Policies Posted for Comment
Draft and recently signed policies are posted here for review and comment by The University of Toledo community for thirty days. Draft policies do not have official status as approved policies until the Approving Officer has signed the policies. Some policies may be signed in advance of the vetting period to comply with the requirement of federal or state laws or regulations or accrediting agencies.
Please direct any comments or questions regarding the policies posted for comment to policies@utoledo.edu or click on the policy number link after "comment on this policy." Please state the name of the policy in the subject line. Comments received on the policy will be forwarded to the policy's responsible agent or agent's designee.
NOTE: The University’s policies ultimately become a part of the Ohio Administrative Code. The Administrative Code is written in lower case. As each UT policy comes due for review, it will be formatted according to the Ohio Legislative Service Commission Drafting Manual. Many words that normally would be capitalized will not be capitalized in the text of the policy. For example – university of Toledo, president of the United States, supreme court, holidays such as Christmas day (Christmas is capitalized but day is not). The Drafting Manual includes many other grammatical guidelines. The header box and the signature box do not need to comply with these rules. Please do not send comments asking to revise capitalization, outline format, grammar, etc.
The following policies have been posted for the 30-day comment period:
UTMC - 3 Policies
Policy Name: 3364-100-53-27 Surgical Services
Description: (Minor revision) Updated emergent case time to include OR is staffed and available within 15 minutes
of notification. Surgery hours of operation, staff, anesthesia, and supplies are
in house 24/7. For on-call response notification, added this notification and hence
response are automatic upon first team staffing OR case. This permits 15-minute availability
for subsequent class X cases. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: May 29, 2026 - June 29, 2026
Comment on this policy: 3364-100-53-27
Policy Name: 3364-133-40 Home Medications
Description: (Minor revision) Clarified policy statement and purpose of policy. Updated procedure to clarify inpatient
use of home medications. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: May 29, 2026 - June 29, 2026
Comment on this policy: 3364-133-40
Policy Name: 3364-133-123 Pharmacist Charting
Description: (Minor revision) Clarified and updated charting procedure. Added charting interventions, post as
a progress note in the electronic medical record, and updated charting of education.
Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: May 29, 2026 - June 29, 2026
Comment on this policy: 3364-133-123