07/27/17
Outside Employment 1049 11/01/06 07/26/21 03/10/23
Political Activities 1060 10/17/03 11/03/15 12/10/13
Employee/Dependent Scholarship 1072 10/25/02 11/03/15 12/10/13
Employee Recognition and Reward 1093 10/25/02 10/28/20 10/28/20
Performance Evaluation 1097 11/22/06 11/03/15 05/24/13
Corrective/Disciplinary Action 1098 03/18/08 11/06/17 11/01/17
Non-Discrimination and Harassment 1099 09/22/09 04/08/19 04/08/19
Tobacco-Free Campus 1100 08/24/09 11/03/15 12/10/13
Nepotism 1101 09/22/09 03/30/16 03/30/16
Influenza 1102 08/25/09 09/18/17 09/18/17
UNMC Consensual Relationships replaced by NU Consensual Relationships Policy
AIDS, HIV, and Other Bloodborne Pathogens 1104 10/17/03 11/03/15 12/10/13
Personnel Action Documentation 1105 10/04/10 11/03/15 12/01/22
Fitness for Duty 1106 01/05/12 11/03/15 12/10/13
Sexual Misconduct 1107 12/16/14 08/14/20 08/14/20
Personnel Files 1108 03/27/17 12/01/22
HR-03, Alternative Worksite Policy for all NU campuses
Policy on Chosen Name and Gender Identity for all NU campuses, Executive Memorandum No. 40
HR-05, Recruitment and Selection Policy for all NU campuses
Mandatory COVID-19 Vaccination 1109 10/13/21 02/23/22 02/23/22
Office/Service and Managerial/Professional Voluntary FTE Reduction Program for all NU campuses
Voluntary FTE Reduction Request Form
Safety and Security Policies
Safety 2000 07/23/99 04/20/20 04/20/20
Deadly Weapon 2001 07/20/90 12/09/20 12/09/20
Latex Sensitivity 2003 05/15/01 12/05/12 12/03/12
Bloodborne Pathogens Exposure 2004 03/17/03 02/18/14 07/20/21
Waste Handling 2005 08/25/06 06/17/19 06/17/19
Portable Space Heaters 2006 08/24/09 12/02/21 12/02/21
Children in the Workplace 2007 10/06/09 01/04/13 01/04/13
Pets in the Workplace 2008 10/06/09 08/04/15 08/04/15
Tuberculosis Exposure 2009 05/11/10 12/02/21 12/02/21
Food, Drinks and Cosmetic Use in Laboratory Areas 2010 11/10/10 12/02/21 12/02/21
Medical Surveillance 2011 02/15/11 12/02/21 12/02/21
Enterprise Threat Assessment Response Team 2012 12/16/11 09/09/13 09/09/13
Management of Violent or Aggressive Patients/Visitors 2013 11/13/12 N/A 11/08/12
Youth Safety 2014 01/03/13 N/A 01/03/13
Tours 2015 12/19/14
Small Appliance and Cooking Devices 2016 12/16/14 12/02/21 12/02/21
Unmanned Aircraft 2017 10/02/17
Electric Scooter 2018 05/07/19
Face Covering 2019 08/17/20
Research Compliance Policies
Sponsored Programs 3001 07/01/98 08/11/22 08/11/22
Sponsored Programs Costing 6100 06/27/02 11/21/17 08/11/22
Institutional Base Salary 6102 02/20/06 03/09/23 03/09/23
Sponsored Project Cost Share 6104 06/27/02 08/11/22 08/11/22
Effort Certification 6105 06/01/06 08/11/22 08/11/22
Cost Transfer 6106 10/27/02 04/28/23 04/28/23
Service Center 6107 06/27/02 04/08/10 01/17/13
Subrecipient Policy 6108 11/24/08 08/11/22 08/11/22
On-Campus and Off-Campus Indirect Cost Rates on Federally Sponsored Projects 6110 02/06/20 08/11/22
Compliance Policies
Compliance Program 8000 11/01/06 02/28/23 02/28/23
Compliance Hotline 8001 08/10/06 07/10/23 07/10/23
Inspections/Investigations by Third Parties 6109 10/16/04 01/20/23 01/20/23
Research Integrity 8003 02/11/05 08/18/21 07/11/23
Export Control 8005 12/18/12 07/21/23 07/21/23
Code of Conduct 8006 03/13/09 07/21/23 07/21/23
Use of Human Anatomical Material 8007 08/10/05 07/21/23 07/21/23
Clinical Research and Clinical Trial Professional and Technical Fee Billing 8008 08/23/18 07/29/21
Contracts 8009 11/01/06 02/22/22 03/07/22
Conflict of Interest 8010 09/04/07 06/27/23 06/27/23
Red Flag Identity Theft Prevention Program 8011 01/13/10 08/18/21 08/18/21
Principles of Financial Stewardship 8012 08/01/10 01/18/22 01/18/22
Human Tissue Use and Transfer 8013 03/15/12 09/21/21 09/21/21
Disclosing Foreign Support and International Activities 8014 06/26/15 01/07/20 02/12/21
Health Care Vendor Interactions 8015 08/31/15 09/01/20 03/10/23
Credit Hour Definition 8017 11/28/16 08/08/17 06/03/21
Whistleblower 8018 04/11/19 04/11/19 11/19/21
Privacy and Information Security Policies
Identification Card 6008 03/17/03 11/29/16 11/12/20
Secure Area Card Access 6009 03/17/03 11/29/16 11/12/20
Privacy, Confidentiality and Security of Patient and Proprietary Information 6045 11/21/03 draft 10/28/22
Computer Use/Electronic Information 6051 04/25/07 08/20/13 09/19/17
Retention and Destruction/Disposal of Private and Confidential Information 6056 03/17/03 draft 10/28/22
Use and Disclosure of Protected Health Information 6057 03/17/03 draft 08/30/22
Notice of Privacy Practices 6058 03/17/03 draft 10/28/22
Access to Designated Record Set 6059 03/17/03 draft 08/19/22
Accounting of PHI Disclosures 6061 03/17/03 draft 10/28/22
Patient/Consumer Complaints 6062 03/17/03
Vendors 6063 03/17/03
Fax Transmissions 6065 03/17/03 draft 09/22/22
Psychotherapy Notes 6066 03/17/03 draft 09/22/22
Facility Security 6067 03/17/03 07/14/17 11/12/20
Conditions of Treatment Form 6070 03/17/03
Informed Consent for UNMC Media 6030 02/01/94 10/17/03 10/17/03
Transporting Protected Health Information 6073 01/30/12
Honest Broker 6074 08/26/15
Use of Social Security Number 6085 09/22/15 03/30/18 03/30/18
Third Party Registry Selection 6300 06/27/16 draft 09/22/22
Information Security Awareness and Training 6301 07/14/16 draft 09/22/22
Patient Privacy Investigations and Levels of Violation 6302 11/02/20 draft 10/28/22
Use and Disclosure of PHI for Training Health Care Professionals 6303 Draft 08/19/22
Disclosures of PHI as Permitted or Required by Law 6304 Draft 10/28/22
Disclosure of PHI for Law Enforcement Purposes 6305 Draft 10/28/22
Business Operations Policies
General Accounting 3000 10/25/02 09/19/19 09/19/19
SBIR/STTR Program Participation 3002 11/15/06
Supplemental Compensation Plan 3039 10/25/02
Facilities Management/Planning 4000 07/01/98 Draft 4-21-23
Purchasing 5000 04/01/01 09/24/20 09/24/20
Strategic Communications 6001 10/17/03 01/03/22 01/03/22
Facility Identification 6004 10/15/99
Serving Alcoholic Beverages 6012 09/10/99
Travel and Reimbursement - replaced by NU Travel Policy
UNMC Campus Guidance on Travel
State Vehicles - replaced by NU Fleet Management Policies|
Reproducing Copyrighted Materials 6036 07/01/98
Bank Card Processing 6050 01/10/07 DRAFT 07/20/21
Student Training Agreement 6052 07/01/98
Volunteer 6053 09/10/99 10/19/21 10/19/21
Cash Handling 6054 10/17/03 12/29/12 12/29/12
Fraud 6055 08/21/00 08/17/15 07/29/15
Assigning Research Lab Space 6071 01/06/06 09/22/22 09/22/22
Space Scheduling and Fundraising 6072 11/19/07 08/24/19 08/24/19
Academic Personnel Records 6075 11/07/07
Cell Phone 6076 09/10/08 08/04/21 08/04/21
Off-campus Graphic Design and Related Printing 6077 04/01/10 02/11/21
Off-campus Photography, Videography 6078 04/01/10 01/03/22 01/03/22
Tax Exempt Financing and Tracking of Both Qualified Use and Non-Qualified Use of Research Space 6079 05/11/10 09/20/13 09/20/13
Secondary Logos 6080 01/06/11 01/03/22 01/03/22
Social Media 6081 12/07/11 01/03/22 01/03/22
Sensitive Equipment Tracking 6082 02/25/13 N/A 02/25/13
International Visitors 6083 05/01/13 06/01/21 06/01/21
Accounts Receivable Management 6084 09/26/13 03/02/23 03/02/23
Internal Audit - replaced by Internal Audit Charter and the UNMC Internal Audit and Advisory Services webpage.
Regulations on the Use of University Facilities and Grounds 6086 12/13/18 11/11/21
University of Nebraska Moving Relocation Policy
Tuition Remissions 6088 10/19/21
Collections Management 6089 11/09/21
Web Governance 6090 11/16/21
Student Fee Administration 6091 DRAFT
Intellectual Property Policies
Science/Technology Committee 7000 03/16/05 03/15/10 04/12/21
Division of Net Royalty and Proceeds 7001 03/16/05 05/03/21 05/03/21
Faculty Policies
Faculty Transfer 9000 02/06/20

For UNMC faculty, student and staff use only.

Updated by dkp