Regional Policies
Disclaimer: Please be advised that printed versions of any policy, or policies posted on external web pages, may not be the most current version of the policy. Although we make every effort to ensure that all information is accurate and complete, policies are regularly under review and in the process of being amended and we cannot guarantee the accuracy of printed policies or policies on external web pages. At any given time the most current version of any WRHA policy will be deemed to apply. Users should verify that any policy is the most current policy before acting on it. For the most up to date version of any policy please call 204-926-7000 and ask for the Regional Policy Chair's office.
Governance & General Administration
- 10.00.010 Smoke-Free Policy (PDF, 105 KB)
- 10.00.035 Board Spokesperson (PDF, 45 KB)
- 10.00.040 Public Access to Board of Directors and Board Documents (PDF, 43 KB)
- 10.00.050 Financial Commitments Authorization (PDF, 190 KB)
- 10.00.105 WRHA President and CEO Performance Evaluation (PDF, 323 KB)
- 10.00.110 Industry Relationships
- 10.20.025 Use of Portable Electronic Devices and Personal Computers (PDF, 103 KB)
- 10.20.042 Staff Use of Cell Phones and other Wireless Communication Devices – Interference with Medical Equipment (PDF, 129 KB)
- 10.20.050 Personal Vehicles - Transportation of Passengers / Materials in support of WRHA Activities (PDF, 109 KB)
- 10.30.020 Media Relations (PDF, 47 KB)
- 10.30.030 Elections & Political Access (PDF, 35 KB)
- Guidelines for Public Interactions with WRHA Social Media (PDF, 536 KB)
- 10.40.280 Audio, Video and Photographic Recordings (PDF, 180 KB)
- 10.50.010 Complaint Management and Reporting Health Care Experience (PDF, 112 KB)
- 10.050.020 Patient Safety Events: Management and Disclosure of Occurrences, Near Misses and Critical Incidents (PDF, 603 KB)
- 10.50.040 Critical Incident Management and Learning (PDF, 111 KB)
- 10.50.045 Critical Occurrence Reporting and Management (PDF, 84 KB)
- 10.50.080 Ethical Conduct of Research (PDF, 284 KB)
- 10.60.010 Access for Persons with Service Animals (PDF, 156 KB)
- 10.60.020 Support Persons for People Disabled by Barriers (PDF, 218 KB)
- 10.60.030 Accessibility for Persons with Disabilities: Customer Service (PDF, 181 KB)
Rules & Regulations: Privacy / Confidentiality
- 10.40.020 Confidentiality of Personal Health Information (PDF, 93 KB)
- 10.40.040 Access to Personal Health Information (PDF, 285 KB)
- 10.40.050 Access to, Disclosure of and Corrections to the Clinical Record under the Mental Health Act (PDF, 150 KB)
- 10.40.070 Collection of Personal Health Information (PDF, 97 KB)
- 10.40.080 Correction of Personal Health Information (PDF, 201 KB)
- 10.40.090 Disposal of Confidential Material, Including Personal Health Information (PDF, 35 KB)
- 10.40.100 Use of Personal Health Information (PDF, 163 KB)
- 10.40.105 Consent to Use or Disclosure of Personal Health Information (PDF, 158 KB)
- 10.40.110 Reporting and Investigating Privacy Breaches and Complaints (PDF, 204 KB)
- 10.40.120 Security and Storage of Personal Health Information (PDF, 138 KB)
- 10.40.130 Transmission of Personal Health Information Via Facsimile (PDF, 76 KB)
- 10.40.140 Disclosure of Personal Health Information to Police (PDF, 93 KB)
- 10.40.141 Disclosure of Personal Health Information Without Consent (PDF, 153 KB)
- 10.40.142 Disclosure of Personal Health Information Requested for Legal Proceedings (PDF, 63 KB)
- 10.40.143 Disclosure of Personal Health Information to Religious Organizations (PDF, 59 KB)
- 10.40.144 Disclosure of Personal Health Information for Health Research (PDF, 50 KB)
- 10.40.145 Disclosure of Information to Affiliated Foundations (PDF, 85 KB)
- 10.40.150 Personal Health Information Disclosure Due to Risk of Serious Harm (PDF, 243 KB)
- 10.40.170 Privacy of Personal Information Under the Freedom of Information and Protection of Privacy Act (PDF, 148 KB)
- 10.40.190 Access to Information Under The Freedom of Information and Protection of Privacy Act (PDF, 151 KB)
- 10.40.200 Correction of Personal Information under The Freedom of Information and Protection of Privacy Act (PDF, 344 KB)
Rules and Regulations: French Language Services
- 10.40.220 French Language Services – General Policy (PDF, 400 KB)
- 10.40.230 French Language Services – Communications in Official Languages (PDF, 431 KB)
- 10.40.240 French Language Services – Designation of Bilingual Sites and Positions (PDF, 297 KB)
- 10.40.250 French Language Services – Recruitment to Designated Bilingual (English / French) Positions (PDF, 351 KB)
Human Resources: Standards of Conduct
- 20.10.010 Conflict of Interest (PDF, 304 KB)
- 20.10.040 Respectful Workplace (Applicable to All Staff) (PDF, 369 KB)
- 20.10.060 Disclosure of Staff Concerns / Whistle Blower (PDF, 147 KB)
Human Resources: Workplace Safety & Health
- 20.20.030 Workplace Safety And Health (PDF, 284 KB)
- 20.20.040 Violence Prevention Program for Health Care Workers (PDF, 265 KB)
- 20.20.050 Latex Safe Environment for Staff (PDF, 76 KB)
Human Resources: Recruitment & Hiring Practices
- 20.30.030 Graduate Nurse Scope of Practice (PDF, 284 KB)
- 20.30.040 Security Checks for Employment (PDF, 180 KB)
- 20.30.050 Immunization and Tuberculin Testing (PDF, 103 KB)
- 20.30.120 Take Our Kids to Work (PDF, 112 KB)
- 20.30.130 Job Shadowing (PDF, 64 KB)
Human Resources: Resignation & Retirement
- 20.70.010 Exit Interviews (PDF, 369 KB)
Finance
- 30.10.130 Contracting and Purchasing (PDF, 370 KB)
Contingency Planning
- 50.00.010 Codes: Standardized Emergency (PDF, 48 KB)
Security & Protection Services
- 65.40.010 Photo Identification (ID) (PDF, 89 KB)
Health Information Services
Patient / Client / Resident Services
Infection Prevention & Control
Volunteer Services
Clinical / Program Services
- 110.000.025 Restraints Minimization - Acute Care Facilities (Adult) (PDF, 392 KB)
- 110.000.200 Advance Care Planning - Goals of Care (PDF, 4 MB)
- 110.000.370 Client Identification (PDF, 98 KB)
- 110.000.380 Medication Reconciliation (PDF, 277 KB)
- 110.000.390 Latex Safe Environment for Patients (PDF, 234 KB)
- 110.000.400 Medical Assistance in Dying (PDF, 122 KB)
- 110.000.420 Allergy and Intolerance Documentation (PDF, 488 KB)
- 110.025.030 Permanent Pacemaker Handling after Death (PDF, 77 KB)
- 110.025.040 Implantable Cardioverter Defibrillator Handling after Death (PDF, 160 KB)
- 110.130.050 Restraint and Protective Devices in PCHs, Use of (PDF, 187 KB)
- 110.130.070 Personal Care Homes - Resident Social Leave (PDF, 62 KB)
- 110.130.080 Personal Care Home Bed Cancellation (PDF, 307 KB)
- 110.220.050 Visitors and Control of Traffic - Operating Room (including Obstetrical Operating Room) (PDF, 111 KB)