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might desire to do so, may direct appropriate inquiries through their supervisors to this
Committee.
Although physicians are deliberately not required to wear the Duke shield on their
white lab coats or house staff jackets, we encourage their wide use by physicians as an
indication of their pride in the Hospital and its employees.
4. Grooming
While on Hospital premises all employees are required to maintain standards of
dress and grooming that are consistent with good hygiene and professional conduct.
Female employees involved in patient care or related supportive
technical/professional services are required to style or restrain their hair so that it does
not fall forward off the shoulders. Afro style is certainly appropriate, but must be
modified within a 3-Inch radius from the scalp.
Likewise, extreme or exotic styles, such as bouffant or "after 5" styles, are
disapproved among Hospital employees on duty. Complementary hairpieces are
permitted if conservative, clean, secure, and do not provide a safety hazard.
• Male employees should likewise avoid extreme hair styles; those with patient care
or related responsibilities should wear their hair no longer than their shirt or jacket
collar; it must be kept clean. Afro style is appropriate if modified within a 3-inch
radius from the scalp.
In all specialty areas such as the O.R., Central Supply, food preparation or service
areas, where tKe probability of contamination is high or where sanitation standards or
health rules apply, the wearing of a surgical hood, hair net, or turban is required.
Beards, moustaches, and side burns must be kept neatly trimmed.
Fingernails should be clean and trimmed to moderate length.
5. Jewelry and ornaments
Uniformed employees are limited to the wearing of class, engagement, or wedding
rings, specialty pins or insignia, and wrist watch. Necklaces, bracelets, or other
non-functional ornaments are not to be worn with the uniform. Ear rings and hair
ornaments must be small, conservative in style, and functional, i.e. required to keep
perforated ears patent, or to hold long hair back of shoulders.
Non-uniformed employees or those wearing street clothes may wear functional and
complementary jewelry, as long as it is conservative. Hoop ear rings, "hippie beads",
large pendants, and head bands are not acceptable on the Hospital premises.
Sunglasses should not be worn while on duty within the Hospital, unless they
consist of tinted lenses, therap>eutically prescribed.
6. Shoes and hose
The dress code provides specific guidelines with respect to shoe styles appropriate
to most Hospital employees. Generally, employees having patient care or related
responsibilities must wear dress or uniform style shoes with appropriately quiet
heels. Modified open-toed dress shoes are permitted only in clerical or business offices.
Similarly, uniformed female employees are advised that white or neutral hose are
most appropriate with white or dress-style shoes.-Neutral hose are preferred for wear
with street clothes among secretarial and clerical personnel; colored hose, if subdued,
may be considered appropriate with certain coordinated outfits.
7. Apparel
The dress code specifies appropriate standards of dress for most of the employees
of the Medical Center. However, several additional principles should be stated for
clarification;
Pantsuits, either dress or uniform style, are authorized for many employees of the
Medical Center. However, only the two-piece "tunic" style may be worn within the
Hospital premises.
Miniskirts, culottes (skirt-type), and slack-coordinates may be worn by some
non-uniformed employees (notably departmental office personnel outside
patient-contact areas), if approved by their supervisor. Employees are expected to
know what is appropriate, practical, and functional not only for the physical demands
of their job but also for their personal physical dimensions.
Supervisors are authorized to require modification of hemlines, or other features of
the employee's dress, when accepted Hospital standards are not observed.
The dress code prohibits the indiscriminate use of lab coats as an outer garment in
patient-contact or public areas of the Hospital. Employees for whom the wearing of
lab coats is not permitted are encouraged to use a sweater when warmth is required.
The following are specifically prohibited for wear by employees while on duty on
Hospital premises:
Hot pants
Shorts
Pedal pushers
Jeans, cut-offs, or "wranglers"
See-thru or transparent blouses
T-shirts (as outerwear)
B. Specific Requirements:
The dress code contains relatively little that is new. It represents an analysis of the
responses to questionnaires and personal interviews conducted several months ago
with over 350 supervisory personnel, physicians, nurses, lab directors, and
administrative officials. Most of these persons subsequently polled employees under
their direction before responding to this Committee's request for information
concerning:
Current or prevailing standards of dress
Problems arising therefrom
Desirable changes, as expressed both by the supervisors and their staffs.
Wherever feasible, recommended changes have been introduced. Basically, this
document provides a comprehensive statement of existing Medical Center policy and
adds the elenrients of urgency and enforcement. It is, of course, subject to continuing
revision.
The format consists of an alphabetical listing of major Job categories within the
Medical Center. Most employees will readily identify their job description or title
herein; some may have to check with their supervisors. Those employees who clearly
are nof covered by the provisions of this code remain subject to standards of personal
apF>earance established by their supervisors.
Requests for clarification or revision should be directed through the supervisor to
the appropriate Assistant Hospital Director or to this Committee.
The following categories of personnel are covered in the dress code, copies of which
may be obtained for reading from supervisors:
Administrative officers; anesthesia personnel (excluding physicians and nurses, who
are covered elsewhere) including medical supply assemblers and patient care
technicians; candy stripers; central supply personnel including inventory record clerks
and medical assemblers; chaplain's service; clinic assistants; data terminal operators;
dental and oral surgeons; dieticians; dietetics personnel; dietetics-food service
supervisors and food service supervisors in milk lab.
Environnnental services; escort service; Eye Center personnel; Hospital Auxiliary
volunteers; I.V. team nurses; mail room personnel; Medical Center Engineering and
Operations including maintenance personnel, maintenance supervisors and valet
parking attendant; medical records personnel; medical students including those in
pre-clinical studies, clinical studies, and on externships or other hospital duties;
medications assistants.
Messenger services including blood bank messenger, central messenger service,
central supply messenger, community health sciences messenger, Drake Pavilion
messenger, equipment room messenger, heart station messenger, hospital business
office messenger, laundry service messenger, M.O.P.C. messenger. O.R. transportation
attendant, pharmacy messenger (including pharmacy aide), physical therapy messenger
(including aide), radiology messenger and S.O.P.C. messenger.
Nott Ward personnel including administrative physician's assistant, registered nurse,
L.P.N. and A.L.P.N. and Advanced P.C.A.; nurse anesthetists including students, nurse
epidemiologist and environmentalist; nurses-departmental and divisional R.N.s and
L.P.N.s; Nursing service R.N.s and L.P.N.s on general hospital wards and special care
units; nursing students including those from Duke School of Nursing, R.N. students
from other schools and L.P.N. students.
Orthotics and prosthetics personnel; operating room nurses including R.N.s and
L.P.N.s, operating room personnel (non-nursing) including medical supply assembler,
O.R. clerical personnel, O.R. housekeeping personnel, O.R. transportation attendant
(included under messenger services), saub technician and surgical attendant; patient
care assistant (P.C.A.); pharmacist; pharmacy technician; physical therapist; physical
therapy attendant.
Physicians including house staff physicians, attending staff, chief residents and
fellows; physician's associates including graduate and student P.A.s; professional nurse
assistant (P.N.A.); public safety officer; receptionist or registrar; respiratory therapist;
secretarial or clerical personnel; social service representative; technologist, technician
and lab assistants in non-patient areas.
Technologist, technician and lab assistants in patient areas including anesthesiology
blood gas lab, blood bank nurse and technical personnel, cardiac cath lab nurse and
technician, central lab collection, E.R. lab and micro-chem lab including clerks, EEG
lab, endocrinology lab. gastroenterology lab, heart station-EKG techriician.
hematology lab, hemodialysis lab, nuclear medicine, O.P.C. lab. pediatric cardiac cath
lab, f»diatric hematology lab, private medical clinic, psychodiagnostic lab. pulmonary
function lab, radiation therapy, radiology (diagnostic division) and vectorcardiogram
lab.
Telephone operators; therapists in speech pathology including students; and unit
service personnel.