Forum

2 Comments

1. 

   Sonya Greene

   May. 26, 2021

   Here is the language from our Rules and Reg’s: 4. Physician Coverage There will be Physicians with admitting membership designated on each day of the year. There will be a Physician on call for Surgical, Medical, OB/GYN, and Pediatric services. The President of the Medical Staff shall develop specific policies for the emergency room coverage roster, approved by the Executive Committee, with copies forwarded to the CEO and Medical Records Administrator. Medical Staff Services will be responsible for formulation and distribution of the roster. 5. Responsibilities of the Physician The on-call Physician in the medical specialty of the patient’s pathology, in the opinion of the Emergency Physician is responsible for treating and/or making disposition of each patient referred to him/her by the Emergency Room Physician or another physician. The on-call Physician shall either examine, treat, and discharge the patient, admit the patient directly to the hospital by telephone or in person for examination and treatment, or refer the patient to another physician. The procedures and treatments undertaken by Physicians in the Emergency Room will be determined by the staff privileges as approved by the Active Medical Staff and Board of Trustees. In general, no procedure requiring regional or general anesthesia is to be undertaken here. Moderate Sedation by appropriately credentialed Physicians will be permitted. All members of the Active Admitting Medical Staff shall be on roster for assignment for emergency room call. The Senior Medical Staff are not required to cover unassigned patients in the Emergency Room. Physician Patient Responsibility - Seven (7) Day Rule Emergency Room and Hospital Inpatient): A Physician shall be responsible to follow an unassigned patient after discharge for seven (7) days or global period. This also applies to cross-consults on an unassigned patient. Emergency Room unassigned call responsibility shall begin at 7:00 a.m. and proceed until 7:00 a.m. the following day. Unassigned patients needing consultation shall be directed to the Physician on call at the time when the Emergency Room Physician determines that the consultation is required. 7. Failure of Physician to see Inpatients or Emergency Room Patients Within a Reasonable Time In an emergency situation, if the attending Physician, or his or her designee, has not been reached within a reasonable amount of time, the Department Chief will be notified. If the Department Chief is not available, the Staff President will be notified. If neither of these is available, the AOC (Administrator on Call) will be notified to assist the staff in securing appropriate care. Cases will be referred to the Department Chief or Professional Review Committee as appropriate. The only acceptable delay in response is attending to another genuine patient care emergency. Ongoing elective surgical cases or office visits are not emergencies. Those on-call Physicians engaging in these activities while on-call should have a plan for coverage arranged should there be a patient care emergency while treating scheduled patients and serving on-call. If an on-call Physician disagrees with the decision of the Emergency Physician to seek his or her consultation the on-call Physician remains responsible for the ongoing care of the patient. The on-call Physician is to bring the case before the PRC for hearing and resolution. Failure of the on-call Physician to respond appropriately to the Emergency Physician’s referral will result in automatic referral to PRC and may result in loss of privileges as delineated in the CMC-Union Bylaws.

   Reply
2. 

   Paula Cogdell

   May. 26, 2021

   Wayne UNC Health Care: All Active and Courtesy Staff members are required to be able to respond within 60 minutes to emergency needs that might arise in the hospital in any area, patient care areas, operating room, and ancillary departments. The 60-minute response is defined as the practitioner being able to be at the hospital within 60 minutes from the time they are initially paged in an appropriate manner. It is the responsibility of the physician to have a page system which allows immediate notification. Active Staff members serving as consultants should be able to provide this same level of response. Each department has the authority to make the response requirements more stringent but not more lenient.

   Reply