Rules and Regulations 2013 - North Florida Regional Medical Center

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North Florida Regional Medical Center Rules And Regulations Department to the floor. (2) Emergency physicians will write admission orders only after the patient has been accepted by the admitting physician and with that physician's consent. (3) All admitted patients will become the responsibility of the admitting physician as soon as the admitting physician has been contacted by the emergency physician and the admitting physician has accepted the patient for admission to his/her service. (4) The admitting physician will be notified of the patient's arrival on the floor and the orders will be verified by the admitting physician. He/she will be asked to accept or revise the orders at that time. b. If, in the judgment of the emergency physician, the patient's condition requires continuing practitioner attendance the emergency physician shall continue to accept responsibility for the patient until the assigned practitioner assumes responsibility for the patient by physically coming to the Hospital and caring for the patient. The assigned practitioner shall respond to the Hospital within thirty (30) minutes, and come to the hospital as soon as appropriate for the clinical condition of the patient, if requested by the emergency physician. c. If, in the judgment of the emergency physician or physician extender, consultation is required, the requested physician must respond: (1) within thirty (30) minutes of being called in cases of emergency; or (2) within sixty (60) minutes of being called for non-emergent cases, and come to the hospital as soon as appropriate for the clinical condition of the patient, as requested by the Emergency Services Physician. B.11. Performance of Surgery in the Emergency Department - Except in cases where transfer to surgery is contraindicated in the judgment of the emergency physician, surgery shall not be performed in the emergency treatment area. B.12. Emergency Department Medical Record - An appropriate emergency service medical record shall be kept for every patient receiving emergency service and shall be incorporated in the patient's previous inpatient medical record, if such exists. The emergency service medical record shall include: a. Adequate patient identification; b. Information concerning the time of the patient's arrival and by whom 9
North Florida Regional Medical Center Rules And Regulations transported; c. Pertinent history of the injury or illness including details relative to first aid or emergency care given the patient prior to his/her arrival at the Hospital and history of allergies; d. Description of significant clinical, laboratory and X-ray findings; e. Diagnosis including condition of patient; f. Treatment given and plans for management; g. Condition of the patient on discharge or transfer; and h. Final disposition, including instruction given to the patient and/or his/her family, relative to necessary follow-up care. B.13. Signing of Emergency Medical Record - Each patient's emergency medical record shall be signed by the practitioner in attendance that is responsible for its clinical accuracy. B.14. Review of Emergency Department Records - The Emergency Department Medical Director or the Emergency Service Committee shall coordinate the review of emergency service records and report results to the appropriate committee. B.15. Responsibility for Studies - The Emergency Department Medical Director or the Emergency Service Committee shall be responsible for studies concerning the quality and appropriateness of patient care. B.16. Medical Record Upon Admission - A copy of the emergency service medical record shall accompany patients being admitted as an inpatient. B.17. Transfer of Patients - Patients with conditions whose definitive care is beyond the capabilities of this Hospital shall be referred to the appropriate facility when, in the judgment of the attending practitioner, the patient's condition permits such a transfer. The Hospital's policies and procedures for patient transfers to other facilities shall be followed. B.18. Disaster Plan - The Emergency Department Medical Director or the Emergency Service Committee shall make certain that emergency service procedures are properly coordinated with the Hospital's disaster plan, especially as they pertain to the care of mass casualties. 10
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Rules and Regulations 2013 - North Florida Regional Medical Center

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