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 icon under "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.
To join our mailing list for email notification of updates and additions to the Policies Posted for Comment, please send an email to policies@utoledo.edu with "policies posted for comment" in the subject line.
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:
Academic - 1 policy
Policy Name: 3364-77-06 Transfer of Credit to Graduate Degree
Description: (Reaffirmation of existing policy)
Procedure
Scope: University of Toledo graduate students excluding those enrolled in JD, MD and
PharmD programs
Comment Period: March 23, 2026 - April 23, 2026
Comment on this policy: 3364-77-06
College of Medicine and Life Sciences - 3 policies
Policy Name: 3364-81-01-004-01 Individual Conflict of Interest in Education and Clinical Care
Description: (Minor revision of existing policy)
Scope: All University of Toledo Campuses
Comment Period: April 17, 2026 - May 17, 2026
Comment on this policy: 3364-81-01-004-01
Policy Name: 3364-81-01-008 Outside Activities and Conflict of Commitment
Description: (Major revision of existing policy)
Scope: All University of Toledo Campuses
Comment Period: April 17, 2026 - May 17, 2026
Comment on this policy: 3364-81-01-008
Policy Name: 3364-81-04-001-00 Curriculum governance of the MD Program
Description: (Minor revision of existing policy) Governance structure reworded for better understanding. Added language to include
House Bill 96 regarding the Authority and Oversight of the medical school curriculum.
A new section outlining how appointments, membership and voting occurs was added.
Scope: All University of Toledo Campuses
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-81-04-001-00
General Administration - 1 policy
Policy Name: 3364-5-18 Purchase of Misbranded and Cultivated-Protein Food Products
Description: (New policy)
Scope: All University of Toledo Campuses
Comment Period: March 23, 2026 - April 23, 2026
Comment on this policy: 3364-5-18
Information Technology - 2 policies
Policy Name: 3364-65-03 Technology Physical Safeguards
Description: (Minor revision of existing policy) Updated reference to data selection: Added detailed additional storage and identity
access methods. Other minor formatting and grammatical changes.
Scope: All University of Toledo organizational units
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-65-03
Policy Name: 3364-65-04 Security Access Safeguards
Description: (Minor revision of existing policy) Updated reference to data selection: Updated verbiage. Other minor formatting and
grammatical changes.
Scope: All University of Toledo organizational units
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-65-04
UTMC - 10 policies
Policy Name: 3364-108-404 Urgent Request for Uncrossmatched Blood
Description: (Minor revision of existing policy) Policy content did not change. Added updated Urgent Release of Uncrossmatched Blood
Form. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: April 17, 2026 - May 17, 2026
Comment on this policy: 3364-108-404
Policy Name: 3364-120-67 Observation Levels
Description: (Minor revision of existing policy) Removed duplication throughout document. Streamlined and removed extraneous information
to allow the policy to be clear and concise. Updated policy to reflect accurate orders
for observation. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: April 17, 2026 - May 17, 2026
Comment on this policy: 3364-120-67
Policy Name: 3364-170-04 Suicide Risk Screening & Assessment
Description: (Minor revision of existing policy) Clarified policy statement and procedure regarding suicide risk screening and/or assessment
as outlined in the Suicide Risk Screen Guideline.
Scope: University of Toledo Medical Center
Comment Period: April 17, 2026 - May 17, 2026
Comment on this policy: 3364-170-04
Policy Name: 3364-104-333 Diet Manual
Description: (Minor revision of existing policy) Clarified the nutrition manual used for pediatric patients. Updated year/version
of the Nutrition Care Manual. Updated reference to the diet manual and resources
found on the UTMC Clinical Portal. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-104-333
Policy Name: 3364-100-70-13 High Alert Medications
Description: (Major revision of existing policy) Clarified medication names, added and/or removed medications as appropriate. Updated
reference to guidance documents and policies. Provided updated references and location
of Electrolytes/Total Parenteral Nutrition. Other minor formatting and grammatical
changes.
Scope: University of Toledo Medical Center
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-100-70-13
Policy Name: 3364-133-90 Distribution of Controlled Substances for Research Use
Description: (Minor revision of existing policy) Streamlined policy references. Removed policies and references that are no longer
needed. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-133-90
Policy Name: 3364-133-96 Prescription Pad Management
Description: (Minor revision of existing policy) Changed Acudose to Automated Dispensing Cabinets (ADC’s) Changed reference to Physician
Assistant and Nurse Practitioner to Advanced Practice Providers (APP’s) with prescribing
authority. Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-133-96
Policy Name: 3364-135-064 MRI Contraindications
Description: (Minor revision of existing policy) Clarified implant or foreign body clearance is to be by MR conditional card based
on manufacturer specifications. Added clarification and requirements for contraindications.
Other minor formatting and grammatical changes.
Scope: University of Toledo Medical Center
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-135-064
Policy Name: 3364-101-109-01 University Counseling Center Billing for Services
Description: (New policy)
Scope: University of Toledo Medical Center
Comment Period: April 3, 2026 - May 3, 2026
Comment on this policy: 3364-101-109-01