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Medical Staff Policies and Procedures
ID
Title
Added
178
ALLIED HEALTH COMPETENCIES
06/02/2011
80
APPLICATION FEES ON INITIAL APPLICATION
06/02/2011
69
APPOINTMENT – MEDICAL ASSISTANT POLICY & PROCEDURE
06/02/2011
124
ARTIFICIAL DISC IMPLANT
06/02/2011
180
ATRIAL SEPTAL DEFECT (ASD) CLOSURE
06/02/2011
67
AUTOPSIES CRITERIA
06/02/2011
176
BALLOON AORTIC VALVULOPLASTY
06/02/2011
122
BALLOON KYPHOPLASTY PRIVILEGE CRITERIA
06/02/2011
186
BOARD CERTIFICATION ASSESSMENT
12/19/2011
165
CARDIAC CATHETERIZATION
06/02/2011
155
CARDIAC CT-CTA
06/02/2011
136
CAROTID STENT PLACEMENT PRIVILEGE CRITERIA
06/02/2011
166
CHEST TUBE INSERTION
06/02/2011
185
CLINICAL OBSERVATIONS PROCESS MEDICAL STAFF POLICY
12/19/2011
106
COCHLEAR IMPLANTATIONPRIVILEGE CRITERIA
06/02/2011
154
CODE OF CONDUCT POLICY
06/02/2011
179
COMPUTERIZED PHYSICIAN ORDER ENTRY
06/02/2011
91
CONTINUING MEDICAL EDUCATION REQUIREMENT
06/02/2011
93
CONTINUOUS CARE AND SUPERVISION OF PATIENTSPOLICY AND PROCEDURE
06/02/2011
109
CREDENTIALS/ CORRECTIVE ACTION FILE
06/02/2011
79
CRIMINAL CHECKS ON INITIAL APPLICATION POLICY AND PROCEDURE
06/02/2011
148
CRITERIA FOR WAIVER FROM ERS CALL
06/02/2011
163
CRITICALLY ILL PATIENT WHO IS UNSTABLE
06/02/2011
82
DEVELOPING CRITERIA FOR PRIVILEGES
06/02/2011
102
DISASTER CRITERIA FOR CREDENTIALING PHYSICIANS
10/12/2011
66
DUES POLICY AND PROCEDURE
06/02/2011
71
EMERGENCY SERVICE (ERS) CALL
06/02/2011
160
EMERGENCY SERVICE (ERS) CALL & EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA)
06/02/2011
156
EMERGENCY ULTRASOUND
06/02/2011
132
ENDOBRONCHIAL BALLOON DILATION PRIVILEGE CRITERIA
06/02/2011
131
ENDOBRONCHIAL STENT PLACEMENT PRIVILEGE CRITERIA
06/02/2011
143
ENDOGRAFT REPAIR FOR AAA
06/02/2011
181
ENDOGRAFT REPAIR FOR TAA
06/02/2011
167
ENDOMYOCARDIAL BIOPSY (CLOSED)
06/02/2011
146
ENDOSCOPIC ULTRASOUND PRIVILEGE CRITERIA
06/02/2011
54
FAMILY PRACTICE DEPARTMENT OUTPATIENT CALL SCHEDULE POLICY
06/02/2011
158
FOCUSED PROFESSIONAL PRACTICE EVALUATION
06/02/2011
112
GASTROINTESTINAL ENDOSCOPY (UPPER) AND COLONOSCOPY
10/12/2011
127
GLAUCOMA OPERATIONS –(TRABECULECTOMY) PRIVILEGE CRITERIA
06/02/2011
144
HAND-OFF COMMUNICATION
06/02/2011
150
HISTORY & PHYSICAL FOR PODIATRISTS
06/02/2011
145
HISTORY & PHYSICAL MEDICAL STAFF POLICY
10/03/2011
174
HYPERBARIC OXYGEN THERAPY FOR WOUND HEALING
06/02/2011
72
IMPAIRED OR DYSFUNCTIONAL PHYSICIAN POLICY
06/02/2011
162
INFORMED CONSENT
06/02/2011
121
INTRA-OPERATIVE ARRHYTHMIA SURGERY PRIVILEGE CRITERIA
06/02/2011
135
LABORATORY PHYSICIAN PERFORMED TESTING
06/02/2011
129
LAMELLAR KERATOPLASTY PRIVILEGE CRITERIA
06/02/2011
170
LEAD EXTRACTIONS
06/02/2011
97
LIMITED CT SCAN FOR CALCIUM SCORING AND CORONARY ARTERY ANATOMY IN RAPID SCAN PRIVILEGE C
06/02/2011
184
MAKO – ROBOTIC ASSISTED ORTHOPEDIC PROCEDURES
12/19/2011
85
MALPRACTICE INSURANCE COVERAGE AMOUNT POLICY
06/02/2011
105
MEDICAL DIRECTORS
06/02/2011
63
MEDICAL RECORD COMPLETION
06/02/2011
65
MEDICAL STAFF FUNDS: ANNUAL DONATIONS
06/02/2011
88
MEDICAL STAFF FUNDS: SOURCE AND ALLOCATION
06/02/2011
183
MEDICAL STAFF PROFESSIONAL PERFORMANCE COUNCIL
06/02/2011
30
MEDS AS LISTED ON THE NURSING PROFILE SHEET
06/02/2011
4
NEW TECHNIQUES/ ENHANCEMENT OF PROCEDURES
06/02/2011
138
NUCLEAR CARDIOLOGY
06/02/2011
151
OBSTETRIC PRIVILEGE CRITERIA
06/02/2011
94
OCCURRENCE MONITORING AND PEER REVIEW (MEDICAL STAFF)
06/02/2011
157
ONGOING PREFESSIONAL PRACTICE EVALUATION
06/02/2011
164
OSTEOPATHIC PHYSCIAN PRIVILEGE CRITERIA
06/02/2011
171
PATENT FORAMEN OVALE (PFO) IN ADULTS
06/02/2011
83
PATIENT PRIVACY AND CONFIDENTIALITY POLICY
06/02/2011
128
PENETRATING KERATOPLASTY PRIVILEGE CRITERIA
06/02/2011
177
PERCUTANEOUS ROTATIONAL CORONARY ATHRECTOMY
06/02/2011
99
PERCUTANEOUS VERTEBROPLASTY PRIVILEGE CRITERIA
06/02/2011
103
PERIPHERAL VASCULAR PRIVILEGE CRITERIA
10/12/2011
139
PERMANENT IMPLANTATION OF ELECTRIC DORSAL COLUMN STIMULATORS AND INFUSION PUMPS
06/02/2011
169
PERMANENT PACEMAKERS INCLUDING SINGLE/DUAL CHAMBER NON-RESYNCHRONIZATION DEVICES
10/12/2011
89
PHYSICIAN ASSISTANT CENTRAL LINE AND CHEST TUBE PLACEMENTPRIVILEGE CRITERIA
06/02/2011
173
PHYSICIAN TERMINATION BY PATIENT
06/02/2011
126
PLACEMENT OF EXTERNAL RADIOTHERAPEUTIC SOURCE
06/02/2011
159
PODIATRISTS AND WOUND CARE
06/02/2011
161
PRACTITIONER PARTICIPATION IN THE PEER REVIEW PROCESS
06/02/2011
84
PROCTORING POLICY AND PROCEDURE (MEDICAL STAFF)
06/02/2011
1
PROSTATIC RADIOACTIVE SEED IMPLANTING PRIVILEGE CRITERIA
06/02/2011
134
RADIAL KERATOTOMY PRIVILEGE CRITERIA
06/02/2011
187
REQUESTS FOR REPORTS OR DATA POLICY AND PROCEDURE
12/19/2011
13
RESIDENTS (PERFORMANCE OF PROCEDURES BY OUTSIDE RESIDENTS)
06/02/2011
153
RETINAL DETACHMENT SURGERY
06/02/2011
140
SACRAL NERVE STIMULATOR FOR URINARY CONTROLPRIVILEGE CRITERIA
06/02/2011
182
SEDATION (DEEP) PRIVILEGE CRITERIA
10/12/2011
96
SEDATION (MODERATE) PERFORMED BY NON-ANESTHESIOLOGISTS
10/12/2011
300
Sedation ASA Guidelines & Hospital Policy
08/09/2011
104
SLEEP STUDIES INTERPRETATION PRIVILEGE CRITERIA
06/02/2011
7
STRESS TEST PRIVILEGE CRITERIA
06/02/2011
142
SURGICAL ASSISTING BY A PHYSICIAN PRIVILEGE CRITERIA
06/02/2011
64
SWAN GANZ CATHETERIZATION CREDENTIALING AND PROCTORING
06/02/2011
74
TB TESTING (MEDICAL STAFF)
06/02/2011
45
TEMPORARY PRIVILEGES CREDENTIALING
06/02/2011
100
THERMAL RADIOFREQUENCY TUMOR ABLATION THERAPY PRIVILEGE CRITERIA
06/02/2011
119
TISSUES EXEMPTED FOR PATHOLOGICAL EXAM
06/02/2011
168
TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE)
06/02/2011
141
TRANSILLIMINATED POWERED PHLEBECTOMY PRIVILEGE CRITERIA
06/02/2011
120
TRANSMYOCARDIAL REVASCULARIZATION USING THE HOLMIUM-YAG AND, OR CO2 LASERPRIVILEGE CRITERIA
06/02/2011
23
TRAUMA VICTIM CARE “CAPTAINCY” POLICY
06/02/2011
98
UTERINE AND HEPATIC ARTERY EMBOLIZATION PRIVILEGE CRITERIA
06/02/2011
137
VAGUS NERVE STIMULATOR IMPLANTATION PRIVILEGE CRITERIA
06/02/2011
95
VOLUNTEER PHYSICIANS BOARD CERTIFICATION EXEMPTION POLICY
06/02/2011