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Medical Staff Policies and Procedures

ID	Title	Added
80	APPLICATION FEES ON INITIAL APPLICATION	12/12/2007
69	APPOINTMENT – MEDICAL ASSISTANT POLICY & PROCEDURE	12/06/2006
124	ARTIFICIAL DISC IMPLANT	12/12/2007
67	AUTOPSIES CRITERIA	12/06/2006
122	BALLOON KYPHOPLASTY PRIVILEGE CRITERIA	12/06/2006
107	CARDIAC CATH, ATHERECTOMY AND PTCA PROCTORING	12/06/2006
155	CARDIAC CT-CTA	12/11/2007
136	CAROTID STENT PLACEMENT PRIVILEGE CRITERIA	12/06/2006
106	COCHLEAR IMPLANTATION PRIVILEGE CRITERIA	12/06/2006
154	CODE OF CONDUCT POLICY	12/12/2007
91	CONTINUING MEDICAL EDUCATION REQUIREMENT	12/12/2007
93	CONTINUOUS CARE AND SUPERVISION OF PATIENTSPOLICY AND PROCEDURE	12/12/2007
109	CREDENTIALS/ CORRECTIVE ACTION FILE	12/06/2006
79	CRIMINAL CHECKS ON INITIAL APPLICATION POLICY AND PROCEDURE	12/12/2007
147	CRITERIA FOR AGE WAIVER For Medical Staff Age 75 and Over DRAFT	12/15/2006
148	CRITERIA FOR WAIVER FROM ERS CALL	12/15/2006
82	DEVELOPING CRITERIA FOR PRIVILEGES	12/06/2006
102	DISASTER – CRITERIA FOR CREDENTIALING PHYSICIANS	04/04/2008
66	DUES POLICY AND PROCEDURE	01/03/2008
71	EMERGENCY SERVICE (ERS) CALL	12/12/2007
160	EMERGENCY SERVICE (ERS) CALL & EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA)	04/04/2008
156	EMERGENCY ULTRASOUND	12/11/2007
132	ENDOBRONCHIAL BALLOON DILATION PRIVILEGE CRITERIA	12/06/2006
131	ENDOBRONCHIAL STENT PLACEMENT PRIVILEGE CRITERIA	12/06/2006
146	ENDOSCOPIC ULTRASOUND PRIVILEGE CRITERIA	05/07/2008
143	ENDOVASCULAR STENT GRAFT	12/12/2007
54	FAMILY PRACTICE DEPARTMENT OUTPATIENT CALL SCHEDULE POLICY	12/06/2006
158	FOCUSED PROFESSIONAL PRACTICE EVALUATION	04/04/2008
112	GASTROINTESTINAL ENDOSCOPY AND COLONOSCOPY (UPPER)	12/12/2007
127	GLAUCOMA OPERATIONS –(TRABECULECTOMY) PRIVILEGE CRITERIA	12/06/2006
144	HAND-OFF COMMUNICATION	04/04/2008
150	HISTORY & PHYSICAL FOR PRDIATRISTS	12/12/2007
145	HISTORY AND PHYSICAL MEDICAL STAFF POLICY	12/06/2006
72	IMPAIRED OR DYSFUNCTIONAL PHYSICIAN POLICY	12/06/2006
162	INFORMED CONSENT	05/08/2008
149	INTENSIVE CARE UNIT CREDENTIALING CRITERIA	04/04/2008
121	INTRA-OPERATIVE ARRHYTHMIA SURGERY PRIVILEGE CRITERIA	12/06/2006
135	LABORATORY PHYSICIAN PERFORMED TESTING	12/06/2006
129	LAMELLAR KERATOPLASTY PRIVILEGE CRITERIA	12/06/2006
97	LIMITED CT SCAN FOR CALCIUM SCORING AND CORONARY ARTERY ANATOMY IN RAPID SCAN PRIVILEGE C	05/07/2008
85	MALPRACTICE INSURANCE COVERAGE AMOUNT POLICY	12/12/2007
105	MEDICAL DIRECTORS	12/06/2006
63	MEDICAL RECORD COMPLETION	04/04/2008
65	MEDICAL STAFF FUNDS: ANNUAL DONATIONS	12/12/2007
88	MEDICAL STAFF FUNDS: SOURCE AND ALLOCATION	12/06/2006
30	MEDS AS LISTED ON THE NURSING PROFILE SHEET	12/06/2006
4	NEW TECHNIQUES/ ENHANCEMENT OF PROCEDURES	12/06/2006
138	NUCLEAR CARDIOLOGY	12/12/2007
151	OBSTETRIC PRIVILEGE CRITERIA	12/12/2007
94	OCCURRENCE MONITORING AND PEER REVIEW (MEDICAL STAFF)	01/28/2008
157	ONGOING PREFESSIONAL PRACTICE EVALUATION	12/19/2007
83	PATIENT PRIVACY AND CONFIDENTIALITY POLICY	12/06/2006
128	PENETRATING KERATOPLASTY PRIVILEGE CRITERIA	12/06/2006
152	PERCUTANEOUS INSERTION OF CLOSURE DEVICE FOR PFO IN ADULTS	12/12/2007
133	PERCUTANEOUS TRACHEOTOMY	12/12/2007
99	PERCUTANEOUS VERTEBROPLASTY PRIVILEGE CRITERIA	12/06/2006
103	PERIPHERAL VASCULAR PRIVILEGE CRITERIA	12/06/2006
139	PERMANENT IMPLANTATION OF ELECTRIC DORSAL COLUMN STIMULATORS AND INFUSION PUMPS	12/12/2007
89	PHYSICIAN ASSISTANT CENTRAL LINE AND CHEST TUBE PLACEMENT PRIVILEGE CRITERIA	12/06/2006
126	PLACEMENT OF EXTERNAL RADIOTHERAPEUTIC SOURCE	12/06/2006
159	PODIATRISTS AND WOUND CARE	04/22/2008
161	PRACTITIONER PARTICIPATION IN THE PEER REVIEW PROCESS	04/04/2008
84	PROCTORING POLICY AND PROCEDURE (MEDICAL STAFF)	12/06/2006
1	PROSTATIC RADIOACTIVE SEED IMPLANTING PRIVILEGE CRITERIA	12/12/2007
68	PSYCHIATRIC CONSULTATIONS POLICY AND PROCEDURE	12/06/2006
90	PSYCHIATRIC MEDICAL ASSISTANTS CREDENTIALING CRITERIA	12/06/2006
134	RADIAL KERATOTOMY PRIVILEGE CRITERIA	12/06/2006
13	RESIDENTS (PERFORMANCE OF PROCEDURES BY OUTSIDE RESIDENTS)	12/12/2007
153	RETINAL DETACHMENT SURGERY	12/12/2007
140	SACRAL NERVE STIMULATOR FOR URINARY CONTROL PRIVILEGE CRITERIA	12/06/2006
96	SEDATION PERFORMED BY NON-ANESTHESIOLOGISTS	12/06/2006
104	SLEEP STUDIES INTERPRETATION PRIVILEGE CRITERIA	12/03/2007
7	STRESS TEST PRIVILEGE CRITERIA	12/15/2006
142	SURGICAL ASSISTING BY A PHYSICIAN PRIVILEGE CRITERIA	12/06/2006
64	SWAN GANZ CATHETERIZATION CREDENTIALING AND PROCTORING	12/12/2007
74	TB TESTING (MEDICAL STAFF)	04/04/2008
45	TEMPORARY AND LOCUM TENENS CREDENTIALING	12/06/2006
100	THERMAL RADIOFREQUENCY TUMOR ABLATION THERAPY PRIVILEGE CRITERIA	12/06/2006
115	TILT TABLE (FOR SYNCOPE) PRIVILEGE CRITERIA	12/06/2006
119	TISSUES EXEMPTED FOR PATHOLOGICAL EXAM	12/06/2006
116	TRANSESOPHAGEAL ECHOCARDIOGRAPHY PRIVILEGE CRITERIA FOR ANESTHESIOLOGISTS	12/06/2006
141	TRANSILLIMINATED POWERED PHLEBECTOMY PRIVILEGE CRITERIA	12/06/2006
120	TRANSMYOCARDIAL REVASCULARIZATION USING THE HOLMIUM-YAG AND, OR CO2 LASER PRIVILEGE CRITERIA	12/06/2006
23	TRAUMA VICTIM CARE “CAPTAINCY” POLICY	12/06/2006
98	UTERINE AND HEPATIC ARTERY EMBOLIZATION PRIVILEGE CRITERIA	12/06/2006
137	VAGUS NERVE STIMULATOR IMPLANTATION PRIVILEGE CRITERIA	12/06/2006
95	VOLUNTEER PHYSICIANS BOARD CERTIFICATION EXEMPTION POLICY	12/06/2006

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