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Re: Policy or Bylaws questions for my peers


Here are some thoughts. Bold type is in Rules & Regs.

1. Each member of the Medical of the Medical Staff, if not on call, while having a patient in the hospital, shall provide adequate coverage for his/her  established patients.
We do not consider PA adequate coverage. They can see the patient and report but the physician must also see the patient.  

2. We have a hospitialist group now but before we have a statement in the Rules & Regs that said patient's who do not have a private physician and need to be admitted throught the ED shall be asigned to the appropriate physician on call at that time. Our ED physicians did not take care of admissions.

3. We have a statement that is generic in nature and not specific to critical care patient. It states: The physician or designee will be expected to see the patient and initiate treatment as soon as possible and no longer than 24 hours in any case. The physician or designee is expected to see his inpatients daily. (designee= Practitioner with independant admitting  privileges ie. doctor taking call)




Policy or Bylaws questions for my peers

Hello All,

My Credentials committee has asked me to check with my peers to see if you have the following information in policies/bylaws.

1. Do you have in Policy or Bylaws for a Physician to have to round daily on patinets if they have PA's?

 2. Do you have in Policy or Bylaws that govern the Emergency Medicine Physicians coming to the floors to care for patients? (ie. in the middle of the night)

 3. Do you have in Policy or Bylaws that after an admission of a critical care patient the attending physician has to see that patient in a specified amount of time? (i.e. 4 hours, 6 hours, 12 hours, etc.)

Thank you in advance for your immediate response.