ProgressNotes - Torrance Memorial Medical Center

Medical Executive Committee Approvals
The following items were presented and actions were approved at the December 14, 2010 Medical Executive Committee meeting:
Patient Care Policy/Procedure entitled, “Condition H (Help)”
Treasurer’s Report
October 2010 Treasurer’s Report
27 th Annual Holiday Festival Event Sponsorship for $18,000
Medical Staff Conference Grant for $20,000
Annual Assessment for 2011 Dues – $200.00
Department of Medicine
A. Speech Therapy Clarification Order
Department of Obstetrics & Gynecology
A. Delete Article II, Section 4 of OB/GYN Rules & Regulations
4. If no OB/GYN physician is available for delivery, the Labor and Delivery Registered Nurse on duty shall attend and
perform delivery.
This is outside the nursing scope of practice and places nursing at risk.
Department of Surgery
A. Revised Department of Surgery – General Surgery Privilege Card
Revision:
Privilege 94.38 EGD Placement with biopsy and dilation (intra-operative only)
Diagnostic
Biopsy
Therapeutic
Gastrointestinal Bleeding Non-variceal (ulcer hemorrhage or other)
Intestinal Dilation
GERD Therapy
Credentials Committee – Approvals filed in Medical Staff Services – please see Toni Woodard.
Institutional Review Board – Approvals filed in Medical Staff Services – please see Yumi Lee.
Interdisciplinary Practice Committee
A. Revised Standardized Procedure entitled, “Mother/Baby: Newborn Admission Protocol”
B. Revised Standardized Procedure entitled, “Dermal Ulcers (Pressure Ulcers) – Prevention and Care”
C. Revised Standardized Procedure entitled, “Emergency Measures”
D. Revised Standardized Procedure entitled, “Initial Pain Management”
Report of the General Staff Committee to the Board of Trustees
The following item was approved on November 27, 2010 by the General Staff and is presented to the Board of Trustees for
approval.
Bylaws Revision: 4.2 Active Staff; 4.2-1 Qualifications: The Active Staff shall consist of members who:
(b)
have an office within the following geographic boundaries: The Pacific Ocean on the West, Imperial Highway on
the North, Alameda to Henry Ford on the East, to the Pacific Ocean on the South. The boundary line on streets
set forth herein shall be the center of such streets. Members in good standing who were appointed to the Medical
Staff prior to the date when the foregoing geographic boundary provision became effective shall be exempt
from such geographic boundary provision. Such exemption shall be lost if such a member changes the address
of his or her professional office to another location outside of such boundaries. For good cause shown in the
best interests of patient care at the hospital and at the discretion of the Executive Committee of the Medical
Staff, an existing member of the staff may be granted an exemption from this geographic location requirement. A
member may appear before the Medical Executive Committee to present his position. Failure of the Executive
Committee to grant an exception shall not give rise to a right to a hearing under Article IX.
5