RULES & REGULATIONS TABLE OF CONTENTS MEDICAL STAFF RULES AND REGULATIONS ......................................................................................... 7 DEFINITIONS .............................................................................................................................................................. 7 ADMISSION AND DISCHARGE OF PATIENTS ............................................................................................................... 8 GENERAL CONDUCT OF CARE .................................................................................................................................. 10 EMERGENCY SERVICES ............................................................................................................................................. 12 DISASTER PLAN ........................................................................................................................................................ 13 RESIDENTS/FELLOWS IN TRAINING .......................................................................................................................... 14 MEDICAL RECORDS POLICIES ON COMPLETION OF MEDICAL RECORDS .................................................................. 15 INPATIENT AND OUTPATIENT RECORDS .................................................................................................................. 16 RESPITE CARE ........................................................................................................................................................... 16 HISTORY AND PHYSICAL ........................................................................................................................................... 17 CONSULTATION REPORTS ........................................................................................................................................ 18 OPERATIVE/PROCEDURE REPORTS .......................................................................................................................... 18 PROGRESS NOTES .................................................................................................................................................... 19 DISCHARGE SUMMARY / FINAL PROGRESS NOTE .................................................................................................... 21 DIAGNOSTIC REPORTS ............................................................................................................................................. 21 EMERGENCY ROOM RECORD ................................................................................................................................... 22 MEDICAL RECORD REVIEW ...................................................................................................................................... 22 RETIRE INCOMPLETE RECORDS ................................................................................................................................ 22 SUSPENSION ............................................................................................................................................................ 23 COMMITTEES ........................................................................................................................................................... 24 CONFLICT RESOLUTION ........................................................................................................................................... 32 DEPARTMENT RULES AND REGULATIONS AND CLINICAL DELINEATION OF PRIVILEGES .......... 34 DEPARTMENT OF ANESTHESIA ................................................................................................................ 34 RULES AND REGULATIONS ....................................................................................................................................... 34 PRIVILEGES .............................................................................................................................................................. 40 CORE I ANESTHESIA ................................................................................................................................................. 40 CORE I ANESTHESIA PRIVILEGES .............................................................................................................................. 41 CORE IA ANESTHESIA PRIVILEGES ............................................................................................................................ 41 CORE II ANESTHESIA PRIVILEGES ............................................................................................................................. 41 CORE II ANESTHESIA PRIVILEGES ............................................................................................................................. 41 CORE IIA ANESTHESIA PRIVILEGES ........................................................................................................................... 42 DEPARTMENT OF DENTISTRY ................................................................................................................... 43 RULES AND REGULATIONS ....................................................................................................................................... 43 DELINEATION OF PRIVILEGES ................................................................................................................................... 43 DEPARTMENT OF EMERGENCY MEDICINE ............................................................................................. 47 RULES AND REGULATIONS ....................................................................................................................................... 47 DELINEATION OF PRIVILEGES ................................................................................................................................... 48 REQUIREMENTS FOR ULTRASOUND PRIVILEGES: .................................................................................................... 49 CORE I EMERGENCY MEDICINE DELINEATION OF PRIVILEGES ................................................................................. 50 CORE I PRIVILEGES IN EMERGENCY MEDICINE ......................................................................................................... 51 CORE II EMERGENCY MEDICINE DELINEATION OF PRIVILEGES ................................................................................ 52 CORE II PRIVILEGES IN EMERGENCY MEDICINE ........................................................................................................ 53 CORE IIA PRIVILEGES ................................................................................................................................................ 54 CORE II PRIVILEGES IN EMERGENCY MEDICINE ........................................................................................................ 55 TRAINING, EDUCATION, EXPERIENCE AND COMPETENCY REQUIREMENTS FOR ULTRASOUND PRIVILEGES .......... 55 ALLIED HEALTH PROFESSIONALS IN THE EMERGENCY DEPARTMENT ..................................................................... 57 DELINEATION OF REQUIREMENTS AND FUNCTIONS ............................................................................................... 57 Parkview Medical Center Medical Staff Rules & Regulations 12.14.2018 2 DEPARTMENT OF FAMILY PRACTICE ...................................................................................................... 59 ALLIED HEALTH PROFESSIONALS ............................................................................................................................. 62 DELINEATION OF PRIVILEGES ................................................................................................................................... 62 CORE I ...................................................................................................................................................................... 62 CORE II ..................................................................................................................................................................... 63 CORE II PROCEDURE CHECKLIST ............................................................................................................................... 64 CORE III .................................................................................................................................................................... 65 DEPARTMENT OF MEDICINE ...................................................................................................................... 66 RULES AND REGULATIONS ....................................................................................................................................... 66 DELINEATION OF PRIVILEGES ................................................................................................................................... 67 ALLIED HEALTH PROFESSIONALS ............................................................................................................................. 68 INTERNAL MEDICINE DELINEATION OF PRIVILEGES ................................................................................................. 68 CORE I PRIVILEGES IN INTERNAL MEDICINE ............................................................................................................. 69 CORE II PRIVILEGES IN INTERNAL MEDICINE ...........................................................................................................