Hospital protocols are typically developed by a multidisciplinary team that includes nurses, physicians, infection control specialists, and other healthcare professionals. The process often involves: - Reviewing Evidence-Based Practices: Ensuring that protocols are grounded in the latest research and clinical guidelines. - Consulting Regulatory Guidelines: Adhering to standards set by bodies such as the Joint Commission and Centers for Medicare & Medicaid Services (CMS). - Pilot Testing: Implementing the protocol on a small scale to identify any issues before a full rollout. - Continuous Review and Update: Regularly updating protocols to incorporate new evidence, technologies, and regulatory changes.