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)