Medical Staff House Staff Orientation Manual - Montefiore Medical ...

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MMC must permit an individual the right to request restrictions relating to uses or disclosures of PHI about the individual to carry out treatment, payment or health care operations. When possible, the request should be submitted in writing. MMC will accommodate reasonable requests from individuals to receive communications of PHI by alternative means or alternative locations. Requests should be submitted in writing. CONTACT Privacy Officer 718-920-4728 ADVANCED DIRECTIVES- HEALTH CAR PROXIES AND LIVING WILLS Administrative Policy and Procedure JH41.1 Note: This summary contains the key points of this policy. For a complete understanding of all the relevant provisions, it is necessary to thoroughly read the full policy. WHAT: Advance directives are written or oral health care wishes expressed by a person with decisional capacity. Providers are legally and ethically bound to refer to advance directives when decisions must be made for patients without the capacity to make them. Advance directives take two forms: • Health care proxy is a person’s legal appointment of another individual (health care agent) to make health care decisions on the person’s behalf in the event of subsequent incapacity. • Living will is a list of instructions about interventions the person would consent to or refuse under specified circumstances. WHO: • All patients over 18 years of age, regardless of health status, should be encouraged to appoint a health care agent. • Any person 18 years or older may appoint a health care proxy, create a living will and/or be a health care agent. • A health care agent is specifically chosen and legally appointed by a capacitated person. Family, even next-of-kin, may not automatically make many important decisions for their loved ones unless they are legally appointed health care agents. • An attending physician makes the clinical determination of decisional incapacity, which triggers the provisions of an advance directive. • When a health care agent will make decisions about foregoing life-sustaining treatment, the determination of patient incapacity must be confirmed by a second attending physician. WHEN: Adult patients, even those with advance directives, are presumed able to make their own decisions unless and until they are clinically determined to lack decisional capacity. Advance directives take effect only when the patient has temporarily or permanently lost the capacity to make health care decisions. If and when patients regain capacity, they resume making their own health care decisions. Advance directives may be created at any time and remain effective until revoked by the patient or are superseded by new directives from the patient. 92
WHERE: • Advance directives are applicable in any clinical or community setting. • Federal law requires that, upon admission to any health care facility, patients must be asked if they have advance directives and, if needed, offered assistance in completing them. • Copies of advance directives should be placed in the front of the medical record as soon as available. HOW: • If patients do not have advance directives, the directives should be explained and assistance offered in completing them. The appointment of health care proxy agents and alternate agents should be encouraged. • Health care proxy appointments are witnessed by two adults, neither of whom is the patients health care agent or alternate. Associates or Medical Staff may serve as witnesses. • Health care proxy forms with instructions are available on every clinical unit, in the admissions office, through Social Services and the Customer Services Department. • Referrals to Social Services should be made for additional assistance completing proxy form, for specific questions about advance directives, and for follow-up of advance directive documentation not available on admission. • Complex cases involving advance directives may be referred to Bioethics, Office of the Medical Director or Palliative Care. • Copies of Making Health Care Decisions for Others: A Guide to Being a Health Care Proxy or Surrogate and A Quick Reference for Physicians are also available from Social Services or Bioethics. CONTACT: Social Services 718- 920-4545 Bioethics (Moses) 718- 920-6226 (Weiler) 718- 904-2299 Palliative Care 718-920-6378 Office of the Medical Director 718- 920-7052; 2809l; 6078. BRAIN DEATH Summary - Administrative Policy and Procedure # JD01.1 Note: This summary contains the key points of this policy. For a complete understanding of all the relevant provisions, it is necessary to thoroughly read the full policy. WHAT: A person (adult or child) is considered to be physiologically and legally dead when he or she has sustained either: • cardiopulmonary death (irreversible cessation of circulatory and respiratory function) or 93
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Medical Staff House Staff Orientati
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We would like to take this opportun
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Montefiore’s Institute for Reprod
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TABLE OF CONTENTS SECTION 1- Genera
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Plastic and Reconstructive Surgery
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SECTION 1 • GENERAL INFORMATION 1
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Contract Management Organization (C
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Neurology M 4656 3351 Steuben A 316
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MOSES NURSING STATIONS C 741-2377 P
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M 5584 Lupus Clinic M 5584 Neurolog
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MEDICAL STAFF CREDENTIALING OFFICE
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MONTEFIORE INTEGRATED PROVIDER ASSO
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• Referral by the ED physician is
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HOUSE STAFF OFFICE 150 East 210th S
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• Institutions must have a GME Co
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accreditation, then the institution
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and the conditions under which livi
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• Patient support services, such
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following: counseling, appointment
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Physician Impairment and Drug Abuse
Page 41 and 42: participants the opportunity to com
Page 43 and 44: WALDO AVENUE SHUTTLE Those resident
Page 45 and 46: First Year Residents: Assignments o
Page 47 and 48: SECTION III • MONTEFIORE MEDICAL
Page 49 and 50: Administrator: Jennifer Ortiz Medic
Page 51 and 52: Medical Director: Marta Rico, MD, A
Page 53 and 54: 2532 Grand Concourse Bronx, New Yor
Page 55 and 56: Briggs Avenue Academy 3010 Briggs A
Page 57 and 58: Nurse: Maria Campos, LPN Sheila Mon
Page 59 and 60: Gloria Feliciano - Director FRANKLI
Page 61 and 62: ANESTHESIOLOGY Chairman 718-920-280
Page 63 and 64: Director John Fisher, MD 718-920-42
Page 65 and 66: Christine Clarke 718-920-5996 PROGR
Page 67 and 68: SOCIAL PEDIATRICS 3544 Jerome Ave.
Page 69 and 70: Vladimir Kvetan, MD 718-920-5440 De
Page 71 and 72: Residency Program Director Eugene S
Page 73 and 74: No procedure can be performed until
Page 75 and 76: Bronx, New York 10461 Administrativ
Page 77 and 78: Director, Education Programs Rasim
Page 79 and 80: North Central Bronx Hospital 718-51
Page 81 and 82: Arlene Saunders 718-741-2492 Admini
Page 83 and 84: printed name of the referring physi
Page 85 and 86: The radiology department at Jack D.
Page 87 and 88: Pediatric Surgery 718-920-7200 Burt
Page 89 and 90: SECTION V • POLICIES AND PROCEDUR
Page 91: Note: This summary contains key poi
Page 95 and 96: • family has moral or religious o
Page 97 and 98: • OD1091-4 Affidavit of Close Fri
Page 99 and 100: Bioethics (Moses) 718- 920-6226 (We
Page 101 and 102: HOW: • Capacitated patients may r
Page 103 and 104: VERIFICATION OF OPERATIVE PROCEDURE
Page 105 and 106: INFECTION CONTROL PROGRAM Moses Nur
Page 107 and 108: person who feels that he/she may be
Page 109 and 110: CONTROLLED SUBSTANCES IN THE MEDICA
Page 111 and 112: • Practitioners will immediately
Page 113 and 114: One Quality Improvement Plan exists
Page 115 and 116: SECTION VI • SERVICE DEPARTMENTS
Page 117 and 118: Legal Certificates 718-904-3456 Fin
Page 119 and 120: CHILD PROTECTION CENTER The Childre
Page 121 and 122: CME REQUIREMENTS: Attending physici
Page 123 and 124: Hours: Monday - Friday 8:00AM - 5:0
Page 125 and 126: delivery system. Medical record inf
Page 127 and 128: All physician orders whether writte
Page 129 and 130: additional information is uncovered
Page 131 and 132: THE TISHMAN LEARNING CENTER HEALTH
Page 133 and 134: MAILROOM MOSES Brown Zone, Moses Ba
Page 135 and 136: The mission of the Occupational Hea
Page 137 and 138: • Families and caregivers need as
Page 139 and 140: The Patient Safety Officer and the
Page 141 and 142: Unified Director of Pharmacy Frank
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successful, expanded to other areas
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• Professional Misconduct • Pho
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Outpatient testing, evaluation and
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Office Coordinator Lillian Zambardi
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E Educational Administration 28 Eme
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Paychecks, House Staff 40 Pediatric
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