Clincal Rotation Sites Dress Code(s)

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1 Identification White Coats ID Badges must be worn and remain visible to patients and staff at all times. Clean white coat that specifies the physician or student s name and department. Unaltered staff member ID badge must be worn and remain visible to patients and staff at all times, not covered by items that obstruct legibility of names and/or photos. ID Badges must be worn and visible at all times. ID Badges must be worn above the waistline with the picture side of the badge visible at all times. If badge is displayed on lanyard, it must be a break-away variety. Mechanisms used to display badges must be cleaned regularly. Badges are to be worn at all times while on duty, with the photo/name side clearly visible in a location no lower than mid-chest level. Surgeons, anesthesiologist, OB/GYN, and ED physicians may continue to wear scrubs. When not in their work area, a white coat should be worn over scrubs. Identification badges must be worn in clear view, above the waist, with employees name and picture visible to the patients and staff at all times while on duty, with the photo/name side clearly visible in a location no lower than midchest level. Employees who care for patients in nonroutine or emergent situations should wear lab coats or other protective attire when in the patient environment. Hospital-based physicians should wear white coats (pediatricians excepted). Shoes / Footwear Jewelry/Tattoos Footwear should be appropriate to the work setting, clean, wellpolished Footwear must be of a professional style with a heel height appropriate to Shoes must be clean and in good repair. Height and style supporting safety and infection and in good repair. Patient care teams may not wear open-toed shoes. the type of work performed. control in work environment. Thong style shoes/flip flops/beach sandals are prohibited. Patient Care Team may not wear open-toed shoes. Patient Care Team must wear shoes with fully enclosed heels, secured with a heel strap for Clothing, pins, buttons, emblems or insignia bearing a political, controversial, inflammatory or provocative message are not permitted. Protective footwear may be required in certain work environments pursuant to departmental policy. Jewelry must not interfere with job performance or safety. Shoes must be clean, well-polished, and in good repair. All footwear must meet safety standards. Footwear must be of a style and color with a heel height appropriate for the type of work performed. Dress sandals with open toes are acceptable in office and administrative environments as long as there is not a safety concern or such footwear is contrary to department needs. Tennis/sport shoes or Crocs may not be worn in an office setting with professional business attire including, but not limited to dress slacks, suits, skirts, and dresses. Tennis/sport shoes or Crocs may be worn in areas where nursing-style shoes are typical. Flip-flops and casual sandals are not allowed. Sport shoes, including Crocs and similar footwear are not to be worn in an office or administrative environment, but may be allowed in other areas. Employees working in patient care areas may not wear open-toed shoes at any time during their shift. Clean black or white sport shoes may be worn, as approved by management, but not with professional office attire. Jewelry and other accessories, if worn, must be professional and appropriate for safety in patient care areas. Any jewelry worn must be appropriate for environment and the safety of staff and patients. OSHA Standard 29CFR : Protective footwear when employees are working in areas where there is a danger of foot injuries due to falling or rolling objects, or objects piercing the sole and where there is a possibility of the employee's feet being exposed to electrical hazard. Adequate foot protection that encloses the foot and heels, two inches or less, are generally required in all work areas. Employees who work in administrative, non-patient care areas may wear opentoed shoes but not flip flops. Employees working in patient areas or around machinery should not wear hanging jewelry, hair ornaments, pins, or chains that may constitute a personal safety hazard. Jewelry is defined as, but not limited to rings, watches, necklaces, earrings, anklets, bracelets and hair ties. Jewelry and accessories should be small, unobtrusive, and limited to that which provides a simple, conservative, and professional appearance. Jewelry must not interfere with job performance or safety. Ear piercings less than 1/4" in diameter and small hoops may be worn. Persons provide patient Ear piercings including care are asked to limit studded earrings and small jewelry and accessories for hoops; gauged earrings, less than ¼ in in diameter may be worn. Jewelry or other items that may pose any form of safety hazard, is forbidden. Jewelry/Tattoos, Every effort must be made to cover visible tattoos. A small stud on the side of the nose may be worn. Jewelry and accessories worn by any employee should be limited to that which provides a simple, conservative, and professional appearance. Inappropriate/Not Permitted Persons providing patient care are asked to limit jewelry and accessories for **Pins, buttons, jewelry, emblems, or insignia bearing a political, controversial, inflammatory, or provocative message. **Jewelry adorning body piercings, other than ears and nose (as described above). Tongue jewelry is not permitted. Jewelry should not come into contact with patients or be such that it may become caught in machinery or equipment. Pins and other jewelry that advertise are strictly prohibited. Employees are required to cover tattoos with appropriate covering in order to create a non-threatening, professional environment for our patients and visitors. Coverings typically would mean wearing collared or long-sleeve shirts, etc. 1 of 5 7/23/2013

2 Tattoos/Body Art Small tattoos (no larger than 2 x 2 ) are acceptable on legs, feet and ankles. All other tattoos must be covered wherever practical. Tattoos that may be construed as vulgar or offensive are not permitted. Every effort must be made to cover visible tattoos. Employees are required to cover tattoos with appropriate covering in order to create a non-threatening, professional environment for our patients and visitors. Coverings typically would mean wearing collared or long-sleeve shirts, etc. Single, small tattoos, such as an ankle flower, a bracelet, or a ring tattoo are permitted, provided they are not on the face and do not cover more than approximately two square inches of skin. Tattoos Body Piercing Jewelry: Jewelry, body piercing and tattoos must not be offensive or excessive in size or quantity. Body piercing hardware that is offensive or excessive in size or quantity should not be visible or should be removed during the employee's tour of duty. Supervisors will determine what is offensive or excessive. Employees may wear up to two earrings in each ear and/or a single small nostril post not greater than oneeighth (1/8) inch across. No other jewelry may be worn in piercings on the face/head/neck/ears or other visible parts of the body. Men Specific Hair extending below the collar is required to be tied back. Mustaches, beards and sideburns must be neat, clean and well-trimmed. Clothing must reflect a professional image - dress-type pants, shirts and ties (unless clinical areas require specific infection control attire) are expected. No athletic wear including hoodies, spandex or shorts. Clothing should fit properly and be clean and pressed. Mustaches and beards must be groomed and clean. Facial hair may not interfere with the use of personal protective equipment. Clothing must be clean, unwrinkled, stain-free, properly fitting, and in good repair. Employees who have multiple, visible piercings must not wear more than the allowable amount and will be asked to remove all jewelry from piercings in excess of the allowed earrings or nasal post. Jewelry worn in pierced tongues is considered visible jewelry. Male physicians should wear dresstype pants and collared shirts (no polo or Casual Business attire as designated by Clinical Wear, Formal Business or casual shirts). the department position. Generally, a collared shirt with or without a tie, polo shirt, or Docker type slacks, sweaters and vests are acceptable. Appropriate Uniforms are to be worn as required by department and/or division dress codes. undergarments must be worn. Facial hair (mustaches, beards and sideburns) are acceptable provided it is clean and neatly trimmed so that no hair underlies the seal of a respirator. Men Specific, Length and style that does not interfere in performing normal duties. Clothing must have a modest neckline. Scrubs may be required in designated/sterile areas. If required, hospital furnished, freshly laundered scrubs must be put on upon arrival at work and may not be worn to/from CHCO. Uniforms may be required in designated areas. Length and fit of all attire is to be in accordance with that acceptable in a Unacceptable attire includes, but is not limited to, denim blue jean-style clothing of any color; shorts, sweat suits, sweat pants, and sweat shirts, or warm-up suits; coveralls; cutoffs; tee shirts with advertising, membership, political, or sayings displayed; patient or isolation gowns; hats not part of a medical center uniform; sunglasses (unless the employee is outside, or there is a medical reason to wear them). Tee shirts and other clothing that are obviously undergarments may not be worn for any purpose other than as undergarments. Socks or hosiery should be appropriate to the overall environment, manner of dress, and/or duties performed. Fingernails are to be clean and groomed. Excessive use of fragrance or aftershave lotion may cause severe allergic reactions for some person and should be avoided. Fragrances will be used conservatively, especially in patient care areas where ill patients may be affected. Uniforms must be maintained in good condition, clean and worn as recommended by Dept Manager. Lab coats and ties must be laundered regularly. If clothing becomes contaminated with blood or other infectious material, remove clothing, place in a blue plastic linen bag, change into scrubs and take contaminated clothing to Material Management. CHCO and related/affiliated organizations logo clothing, in good repair, may be worn with Dept. Mgr. approval Isolation gowns should be worn for their identified purpose only. They are intended for use in specified areas only and must be removed when leaving those areas. Tee shirts associated with specific hospital functions (City Team Week, Nurses Week, PT Month, etc.) are acceptable during a designated period as defined by management. 2 of 5 7/23/2013

3 Inappropriate / Not Permitted: tight/sheer/provocative clothing, visible undergarments, displaying bare midriffs or torsos, Spandex of any type, tube/halter/tank tops, athletic attire/sweatsuits/hoodies, denim pants of any color, cargo pants, capri pants, shorts, hats unless part of dept uniform or worn for health/religious reasons. Manager may determine if attire is appropriate for assignment/business needs. Women Specific Clothing must reflect a professional image. Hosiery or leggings should be worn with any skirt above the knee, with nothing shorter than 2 inches above the knee. No visible undergarments or athletic wear. Clothing should cover back, shoulders and midriff with a modest neckline (no cleavage). Clothing should fit properly and be cleaned and pressed. Length and style that does not interfere in performing normal duties **Clothing bearing commercial advertising or a political, controversial, inflammatory, or provocative message Clothing must be clean, unwrinkled, stain-free, properly fitting, and in good repair. Female physicians should wear dress Clinical wear or Business Casual attire pants or skirts and a dress-type shirt (not as designated by the department polo type or casual shirt) or suit or dress. position. Generally, appropriately fitting Corduroy pants and Capri pants are not dresses, suits, skirts or slacks w/blouses, dress pants. collared shirts or sweaters are appropriate. Hemlines and slits should not be revealing and of conservative length appropriate for a healthcare environment. Appropriate undergarments must be worn. Women Specific, No spandex pants, shorts or capris. Unless previously approved, no jeans, denim, cargo pants or shorts. When in question, avoid anything sleeveless, tight, sheer or provocative. Clothing must have a modest neckline. Scrubs may be required in designated/sterile areas. If required, hospital furnished, freshly laundered scrubs must be put on upon arrival at work and may not be worn to/from CHCO. Skirt and dress length must be at or below the knee. Denim skirts and dresses (knee length) may be worn; overall appearance must be professional Tailored Capri pants (calf length) may be worn. Uniforms are to be worn as required by department and/or division dress codes. Length and fit of all attire is to be in accordance with that acceptable in a Women s tops must not be low cut so as to be revealing and be appropriately buttoned so that cleavage is NOT visible. Unacceptable attire includes, but is not limited to, denim blue jean-style clothing of any color; shorts, pedal pushers, or Capri pants that are casual or beach attire; stirrup pants; spandex pants, skirts, dresses, or blouses/shirts; leggings, sweat suits, sweat pants and sweat shirts, or warm-up suits; coveralls; cutoffs; tee shirts with advertising, membership, political, or sayings displayed; tank, halter, tube, or spaghettistrap tops; see-through clothing; clothing that exposes bare midriffs; backless clothing; patient or isolation gowns; skirts shorter than mid-thigh, metallic fabrics; hats not part of a medical center uniform; hats not part of a medical center uniform; sunglasses (unless the employee is outside, or there is a medical reason to wear them). Tee shirts and other clothing that are obviously undergarments may not be worn for any purpose other than as undergarments. Socks or hosiery should be appropriate to the overall environment, manner of dress, and/or duties performed. Make up should be appropriate for a Fingernails are to be clean and groomed. Polish is acceptable provided it is not chipped. In patient care or food preparation areas, no acrylic nails or gels, no nail charms or decals on fingernails; nail length should not exceed 1/4 of an inch beyond the fingertip. Refer to ECHCS Policy , Hand Hygiene. For employees in non-patient care areas, acrylic or gel nails are permissible; nail charms are not appropriate. Excessive use of fragrance or aftershave lotion may cause severe allergic reactions for some person and should be avoided. Fragrances will be used conservatively, especially in patient care areas where ill patients may be affected. Uniforms may be required in designated areas and must be maintained in good condition, clean and worn as recommended by Dept Manager. Lab coats and ties must be laundered regularly. If clothing becomes contaminated with blood or other infectious material, remove clothing, place in a blue plastic linen bag, change into scrubs and take contaminated clothing to Material Management. CHCO and related/affiliated organizations logo clothing, in good repair, may be worn with Dept. Mgr. approval Isolation gowns should be worn for their identified purpose only. They are intended for use in specified areas only and must be removed when leaving those areas. Tee shirts associated with specific hospital functions (City Team Week, Nurses Week, PT Month, etc.) are acceptable during a designated period as defined by management. 3 of 5 7/23/2013

4 Inappropriate / Not Permitted: tight/sheer/provocative clothing, visible undergarments, displaying bare midriffs or torsos, Spandex of any variety, tube/halter/tank tops, tops or dresses w/spaghetti straps, athletic attire/sweatsuits, hooded sweatshirts (hoodies), denim pants of any color, cargo pants, capris pants, shorts, hats unless part of uniform or worn for health/religious reasons. Manager may determine if attire is appropriate for assignment/ business needs. Hair Hair should be clean and kept at a reasonable length. Hair color or style may not be extreme. Facial hair must be neat, clean and well-trimmed. Employees must exhibit good personal hygiene at all times. Clothing bearing commercial advertising or a political, controversial, inflammatory, or provocative message is not permitted. Hair must be clean and well groomed. Hair color or style may not be extreme. Long hair must be contained so as not to drape or fall into work area. Appearance should be neat and clean with a professional image appropriate to the area served. Hair longer than shoulder length is to be tied back or contained in a hairnet if working in patient care areas or other areas where hairnets are required by department dress guidelines or other regulations. Hair, Nails Long hair should not fall into work areas. Fingernails should be clean and of appropriate length; artificial nails are prohibited. Hair should be clean and groomed. Staff working in patient areas or areas where a net is required must adhere to departmental guidelines. Clean nails Fingernails should be kept clean and of appropriate length. For clinical areas, nails should be kept short for safety purposes. Artificial nails and nails with decals are prohibited to those providing direct patient care. Nails must be clean and well groomed Due to increased incidence of healthcare acquired infections artificial nails cannot be worn by * **Direct Patient Caregivers Hair is to be neat, clean, and neatly groomed. Hair is to be of a natural color and shade, and of an appropriate length. Hair longer than shoulder length is to be tied back or contained in a net if the employee is completing duties in patient care areas or other areas where nets are required by department dress code or other regulation. Facial hair is acceptable, provided it is neatly trimmed close to the skin. Fingernails are to be clean and of a normal length. Wearing of artificial nails by direct and indirect patient caregivers and others with direct patient contact is prohibited. Personal Hygiene Odor/Teeth Personal Hygiene Appearance/ Clothing Scent of fragrance or tobacco should be limited/minimized to avoid allergies. Teeth shold be cleaned daily. Appearance should be neat and clean with professional image. Make-up should be conservative. Clean teeth, clean body and no fragrances for CARE team members giving direct patient care. Clean shoes, clean clothes. **Surgical Personnel **All staff who prepare products for patients such as Pharmacy, Blood Bank **All staff who prepare food **All staff involved in cleaning processes such as Sterile Processing, Environmental Services Staff members must maintain a clean body that is free from odors Fragrances are discouraged due to the potential negative effect on patients and staff with sensitivities. Body odor and bad breath are offensive to patients and to coworkers. Necessary steps are to be taken to prevent these problems. Common sense and moderation should be employed in the application of fragrances, cosmetics, etc. Physicians should set the standard for looking professional. All clothing must be clean, neat, ironed, and in good repair. Extremes in clothing, hairstyles, jewelry, and colors are not allowed. Scrubs Scrubs may be worn in any clinical situation where appropriate but, in general, only when required by patient needs such as when on-call inhouse overnight, in the OR, on the labor deck, in the ER, etc. A white coat should be worn over scrubs whenever possible. Scrubs should NOT be worn in clinic on a regular basis except when provider may be called to go quickly to patient care areas that require the use of scrubs. Color-coded scrubs Surgeons, anesthesiologists, OB/GYN, and ED physicians may continue to wear scrubs. When not in work area, a white coat should be worn over scrubs. 4 of 5 7/23/2013

5 Scrubs should NOT be worn outside of clinical work areas. Denver Health-issued scrubs are to be worn by the OR, OB, Dental, Nursery staff,patient care areas, and those assigned to specialty areas. 5 of 5 7/23/2013

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