December 2011, Volume 3, Issue 12 - Torrance Memorial Medical ...

More documents

Recommendations

Info

Medical Executive Committee ApprovalsThe following items were presented and actions were approved at the November 8, 2011 Medical Executive Committee meeting:The following items were approved at the November 8, 2011 meeting of the Medical Executive Committee:Treasurer’s ReportA. September 2011 Treasurer’s ReportB. Light Up A Life donation $10,000.00Obstetrics & Gynecology DepartmentA. Revised Clinical Privilege Application Card for Department of Obstetrics & Gynecology – PerinatologyRevisions:Documentation: For recent graduates, out of training less than two years, documentation must be submitted that supports the number listedin the column titled “# cases required Initial Application”. For recent graduates a case log for the (2-3 year) training period will be accepted ORan attestation letter from the program director of the residency and/or fellowship program that reflects the applicant has successfully met theinitial application activity requirements.For physicians out of training greater than two years, documentation must be submitted that supports the number listed in the “# cases requiredInitial Application” column. An activity report will need to be submitted from the hospital that is able to provide the number of procedures and/oractivity performed during the past 2 years.you are currently active, which list the number of procedures you have performed during the past 2years.52.00 – Perinatology CorePrivileges include the following: Consultation Perform history and physical exam Percutaneous umbilical blood sampling Ultrasound – targeted and limited obstetrical Placental biopsy Cerclage# of cases required reappointment: 30 15B. Patient Care Policy/Procedure entitled, “Code Neo, Code L&D, Code OB”Radiology DepartmentA. Intravenous Gadolinium and Nephrogenic Systemic Fibrosis (NSF) PolicyB. Radiology Online Policy and Procedure ManualsSurgery DepartmentA. Revised Clinical Privilege Application Card for Department of Surgery – UrologyRevisions:Addition of Rectal Procedures which include the following: Sigmoidoscopy; Polypectomy; Hemorrhoidectomy; Fissurectomy; Fistulectomy;Transvaginal pararectal rectal prolapse repair; Delorme rectal prolapse repair; Anal sphincteroplasty.Proctoring Requirements: 2# of cases required for Init App: 5# of cases required for Reapp: 1B. Revised Clinical Privilege Application Card for Department of Surgery – General SurgeryRevisions:Addition of Endoscopic Balloon Dilation of Colonic StrictureProctoring Requirements: 3# of cases required for Init App: 5# of cases required for Reapp: 5Credentials Committee – Approvals filed in Medical Staff Services – please see Toni Woodard.Continued on page 52
Medical Executive Committee ApprovalsThe following items were presented and actions were approved at the November 8, 2011 Medical Executive Committee meeting:Infection Control/P&T CommitteeA. Division of Nursing Policy/Procedure entitled, “Immediate Use Sterilization”B. Physicians will follow the same rules as employees for flu vaccinationsC. Pediatric Burn Pre-Printed OrdersD. Adult Burn Pre-Printed OrdersE. Formulary DeletionsF. Ativan and Dilantin for use in critical areasG. Revised Pharmacy Policy/Procedure entitled, “Poison Control”H. Revised Pharmacy Policy/Procedure entitled, “Communication to Staff”I. Revised Pharmacy Policy/Procedure entitled, “Licensure”J. Revised Pharmacy Policy/Procedure entitled, “Medication Usage Evaluation (MUE)”K. Revised Pharmacy Policy/Procedure entitled, “Overview of Pharmacy Services”L. Revised Pharmacy Policy/Procedure entitled, “Pharmacy and Therapeutics Committee”M. Revised Pharmacy Policy/Procedure entitled, “Planning Goals and Objectives”N. Revised Pharmacy Policy/Procedure entitled, Scope of Service”O. Revised Policy/Procedure entitled, “Accountability of Administration”P. Revised Pharmacy Services Policy/Procedure entitled, “Amiodarone (Cordarone®) Infusion Protocol”Q. Revised Pharmacy Policy/Procedure entitled, “Automatic Stop Orders”R. Deletion of Antidotes Policy/ProcedureS. Deletion of the Ativan Injectable Storage Policy/ProcedureT. Deletion of Hours of Operating and Staffing Policy/ProcedureU. Deletion of Patient Allergies Policy/ProcedureV. Deletion of Pharmaceuticals Waste Policy/ProcedureW. Adoption of a Standard Formulation for GI CocktailX. Proposed Changes for Smart Infusion Pump SettingsInstitutional Review Board – Approvals filed in Medical Staff Services – please see Yumi Lee.State of the Medical CenterAddress LuncheonHONORING THE PAST CHIEFS OF STAFF OFTORRANCE MEMORIAL MEDICAL CENTERWednesday December 7 th , 201112 Noon to 2pmTorrance Memorial Healthcare Conference CenterYou may RSVP to Robin Camrin at 310-784-4921 robin.camrin@tmmc.com orSusan Widem at 310-784-8792 susan.widem@tmmc.com by December 2, 2011.5
Page 5: Clinical DocumentationIntegrity Pro

December 2011, Volume 3, Issue 12 - Torrance Memorial Medical ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?