Rules & Regulations of the Medical Staff



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Rules and Regulations of the Medical Staff - February 24 2022 (2)





10.2


Robert’s Rules of Parliamentary Procedure (latest current edition) shall guide the proceeding of the Medical Staff meetings.




  1. RESIGNATIONS






Medical Staff members who are planning to terminate their staff appointment shall notify the Departmental Chairperson, President of the Medical Staff, Vice President of Medical Affairs, and President of Hunterdon Medical Center of this intent and the anticipated date of termination. All medical records are to be completed and all other duties satisfactorily discharged before the practitioner shall be considered as having his or her personal file closed in good standing.


























  1. AMENDMENTS






These Rules and Regulations shall be subject to amendment or repeal by the Medical Executive Committee, upon recommendation of the Bylaws Committee. Passage of such amendments shall be announced in writing to all members of the Medical Staff and also at the next quarterly meeting of the Active and Community Active Staffs. Such amendments will only be binding upon subsequent approval of the Board of Trustees.




  1. APPROVALS




HUNTERDON MEDICAL CENTER
RULES AND REGULATIONS
OF THE MEDICAL STAFF
ADOPTED & APPROVED:



By:

Signature on File

3/26/2020




Andrew Rudnick, MD

Date




President of the Medical Staff







By:

Signature on File

3/26/2020




Patrick J. Gavin

Date




President and Chief Executive Officer







By:

Signature on File

3/26/2020




Robert Cody, MD

Date




Chairperson, Board of Trustees






Approved by the Medical Staff: May 1993
Approved by the Board of Trustees: June 1993


Amended: February 1994
Reviewed: 1995
Amended: February 1997
Amended: December 1998
Amended: December 2001
Amended: May 2002
Amended: December 2002
Amended: April 2003
Amended: April 2004
Amended: December 2005
Amended: February 2009
Amended: January 2010
Amended: February 2011
Amended: February 2013
Amended: December 2013
Amended: April 2014
Amended: March 2015
Amended: May 2016
Amended: March 2020

INDEX


A
Abbreviations
7
Advance Directive
6
Advanced Practice Providers
10
Amendments
11
Approval Signatures
12
Autopsies
6
B
Blood Transfusions
9
C
Consultation:Emergency
5
Consultation:Psychiatric
5
D
Definition:Emergency Patient
5
Definition:Provider
6
E
Emergency:Consultation
5
Emergency:On-Call
5
Emergency:Telephone Response
6
H
History and Physical Examination
6
8
I
Informed Consent
6
M
Medical Records:Abbreviations
7
Medical Records:Access
7
Medical Records:Authentication
7
Medical Records:Completion
7
Medical Records:Content Requirement
6
Medical Records:Delinquent
7
Medical Records:Former Medical Staff Members
7
Medical Records:History and Physical Examination
6
Medical Records:Operative Reports
9
Meetings
10
O
On Call:Emergency
5
On Call:Response Time
6
Operative Reports
9
Orders
7
Orders:Countersignature
7
Orders:Dietary
7
Orders:Illegible
8
Orders:Investigational Drugs
8
Orders:Pharmacy
8
Orders:PRN
8
Orders:Standing Orders
8
Orders:Telephone Orders
7
Orders:Time Limited
8
P
Pharmacy Orders
8
Podiatric Patients
9
Provider:Definition
6
R
Resignations
10
S
Specimens
9
Standing Orders
8
Surgical Patients
8
Surgical Patients:History and Physical Examination
8
Surgical Patients:Pre-Operative Requirements
9
Surgical Patients:Tissues or Specimens
9
T
Telephone Orders
7
Telephone Response:Emergency
6
Tissues or Specimens
9
V
Verbal Orders
7

A
Abbreviations 5
Advance Directive 5
Advanced Practice Providers 8
Amendments 9
Approval Signatures 10
Autopsies 5
B
Blood Transfusions 7
C
Consultation
Emergency 4
Psychiatric 4
D
Definition
Emergency Patient 4
Provider 4
E
Emergency
Consultation 4
On-Call 4
Telephone Response 4
H
History and Physical Examination 5, 7
I
Informed Consent 5
M
Medical Records
Abbreviations 5
Access 5
Authentication 5
Completion 6
Content Requirement 5
Delinquent 6
Former Medical Staff Members 6
History and Physical Examination 5
Operative Reports 7
Meetings 8
O
On Call
Emergency 4
Response Time 4
Operative Reports 7
Orders 6
Countersignature 6
Dietary 6
Illegible 6
Investigational Drugs 6
Pharmacy 7
PRN 6
Standing Orders 6
Telephone Orders 6
Time Limited 6
P
Pharmacy Orders 7
Podiatric Patients 8
Provider
Definition 4
R
Resignations 9
S
Specimens 8
Standing Orders 6
Surgical Patients 7
History and Physical Examination 7
Pre-Operative Requirements 7
Tissues or Specimens 8
T
Telephone Orders 6
Telephone Response
Emergency 4
Tissues or Specimens 8
V
Verbal Orders 6

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