Rules and Regulations 2013 - North Florida Regional Medical Center

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North Florida Regional Medical Center Rules And Regulations D.22. Restraints 24 D.23. Advance Directives 25 D.24. Oxygen and Respiratory Therapy 25 D.25 Patient Rights 25 E. SURGICAL AND INVASIVE PROCEDURE CARE --------------------------------------- 29 E.1. Requirements Prior to Surgery 29 E.2. Timeliness of Physician Presence in the Operating Room 29 E.3. Anesthesiologist Responsibilities 30 E.4. Preceptors 30 E.5. Care of Dental Patients 30 E.6. Care of Podiatric Patients 32 E.7. Dispositions of Specimens/Tissues 33 E.8. Patients With History of Pulmonary or Cardiac Disease 33 E.9. Physical Examination Prior to Surgery 33 E.10. Surgical Procedures Performed by Dentists and Podiatrists 33 F. OBSTETRICAL CARE ------------------------------------------------------------------------------ 33 F.1. Prenatal Records 33 F.2. Sterilization 33 F.3. Interruption of Normal Pregnancy 34 F.4. Induction of Labor 34 F.5. Cesarean Sections or Postpartum Tubal Ligations 34 F.6. Confirmation of Informed Consent for Delivery 34 F.7. Cancellation of Previous Orders 34 F.8. Terminations of Pregnancies 34 F.9. Anesthesia for Obstetrical Patients 34 F.10. Obstetrical Consultation for Hospitalized Pregnant Patients 34 F.11. Fetal Heart Monitoring Credentialing Requirement 35 G. NEWBORN CARE ----------------------------------------------------------------------------------- 35 G.1. Newborn and Neonatal Care Orders 35 G.2. Newborn Physical Examinations 35 G.3. Metabolic Screens 35 H. EMERGENCY MANAGEMENT PLAN --------------------------------------------------------- 35 H.1. Plan 35 I. MISCELLANEOUS 35 I.1. Policies and Procedures 35 I.2. Location of Policies and Procedures 35 I.3. Reporting Sanctions 36 I.4. Conflict Management/Resolution 36 3
North Florida Regional Medical Center Rules And Regulations A. ADMISSION AND DISCHARGE A.1. Activity Level Requirements - Physicians practicing medicine in the Gainesville area who wish to be on the Medical Staff at North Florida Regional Medical Center shall be required to maintain “Active” level privileges if the following conditions are met: a. More than 25 of the physician’s patients undergo inpatient and/or outpatient medical admissions to the hospital and require care that would normally be provided by a physician in the Department of Medicine (regardless of what physician is the admitting or attending physician of record). b. The physician consults on, or has contact with, 25 patients per year in the hospital. A.2. Admitting/Treatment Privileges - Only practitioners granted Staff appointment and clinical privileges may admit patients to this Hospital except as provided in the Staff Bylaws and Rules and Regulations, except as specified in Article V.3. Only practitioners granted clinical privileges may treat patients at this Hospital. All practitioners with authority to admit patients shall be governed by the official admitting policy of the Hospital. A.3 Responsibility for Care of Hospital Patients - A physician member appointee of the staff shall be responsible for the overall medical care of each patient in the Hospital. The attending practitioner shall be responsible for the treatment and the prompt completeness and accuracy of the medical record, for necessary instructions and for transmitting reports of the condition of the patient, if appropriate, to the referring practitioner. Such transfer shall be made with the approval of the receiving physician. When responsibilities are transferred to another practitioner, such transfer documentation should be reflected in the medical record. The patient shall be assigned to the service concerned in the treatment of the disease that necessitated admission. In the case of a patient requiring admission who has no practitioner, he or she shall be assigned to the practitioner on-call for the service to which the illness of the patient indicates assignment. A.4 Provisional Diagnosis/Reason for Admission - Except in the case of emergency admissions, no patient shall be admitted to the Hospital until a provisional diagnosis or valid reason for admission has been stated. In the case of an emergency such statement shall be recorded as soon as possible. A copy of the emergency service record shall accompany the patient to the nursing unit. A.5 Emergency Admissions - Practitioners shall be able to justify emergency 4
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Rules and Regulations 2013 - North Florida Regional Medical Center

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