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The quality of care will not be compromised by the exception.
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Another suitable means for verifying the removal can be routinely employed.
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There is an authenticated operative or other official report that documents the removal.
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Specific exceptions may include:
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cataracts
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orthopedic appliances
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portion of rib removed to enhance operative exposure
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foreign bodies (e.g. bullets that for legal reasons are given directly in the chain of custody to law enforcement personnel)
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teeth, provided the number, including fragments, is recorded in the medical record.
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DENTAL AND PODIATRIC PATIENTS
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Patients admitted for dental or podiatric care shall be under the care of the admitting oral and maxillofacial surgeon or podiatrist. All podiatric and dental surgical procedures shall be under the overall supervision of the Chairperson of the Department of Surgery.
The following conditions shall apply:
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A physician who is a staff member shall perform a history, physical examination, and evaluation of overall medical risks for the proposed surgery and anesthesia, recording the findings and assessment in the medical record. When significant medical problems are present, it shall be the responsibility of the staff physician to care for the patient's medical problems during hospitalization.
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The responsible oral and maxillofacial surgeon or podiatrist shall take into account any medical recommendations in his or her care of the patient. The oral and maxillofacial surgeon or podiatrist shall record:
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A dental or podiatric history justifying the hospital admission.
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A detailed description of the treatment area together with a pre-operative diagnosis.
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A complete operative report.
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Progress notes that are timely, accurate and pertinent.
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A discharge summary.
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ADVANCED PRACTICE PROFESSIONALS
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Advanced Practice Professionals (APPs) are individuals not otherwise eligible for membership on the Medical Staff of Hunterdon Medical Center, who, by education, training or experience, are qualified to provide patient care services needed or desired by the Hospital, it’s Medical Staff, or the Community, as determined by the Board of Trustees. APPs may be Hospital employees, independent contractors, or employees of members of the Medical Staff. They are not members of the Medical Staff and do not have procedural rights under the Medical Staff Bylaws or hold clinical privileges.
Categories of APPs permitted to provide services in the hospital, and the process for appointment, reappointment and evaluation of APPs are set forth in the Hunterdon Medical Center Procedures and Guidelines for the Practice of Advanced Practice Professionals.
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MEETINGS
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Regular meetings of the Medical Staff will be held quarterly. These shall be business meetings at which reports from the Executive Committee shall be heard.
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