University of Colorado Hospital Policy and Procedure Professional Appearance Related Policies and Procedures: Identification of Employees Employee Discipline Approved by: Human Resources Subcommittee Administration Executive Council Effective: 4/95 Reviewed: 9/04 Description: The purpose of the policy is to ensure that employees present an appearance that reflects positively on the Hospital and complements an environment that reflects an efficient, orderly, service-focused, and professionally-operated organization. Patient confidence and is enhanced when staff are professionally attired and clearly identified. Accountability: All CARE Team members are responsible for their personal appearance in the work place. All management and supervisory staff are responsible for communication and enforcement of this policy. The manager makes the determination of appropriateness and provides direction regarding acceptability of attire. Employees who violate the Professional Appearance policy may be reprimanded, sent home to change, sent home for the day, and ultimately terminated. Employees who are sent home to change are not compensated for the time away from work. Definitions: 1. "Appropriately Fitting" refers to clothing that is not too tight, not too loose and not too revealing. 2. "CARE Team Members" refers to all UCH employees and non-employees providing any service on the UCH premises. 3. "Business Casual" attire refers to dresses, tailored or docker-type slacks; open-collar, polo-styled or collared shirts; sweaters and turtlenecks; skirt/slacks with blouse combinations; and, pantsuits. Sports coats and ties are optional. Business Casual attire is also referred to as "office wear", "office attire" or "Dress for Your Day". Business Casual attire may be worn by all non-clinical or office CARE Team members and describes the most casual attire permitted. 4. "Clinical Wear" refers to clinical uniforms and/or lab coats. Clinical departments may designate color-coordinated or white slacks/skirts with color-coordinated tops or collared shirts as the department standard. Colored scrubs, except surgical green, are also acceptable uniforms for clinical staff. Clinical Wear is worn by CARE Team members who provide direct patient care. 5. "Formal Business" attire refers to business suits, sport coats and tie for men or business suits, pants suits and dresses for women. Formal Business attire is typically worn by management and CARE Team members who have frequent contact with outside business associates. Policy: This Professional Appearance policy applies to all CARE Team members working in all jobs and all departments. The guidelines represent minimum standards and are not intended to be an exhaustive listing of acceptable and unacceptable attire. It is expected that employees will exercise good judgment regarding attire and maintain a neat, well groomed, and pleasing personal appearance and hygiene at all times. Department managers determine whether appropriate wear for CARE Team members is Clinical Wear, Business Casual or Formal Business attire. Procedures: A. Identification Badge -- An unaltered CARE Team Member Identification Badge must be worn and remain visible to patients and staff at all times. Badge should be worn above the waist, either clipped to clothing or around the neck attached to a break-away lanyard. B. Image -- Attire must be clean and pressed. Casual clothing or an unkempt appearance is inconsistent with the professional image and reputation of UCH. C. Acceptable Attire and Appearance-- The job function and department designate acceptable attire. Generally, acceptable professional attire includes skirts, pants and clothing that covers the back, shoulder, and midriff. Proper attire and appearance includes: 1. Females – Clinical Wear, Formal Business or Business Casual attire as designated by the department position. Generally, appropriately fitting dresses, suits, skirts or slacks with blouse, collared shirts or sweaters are appropriate. Hemlines and slits should be no shorter than two (2) inches above the knee. 2. Males – Clinical Wear, Formal Business or Casual Business attire as designated by the department position. Generally, a collared shirt with or without a tie, polo shirt, docker-type slacks, sweaters and vests are acceptable. 3. Lab Coats -- Employees who care for patients in non-routine or emergent situations should wear lab coats or other protective attire when in the patient environment. 4. Hosiery -- Socks or hosiery must be worn at all times. 5. Footwear -- Footwear must be of a professional style and color with a heel height appropriate to the type of work performed. Shoes must be clean, well-polished and in good repair. The supervisor may approve white or black, leather, athletic- type shoes that match the uniform. For safety reasons, adequate foot protection that encloses the foot and heels two inches or less are generally required in all work areas. Dressy sandals are acceptable with appropriate hosiery in office environments. Additional protective footwear (e.g., boots) may be required in certain work environments (e.g., warehouse). 6. Jewelry -- 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 in any way with job performance or safety. Persons providing patient care are asked to limit jewelry and accessories for safety reasons. Jewelry or other items that may pose any form of safety hazard is forbidden. Piercing jewelry is limited to the ears. No other jewelry may be worn in piercings on the face, head, neck or other visible parts of the body. 7. Hair -- Hair longer than shoulder length is to be tied back or contained in a net if the CARE Team Member is completing duties in a patient area or other area where nets are required by department dress guidelines or other regulation. Hair color should be natural looking; extremes in dying, bleaching, coloring and styling are not permitted. 8. Facial Hair -- Facial hair (mustaches, beards, sideburns) is acceptable provided it is clean and neatly trimmed. 9. Make-up -- Make-up should be natural looking and not of extreme colors. 10. Nails -- Fingernails should be kept clean. If polish is used, it should be complimentary to the skin tone, avoiding extreme colors. Nail charms or decals on fingernails are not permitted. For clinical areas, nail length should not exceed 1/4 of an inch beyond the fingertip. D. Unacceptable Attire/Appearance includes: 1. Clothing that is faded, stained, discolored, torn, patched, ripped, frayed, or missing buttons. 2. Excessively tight, short or misfitted attire; revealing clothes (such as crop tops, tank tops, halter/tube tops, backless, spaghetti straps or muscle shirts); see- through clothing; denim jeans or skirts of any style or color; leggings, stirrups or spandex; shorts, skorts, pedal pushers or capri pants; gym, athletic, or sweatshirts/sweatpants; tee-shirts; patient gowns; and the like. 3. The wearing of green scrub attire or cover/isolation gowns unless required by the employee's job. 4. Hats or caps unless part of a required uniform. 5. For safety reasons, in patient care areas and all areas where heavy or moving equipment is in use, the following are not permitted: platform shoes, high heels, open-toed shoes, or sandals. Flip-flops, Birkenstock-style sandals, moccasins, patient slippers, and cloth, nylon or canvas-covered sneakers/athletic shoes are not permitted in any work area. 6. Clothing that creates a distraction or disturbance from a positive business environment or a service focus. Articles of clothing that advertise, denote gang involvement or racial/ethnic/sexual messages are prohibited in the work place as well as items (including buttons, hats, caps, etc.) with offensive slogans or pictures, political slogans and/or derogatory words. Tattoos or body art must be covered if the CARE Team member has patient, family or customer contact. E. Hygiene -- Employees must exhibit good personal hygiene at all times. This means clean nails, teeth, hair, shoes, body, and clothes. Body odor and bad breath are offensive to patients and co-workers. Fragrances are unacceptable in patient care areas. F. Green Scrubs -- Certain areas of the hospital, such as the Operating Room and Cardiac Cath Lab are required to maintain an aseptic environment and the staff are provided hospital-issued scrubs. These scrubs are green in color and are labeled with the UCH name prior to being put into service. CARE Team Members shall change into and out of scrub attire in their assigned work areas. To reduce the danger of acquired hospital infection and to reduce the risk of exposure to infectious agents, Surgical Greens must be laundered on-site or by the vendor, and shall not leave the hospital premises. Surgical Green scrubs may be worn only in approved departments and appropriate cover gowns must be worn when leaving the areas.