Rules & Regulations of the Medical Staff



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

6.2(a)


With the exception of time limited orders, i.e. restraints and level of care, which must be signed, dated and timed within 24 hours, all other verbal orders must be verified, signed, dated and signed within 48-hours. (See Administrative Policy and Procedure III-98-35 “Restraints”)



6.3


Orders written for a patient's care by an unlicensed resident in the Family Medicine Residency Program shall be countersigned within 24 hours by a physician possessing a current unrestricted license to practice medicine and surgery in New Jersey.



6.4


Registered Dietitians may initiate and/or change pharmaceutical oral supplements for patients on regular and modified diets with a physician's co-signature within 24 hours. Order diets, pharmaceutical oral supplements, calorie counts, initiate physician driven protocols, and management of enteral nutrition with a physician’s co-signature within 24 hours (see Department of Nutrition Services Policy 1400.08)



6.5


Telephone Orders from a licensed practitioner may be written, signed and labeled as a telephone order by the person receiving them whose own signature must be on the orders.



6.5(a)


With the exception of time limited orders, i.e. restraints and level of care, which must be signed, dated and timed within 24 hours, all other telephone orders must be verified, signed, dated and timed promptly but no later than 30 days. (See Administrative Policy and Procedure III-98-35 “Restraints”)



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